Wagstaff Adam
Development Research Group and Human Development Network, The World Bank, Washington, DC 20433, USA.
J Health Econ. 2002 Jul;21(4):627-41. doi: 10.1016/s0167-6296(02)00006-1.
This paper addresses two issues. The first is how health inequalities can be measured in such a way as to take into account policymakers' attitudes towards inequality. The Gini coefficient and the related concentration index embody one particular set of value judgements. By generalising these indices, alternative sets of value judgements can be reflected. The other issue addressed is how information on health inequality can be used together with information on the mean of the relevant distribution to obtain an overall measure of health "achievement".
本文探讨了两个问题。第一个问题是如何以一种考虑政策制定者对不平等态度的方式来衡量健康不平等。基尼系数和相关的集中指数体现了一套特定的价值判断。通过对这些指数进行推广,可以反映出其他价值判断集。所探讨的另一个问题是如何将健康不平等信息与相关分布均值的信息结合起来,以获得健康“成就”的综合衡量指标。