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Titolo:
Regional differences in health care delivery: Implications for a national resource allocation formula
Autore:
Sutton, M; Lock, P;
Indirizzi:
Ayrshire & Arran Hlth Board, Ayre, Scotland Ayrshire & Arran Hlth Board Ayre Scotland an Hlth Board, Ayre, Scotland Univ York, Ctr Hlth Econ, Natl Primary Care R&D Ctr, York YO1 5DD, N Yorkshire, England Univ York York N Yorkshire England YO1 5DD YO1 5DD, N Yorkshire, England
Titolo Testata:
HEALTH ECONOMICS
fascicolo: 6, volume: 9, anno: 2000,
pagine: 547 - 559
SICI:
1057-9230(200009)9:6<547:RDIHCD>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
SIMULTANEITY; MODELS; EQUITY;
Keywords:
vertical equity; geographical equity; resource allocation; progressivity in health care delivery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Sutton, M Univ Glasgow, Dept Gen Practice, 4 Lancaster Crescent, Glasgow G12 0RR, Lanark, Scotland Univ Glasgow 4 Lancaster Crescent Glasgow Lanark Scotland G12 0RR
Citazione:
M. Sutton e P. Lock, "Regional differences in health care delivery: Implications for a national resource allocation formula", HEALTH ECON, 9(6), 2000, pp. 547-559

Abstract

In several countries formulae for allocating resources to regions are derived using national average relationships between population characteristicsand health service use. However, there may be significant regional heterogeneity in health care delivery which, has two main implications for a national resource allocation formula. First, it offers alternative ways of measuring the relative needs of different population groups. Since the primary focus of research and policy is on the difficulty of targeting resources at high-need populations, it is proposed that progressivity in the delivery ofhealth care could be seen as a frontier problem analogous to efficiency. The effects of using the slope parameters from the most progressive region are simulated. Second, regional heterogeneity may thwart the objective of the formula of securing equitable use of resources by different population groups. An adjustment mechanism is developed to illustrate the trade-off between the levels of geographical and vertical equity achieved. A locus of equity possibilities for acute care in Scotland is derived. Traditional formulae represent a corner solution indicating extreme relative aversion to geographical inequity. Because regional variation in need dominates regional variation in progressivity in Scotland, high-need rather than progressive regions gain from the pursuit of vertical equity. Copyright (C) 2000 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 17:15:43