Titre | Mesure de l'équité des modes de financement et de distribution des soins de santé : aspects méthodologiques avec illustration sur l'Irlande | |
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Auteur | Brian Nolan | |
Revue | Economie et prévision | |
Numéro | no 129-130, 1997/3-4 Nouvelles approches micro-économiques de la santé | |
Rubrique / Thématique | Nouvelles approches micro-économiques de la santé Les outils d'analyse et de mesure en économie de la santé |
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Page | 121-130 | |
Résumé anglais |
Measuring the Equity of Health-Care Distribution and Funding Methods:
Methodological Aspects with Ireland as Illustration
by Brian Nolan
This paper sets out the methodological difficulties encountered in measuring the equity of health-care distribution and funding. Some of these difficulties are shared by other fields of the economy, but the most complex remain specific to this area, such as the problem of finding a suitable measurement for medical needs It is also difficult to establish a direct relationship between macroeconomic performance and microeconomic behaviour in terms of production and consumption. Yet more complicated is the fact that needs assessment should be based on patients' capacity to benefit from care rather than on the degree of illness, and on the distribution of health improvements among the community rather than on the utilisation of health care. Indeed, much of the health-care currently available would be unable to reduce health inequalities even if targeted at the most disadvantaged social and economic categories. Source : Éditeur (via Persée) |
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Article en ligne | http://www.persee.fr/web/revues/home/prescript/article/ecop_0249-4744_1997_num_129_3_5867 |