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- Publisher Website: 10.1002/hec.1342
- Scopus: eid_2-s2.0-61449514279
- PMID: 18264997
- WOS: WOS:000262275300004
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Article: Redistribution or horizontal equity in Hong Kong's mixed public-private health system: A policy conundrum
Title | Redistribution or horizontal equity in Hong Kong's mixed public-private health system: A policy conundrum | ||||||||
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Authors | |||||||||
Keywords | Equity Health care utilisation Health financing Net redistribution Progressivity | ||||||||
Issue Date | 2009 | ||||||||
Publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5749 | ||||||||
Citation | Health Economics, 2009, v. 18 n. 1, p. 37-54 How to Cite? | ||||||||
Abstract | We examine the distributional characteristics of Hong Kong's mixed public-private health system to identify the net redistribution achieved through public spending on health care, compare the income-related inequality and inequity of public and private care and measure horizontal inequity in health-care delivery overall. Payments for public care are highly concentrated on the better-off whereas benefits are pro-poor. As a consequence, public health care effects significant net redistribution from the rich to the poor. Public care is skewed towards the poor in part not only because of allocation according to need but also because the rich opt out of the public sector and consume most of the private care. Overall, there is horizontal inequity favouring the rich in general outpatient care and (very marginally) inpatient care. Pro-rich bias in the distribution of private care outweighs the pro-poor bias of public care. A lesser role for private finance may improve horizontal equity of utilisation but would also reduce the degree of net redistribution through the public sector. Copyright © 2008 John Wiley & Sons, Ltd. | ||||||||
Persistent Identifier | http://hdl.handle.net/10722/151669 | ||||||||
ISSN | 2023 Impact Factor: 2.0 2023 SCImago Journal Rankings: 1.144 | ||||||||
ISI Accession Number ID |
Funding Information: The work described in this paper was fully supported by a grant from the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council Of the Hong Kong Special Administrative Region, China (Project No. HKU 7011-PPR20051) and the European Commission INCO-DEV programme (ICA4-CT-2001-10015). GML is grateful to the Takemi Program of the Harvard School of Public Health for hosting his sabbatical leave during which part of this work was completed. | ||||||||
References | |||||||||
Grants |
DC Field | Value | Language |
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dc.contributor.author | Leung, GM | en_US |
dc.contributor.author | Tin, KYK | en_US |
dc.contributor.author | O'donnell, O | en_US |
dc.date.accessioned | 2012-06-26T06:26:20Z | - |
dc.date.available | 2012-06-26T06:26:20Z | - |
dc.date.issued | 2009 | en_US |
dc.identifier.citation | Health Economics, 2009, v. 18 n. 1, p. 37-54 | en_US |
dc.identifier.issn | 1057-9230 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/151669 | - |
dc.description.abstract | We examine the distributional characteristics of Hong Kong's mixed public-private health system to identify the net redistribution achieved through public spending on health care, compare the income-related inequality and inequity of public and private care and measure horizontal inequity in health-care delivery overall. Payments for public care are highly concentrated on the better-off whereas benefits are pro-poor. As a consequence, public health care effects significant net redistribution from the rich to the poor. Public care is skewed towards the poor in part not only because of allocation according to need but also because the rich opt out of the public sector and consume most of the private care. Overall, there is horizontal inequity favouring the rich in general outpatient care and (very marginally) inpatient care. Pro-rich bias in the distribution of private care outweighs the pro-poor bias of public care. A lesser role for private finance may improve horizontal equity of utilisation but would also reduce the degree of net redistribution through the public sector. Copyright © 2008 John Wiley & Sons, Ltd. | en_US |
dc.language | eng | en_US |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5749 | en_US |
dc.relation.ispartof | Health Economics | en_US |
dc.subject | Equity | - |
dc.subject | Health care utilisation | - |
dc.subject | Health financing | - |
dc.subject | Net redistribution | - |
dc.subject | Progressivity | - |
dc.subject.mesh | Delivery Of Health Care - Economics - Organization & Administration | en_US |
dc.subject.mesh | Financing, Government - Economics | en_US |
dc.subject.mesh | Financing, Personal - Economics | en_US |
dc.subject.mesh | Health Care Reform - Economics | en_US |
dc.subject.mesh | Health Policy - Economics | en_US |
dc.subject.mesh | Healthcare Disparities - Economics | en_US |
dc.subject.mesh | Hong Kong | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Private Sector - Economics | en_US |
dc.subject.mesh | Public Sector - Economics | en_US |
dc.subject.mesh | Socioeconomic Factors | en_US |
dc.title | Redistribution or horizontal equity in Hong Kong's mixed public-private health system: A policy conundrum | en_US |
dc.type | Article | en_US |
dc.identifier.email | Leung, GM:gmleung@hku.hk | en_US |
dc.identifier.email | Tin, KYK:tinyiuke@hku.hk | en_US |
dc.identifier.authority | Leung, GM=rp00460 | en_US |
dc.identifier.authority | Tin, KYK=rp00494 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1002/hec.1342 | en_US |
dc.identifier.pmid | 18264997 | - |
dc.identifier.scopus | eid_2-s2.0-61449514279 | en_US |
dc.identifier.hkuros | 155231 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-61449514279&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 18 | en_US |
dc.identifier.issue | 1 | en_US |
dc.identifier.spage | 37 | en_US |
dc.identifier.epage | 54 | en_US |
dc.identifier.isi | WOS:000262275300004 | - |
dc.publisher.place | United Kingdom | en_US |
dc.relation.project | Horizontal equity in health care utilization in Hong Kong | - |
dc.identifier.scopusauthorid | Leung, GM=7007159841 | en_US |
dc.identifier.scopusauthorid | Tin, KYK=7003796897 | en_US |
dc.identifier.scopusauthorid | O'Donnell, O=6601988937 | en_US |
dc.identifier.issnl | 1057-9230 | - |