van Doorslaer E, Wagstaff A, Calonge S, Christiansen T, Gerfin M, Gottschalk P, Janssen R, Lachaud C, Leu R E, Nolan B
Erasmus University, Rotterdam, Netherlands.
J Health Econ. 1992 Dec;11(4):389-411. doi: 10.1016/0167-6296(92)90013-q.
This paper presents the results of an eight-country comparative study of equity in the delivery of health care. Equity is taken to mean that persons in equal need of health care should be treated the same, irrespective of their income. Two methods are used to investigate inequity: an index of inequity based on standardized expenditure shares, and a regression-based test. The results suggest that inequity exists in most of the eight countries, but there is no simple one-to-one correspondence between a country's delivery system and the degree to which persons in equal need are treated the same.
本文展示了一项关于医疗保健服务公平性的八国比较研究结果。公平被理解为有同等医疗需求的人应得到同等对待，不论其收入如何。研究采用两种方法调查不公平现象：基于标准化支出份额的不公平指数，以及基于回归的检验。结果表明，这八个国家中的大多数都存在不公平现象，但一个国家的医疗服务体系与同等需求者被同等对待的程度之间不存在简单的一一对应关系。
