Horizontal inequality in rationing by waiting lists.

作者: Gustav Tinghög , David Andersson , Petter Tinghög , Carl Hampus Lyttkens

DOI: 10.2190/HS.44.1.J

关键词: DemographyHorizontal inequalityHousehold incomeElective surgeryHealth policyElective Surgical ProcedureActuarial scienceInequalityMedicineRationingSocioeconomic status

摘要: The objective of this article was to investigate the existence horizontal inequality in access care for six categories elective surgery a publicly funded system, when is rationed through waiting lists. Administrative time data on all surgeries (n = 4,634) performed Ostergotland, Sweden, 2007 were linked national registers containing variables socioeconomic indicators. Using multiple regression, we tested five hypotheses reflecting that more resourceful groups receive priority rationing by Low disposable household income predicted longer times orthopedic (27%, p < 0.01) and general (34%, 0.05). However, no significant differences basis ethnicity gender detected. A particularly noteworthy finding appeared be an increasingly influential factor longer. Our findings reveal inequalities surgeries, but only limited extent. Whether good or bad depends one's moral inclination. From policymaker's perspective, it nevertheless important recognize arise even though not ability pay.

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