Culyer, Tony (2015) Efficiency, equity and equality in health and health care. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
Abstract
Three common “Es” have high ethical and political content for health policy: efficiency, equity and equality. This article examines the links between the three, with especial attention given to (a) the claimed conflict between efficiency and equity, (b) the equity of inequalities and (c) the conflict between six equity principles: equal health, equal health gain, equal value of additional health, maintaining existing distributions, allocation according to need and equal per capita resources. Conclusions include: Efficiency and equity do not inherently conflict an inefficient allocation can be equitable an efficient allocation can be inequitable an inefficient allocation can become more efficient without increasing inequity what is equitable often requires inequality in health and inequality in resource distribution per capita equality in health requires inequality in resource allocation equality in resource allocation typically leads to inequality in health allocation according to need typically leads to inequality in health
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 19 Sep 2018 09:40 |
Last Modified: | 10 Feb 2025 00:04 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135881 |
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