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未来健康前景中与收入相关的不平等现象。

Income-Related Inequalities in Future Health Prospects.

作者信息

Kjellsson Gustav, Petrie Dennis, Van Ourti Tom

机构信息

Department of Economics, School of Public Health & Communicy Medicine, University of Gothenburg, Gothenburg, Sweden.

Centre for Health Governance, Department of Economics, University of Gothenburg, Gothenburg, Sweden.

出版信息

Health Econ. 2025 Aug;34(8):1426-1442. doi: 10.1002/hec.4965. Epub 2025 Apr 18.

Abstract

Measuring health disparities is key to monitoring health systems, but hitherto disparities in the individual risk people face about their future health has been neglected. This paper integrates individual health risk into income-related health inequality measurement. We develop a rank dependent health inequality index that considers inequalities in each individual's expected future health and the dispersion of their future health prospects. It is useful when a social planner wants to account for risk averse preferences in the assessment of income-related inequalities of future health prospects. The empirical application using Australian longitudinal data highlights that neglecting individual risk underestimates income-related inequalities in future health prospects since the poor not only face worse expected future health, but also faced greater dispersion in their future health prospects compared to the rich.

摘要

衡量健康差距是监测卫生系统的关键,但迄今为止,人们未来健康所面临的个体风险方面的差距一直被忽视。本文将个体健康风险纳入与收入相关的健康不平等测量中。我们开发了一个基于排序的健康不平等指数,该指数考虑了每个人预期未来健康状况的不平等以及他们未来健康前景的分散程度。当社会规划者想要在评估未来健康前景的与收入相关不平等时考虑风险厌恶偏好时,它很有用。使用澳大利亚纵向数据的实证应用突出表明,忽视个体风险会低估未来健康前景中与收入相关的不平等,因为与富人相比,穷人不仅面临更差的预期未来健康,而且其未来健康前景的分散程度也更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94ee/12212460/7b946a4fa132/HEC-34-1426-g003.jpg

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