O'Donnell O, Propper C
Centre for Health Economics, University of York, UK.
J Health Econ. 1991 May;10(1):1-19. doi: 10.1016/0167-6296(91)90014-e.
This paper examines the extent to which the British NHS allocates health care according to need. The results, based on 1985 data, show that within morbidity groups the poor receive, on average, more health care than the rich. This does not necessarily indicate pro-poor inequity. There is some evidence of a positive relationship between income and health within any morbidity category. The results contradict those of an earlier study which found bias favouring the middle classes. It is argued that the methodology adopted in the present study is more appropriate for the examination of allocation according to need.
本文研究了英国国民医疗服务体系（NHS）根据需求分配医疗保健的程度。基于1985年数据的结果表明，在发病群体中，穷人平均比富人接受更多的医疗保健。这并不一定表明存在有利于穷人的不公平现象。有一些证据表明，在任何发病类别中，收入与健康之间存在正相关关系。这些结果与早期一项发现偏袒中产阶级的研究结果相矛盾。有人认为，本研究采用的方法更适合于根据需求对分配情况进行考察。
