University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Socioeconomic inequality of access to healthcare: Does choice explain the gradient?

Moscelli, Giuseppe, Siciliani, L, Gutacker, N and Cookson, R (2017) Socioeconomic inequality of access to healthcare: Does choice explain the gradient? Journal of Health Economics, 57. pp. 290-314.

[img]
Preview
Text
1-s2.0-S0167629616302545-main.pdf - Version of Record
Available under License Creative Commons Attribution.

Download (2MB) | Preview
[img] Text
SES_choice_waiting_times-JHE2017-Moscelli_et_al.pdf - Proof
Restricted to Repository staff only

Download (2MB)

Abstract

Equity of access is a key policy objective in publicly-funded healthcare systems. However, observed inequalities of access by socioeconomic status may result from differences in patients’ choices. Using data on non-emergency coronary revascularisation procedures in the English National Health Service, we found substantive differences in waiting times within public hospitals between patients with different socioeconomic status: up to 35% difference, or 43 days, between the most and least deprived population quintile groups. Using selection models with differential distances as identification variables, we estimated that only up to 12% of these waiting time inequalities can be attributed to patients’ choices of hospital and type of treatment (heart bypass versus stent). Residual inequality, after allowing for choice,was economically significant: patients in the least deprived quintile group benefited from shorter waiting times and the associated health benefits were worth up to £850 per person.

Item Type: Article
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
NameEmailORCID
Moscelli, Giuseppeg.moscelli@surrey.ac.uk
Siciliani, L
Gutacker, N
Cookson, R
Date : 23 June 2017
Identification Number : 10.1016/j.jhealeco.2017.06.005
Copyright Disclaimer : © 2017 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Uncontrolled Keywords : Waiting times; Inequalities; Socioeconomic status; Selection bias; Choice
Depositing User : Melanie Hughes
Date Deposited : 13 Mar 2018 09:48
Last Modified : 28 Mar 2018 16:10
URI: http://epubs.surrey.ac.uk/id/eprint/845987

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800