In this section
@article{Hauck:2002,
author = {Hauck, K and Shaw, R and Smith, PC},
journal = {Health Economics},
pages = {667--677},
title = {Reducing avoidable inequalities in health: a new criterion for setting health care capitation payments},
url = {http://dx.doi.org/10.1002/hec.692},
volume = {11},
year = {2002}
}
TY - JOUR
AB - Traditionally, most health care systems which pretend to any sort of rationality and cost control have sought to allocate their limited funds in order to secure equal opportunity of access for equal need. The UK government is implementing a fundamental change of resource allocation philosophy towards ‘contributing to the reduction of avoidable health inequalities’. The purpose of this essay is to explore some of the economic issues that arise when seeking to allocate health care resources according to the new criterion. It indicates that health inequalities might arise because of variations in the quality of health services, variations in access to those services, or variations in the way people produce health, and that the resource allocation consequences differ depending on which source is being addressed. The paper shows that an objective of reducing health inequalities is not necessarily compatible with an objective of equity of access, nor with the objective of maximising health gain. The results have profound consequences for approaches towards economic evaluation, the role of clinical guidelines and performance management, as well as for resource allocation methods.Copyright © 2002 John Wiley & Sons, Ltd.
AU - Hauck,K
AU - Shaw,R
AU - Smith,PC
EP - 677
PY - 2002///
SN - 1099-1050
SP - 667
TI - Reducing avoidable inequalities in health: a new criterion for setting health care capitation payments
T2 - Health Economics
UR - http://dx.doi.org/10.1002/hec.692
VL - 11
ER -
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