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Ethics and geographical equity in health care

Rice, N. and Smith, P (2001) Ethics and geographical equity in health care. Journal of Medical Ethics. pp. 256-261. ISSN 0306-6800

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Abstract

Important variations in access to health care and health outcomes are associated with geography, giving rise to profound ethical concerns. This paper discusses the consequences of such concerns for the allocation of health care finance to geographical regions. Specifically, it examines the ethical drivers underlying capitation systems, which have become the principal method of allocating health care finance to regions in most countries. Although most capitation systems are based on empirical models of health care expenditure, there is much debate about which needs factors to include in (or exclude from) such models. This concern with legitimate and illegitimate drivers of health care expenditure reflects the ethical concerns underlying the geographical distribution of health care finance.

Item Type: Article
Copyright, Publisher and Additional Information: © 2001 the Journal of Medical Ethics
Keywords: Health economics, resource allocation, ethics of regional health care finance, capitation systems
Academic Units: The University of York > Centre for Health Economics (York)
Depositing User: Repository Officer
Date Deposited: 22 Nov 2004
Last Modified: 17 Oct 2013 14:35
Status: Published
Refereed: Yes
Related URLs:
URI: http://eprints.whiterose.ac.uk/id/eprint/204

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