By the same authors

From the same journal

From the same journal

Socioeconomic Inequality of Access to Healthcare: Does Choice Explain the Gradient?

Research output: Contribution to journalArticle

Full text download(s)

Author(s)

Department/unit(s)

Publication details

JournalJournal of Health Economics
DateAccepted/In press - 11 Jun 2017
DateE-pub ahead of print (current) - 23 Jun 2017
Early online date23/06/17
Original languageEnglish

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.

Bibliographical note

© 2017, The Authors.

Discover related content

Find related publications, people, projects, datasets and more using interactive charts.

View graph of relations