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Book part
Publication date: 30 December 2013

Bastian Ravesteijn, Hans van Kippersluis and Eddy van Doorslaer

Health is distributed unequally by occupation. Workers on a lower rung of the occupational ladder report worse health, have a higher probability of disability and die earlier than…

Abstract

Health is distributed unequally by occupation. Workers on a lower rung of the occupational ladder report worse health, have a higher probability of disability and die earlier than workers higher up the occupational hierarchy. Using a theoretical framework that unveils some of the potential mechanisms underlying these disparities, three core insights emerge: (i) there is selection into occupation on the basis of initial wealth, education and health, (ii) there will be behavioural responses to adverse working conditions, which can have compensating or reinforcing effects on health and (iii) workplace conditions increase health inequalities if workers with initially low socio-economic status choose harmful occupations and don’t offset detrimental health effects. We provide empirical illustrations of these insights using data for the Netherlands and assess the evidence available in the economics literature.

Details

Health and Inequality
Type: Book
ISBN: 978-1-78190-553-1

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Book part
Publication date: 30 December 2013

Abstract

Details

Health and Inequality
Type: Book
ISBN: 978-1-78190-553-1

Open Access
Article
Publication date: 23 March 2020

Yara Ahmed, Racha Ramadan and Mohamed Fathi Sakr

This paper aims to evaluate the progressivity of health-care financing in Egypt by assessing all five financing sources individually and then combining them to analyze the equity…

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Abstract

Purpose

This paper aims to evaluate the progressivity of health-care financing in Egypt by assessing all five financing sources individually and then combining them to analyze the equity of the whole financing system.

Design/methodology/approach

Lorenz dominance analysis and Kakwani progressivity index were applied on data from 2010/2011 Household Income, Expenditure, and Consumption Survey and the National Health Accounts 2011 using Stata to evaluate the progressivity of each source of health-care finance and the financing system overall.

Findings

The data show that Egypt’s health-care system, which is largely financed by out-of-pocket (OOP) payments, is slightly regressive, with an overall Kakwani index of −0.079. The overall regressive effect was the result of three regressive sources (OOP payments, an earmarked cigarette tax and direct taxes), one proportional finance source (social health insurance) and two slightly progressive sources (indirect taxes and private health insurance). This shows that the burden of financing health care falls more on the poor. These results signal the need for reform of health-care financing in Egypt to reduce dependence on OOP payments to achieve more equitable financing.

Originality/value

The paper seeks to augment the literature on health-care financing in Egypt by calculating specific progressivity estimates for all five sources of financing the Egyptian health-care system and analyzing the overall equity of this financing system. It will, therefore, provide a benchmark for monitoring the equity of finance in the Egyptian health-care system in future studies and allow one to assess the impact of implemented financing reforms in the future on the level of progressivity of health system financing.

Details

Journal of Humanities and Applied Social Sciences, vol. 3 no. 1
Type: Research Article
ISSN: 2632-279X

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Content available
Book part
Publication date: 30 December 2013

Abstract

Details

Health and Inequality
Type: Book
ISBN: 978-1-78190-553-1

Content available
Article
Publication date: 1 May 2009

199

Abstract

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International Journal of Health Care Quality Assurance, vol. 22 no. 3
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 April 2011

Dindial Ramrattan

Purpose: To present a descriptive framework that will provide the foundation for future exploratory research on the socioeconomic impact of Chronic Non‐Communicable Diseases…

Abstract

Purpose: To present a descriptive framework that will provide the foundation for future exploratory research on the socioeconomic impact of Chronic Non‐Communicable Diseases (CNCDs) in Trinidad and Tobago. The paper also attempts to initiate discussions regarding the placement of greater emphasis on preventative health care. Methodology: Time series data was used to paint a picture of the changing epidemiological profile within the country. Secondary data was also utilised to illustrate changes in policy within the country. Data was obtained from various key stakeholders inclusive of Government Ministries and the Central Statistical Office of Trinidad and Tobago. Findings: CNCDs are the leading cause of death in Trinidad and Tobago and attempts have been made to address these issues. Recurrent expenditure continues to constitute the majority of health sector spending with programmes like the Chronic Disease Assistance Programme (CDAP) directly targeting the rise of CNCDs. However, at the time of writing, there appeared to be very few linkages between the various relevant stakeholders to facilitate the combination of their expertise which would undoubtedly aid in reducing the impact of CNCDs on the economic earning potential and social fabric of Trinidad and Tobago.

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World Journal of Science, Technology and Sustainable Development, vol. 8 no. 4
Type: Research Article
ISSN: 2042-5945

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Book part
Publication date: 20 May 2017

Jonathan Cylus

Unemployment insurance (UI) reduces the opportunity cost of leisure, but it is unknown whether this additional leisure time is physically active. To obtain unbiased estimates of…

Abstract

Unemployment insurance (UI) reduces the opportunity cost of leisure, but it is unknown whether this additional leisure time is physically active. To obtain unbiased estimates of the effect of UI on physically active leisure participation, I exploit changes in UI program legislation across US states and time. Using nationally representative monthly data between 2003 and 2010 from the Behavioral Risk Factor Surveillance System (BRFSS) and the American Time Use Survey (ATUS), I find evidence that both state UI eligibility expansions and increases in maximum allowable state UI benefits coincide with greater probability of physical activity among the recently unemployed. Based on point estimates, state UI eligibility expansions increased the probability of physical activity participation by 8–10 percentage points among the unemployed with less than a high school education, while a 10% increase in the maximum allowable state UI benefit increased the probability of physical activity by 0.3 to 0.6 percentage points among the unemployed who have completed high school or some college.

Details

Human Capital and Health Behavior
Type: Book
ISBN: 978-1-78635-466-2

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Article
Publication date: 1 June 2000

Aggie Paulus, Arno van Raak, Frits van Merode and Eddy Adang

In many countries, health care reforms are being made with the purpose of stimulating actors to make economically sound decisions. Recent attempts in The Netherlands encompass the…

1285

Abstract

In many countries, health care reforms are being made with the purpose of stimulating actors to make economically sound decisions. Recent attempts in The Netherlands encompass the development and introduction of integrated health care arrangements. Since these arrangements are directly tailored to care demand, it is generally expected that integrated health care will enhance efficiency. This paper analyses whether a shift towards integrated health care actually represents a Pareto‐optimal change. An analysis of the consequences shows that care demanders, providers and informal care givers, to some extent and under certain conditions, can be expected to benefit from the introduction of integrated health care. Under long‐term considerations, the introduction of integrated care may be categorised as a potential Pareto‐improvement.

Details

Journal of Economic Studies, vol. 27 no. 3
Type: Research Article
ISSN: 0144-3585

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