The Palestinian Economy. Theoretical and Practical Challenges

More documents

Recommendations

Info

Assessing the Causes of Inequality in Health Care Delivery System in Palestine Mohammad Abu-Zaineh and Awad Mataria Abstract: Income-related inequalities and horizontal inequities in health care utilisation have recently been widely studied using linear additive models of decopmostion. This paper applies new methods of decompostion “by factors”, based on microsimulation technique. Besides avoiding the “unavoidable price” of linearity restriction that is imposed by the “standard” method, the microsimulation-based decompostion enables to duck the potentially contentious role of heterogeneity in genuine individuals’ behaviour in the analysis of inequality, as well as the institutional features and practices driving inequity. The decomposition method is applied to twostage utilisation (the probability of usage and the conditional usage – using the combined Logit-zero truncated Negbin models) for three levels of health care delivery: primary, secondary and tertiary, particular to the specific context of the two occupied territories of Palestine (OPT): the West Bank (WB) and Gaza Strip (GS). The data are taken from the first national survey on health care use and expenditure, which provide detailed information about utilisation and morbidity. Our empirical results suggest that the worse-off do have disproportionately greater need for all levels of care, but with the expectation of primary-level, access to – and utilisation of – all levels of care appear to be significantly higher for the better-off. The incremental examination through microsimulation has made it possible to separately identify the relative contributions of factors driving such pro-rich patterns. While much of this inequity appear to be caused by omnipresent socioeconomic inequalities (by income), detailed analysis attributes a non-trivial part (circa 30% of the observed horizontal inequities) to heterogeneity in behaviour with respect to the rank of individuals in the income distribution. Department of Economics/Faculty of Commerce and Economics, Birzeit University. e-mail: mzaineh@birzeit.edu; mohammad.abu-zaineh@inserm.fr, alternate e-mail: mzaineh@gmail.com Corresponding author Institute of Community and Public Health, Birzeit University. e-mail: awad@birzeit.edu; alternate e-mail: amataria@gmail.com
342 Abu-Zaineh – Mataria The latter finding, which cannot be explicitly envisaged by the standard decomposition, corroborates earlier evidence on the importance of considering such axis in order to provide a more convincing decomposition, and for judging equity performance of health system. Several policy-relevant factors, which have to be taken into account for any future attempt aiming at limiting the existing inequalities in the current health care delivery systems of the OPT are discussed and identified. Keywords: Health care utilisation; Two-part models; Microsimulation; Concentration index; Horizontal equity; Bootstrap Methods; Developing countries; occupied Palestinian territory.
Page 1 and 2:
The Palestinian Economy Theoretical
Page 3 and 4:
© Gianni Vaggi - Marco Missaglia -
Page 6:
VOLUME II
Page 9 and 10:
246 Zagha 1. Introduction The local
Page 11 and 12:
248 Zagha and groups in political d
Page 13 and 14:
250 Zagha drawbacks in the politica
Page 15 and 16:
252 Zagha it is not surprising that
Page 17 and 18:
254 Zagha economy (including expend
Page 19 and 20:
256 Zagha social norms sharply dist
Page 21 and 22:
258 Zagha Bird (1995) puts it, info
Page 23 and 24:
260 Zagha intergovernmental fiscal
Page 25 and 26:
262 Zagha low rate flat tax levied
Page 27 and 28:
264 Zagha need to be given access t
Page 29 and 30:
266 Zagha Such failures are found i
Page 31 and 32:
268 Zagha 4.1.3. The Relationship b
Page 33 and 34:
270 Zagha a final account report of
Page 35 and 36:
272 Zagha 4.1.6. Functions of LGUs
Page 37 and 38:
274 Zagha • Management of LGU ass
Page 39 and 40:
276 Zagha Figure 2: Local Governmen
Page 41 and 42:
278 Zagha In summary, what the data
Page 43 and 44:
280 Zagha on the cash basis. Almost
Page 45 and 46:
282 Zagha Figure 7: Business Opinio
Page 47 and 48:
284 Zagha within the Palestinian na
Page 49 and 50:
286 Zagha Table 5: Number of NGOs i
Page 51 and 52:
288 Zagha Fiscal decentralisation i
Page 53 and 54: 290 Zagha Burki, J., Perry, G., Dil
Page 55 and 56: 292 Zagha Palestinian Legislative C
Page 58 and 59: Issues, Performance and Trajectorie
Page 60 and 61: Proceedings “The Palestinian Econ
Page 76 and 77: The Effect of the Israeli-Palestini
Page 154 and 155:
Proceedings “The Palestinian Econ
Page 156 and 157:
Page 158 and 159:
Labour Force Instability and Employ
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
Page 172 and 173:
Page 174 and 175:
Page 176 and 177:
Page 178 and 179:
Page 180 and 181:
Page 182 and 183:
Page 184:
Page 187 and 188:
424 Olivera provisions - in particu
Page 189 and 190:
426 Olivera Figure 1: Economic Grow
Page 191 and 192:
428 Olivera 3. Traditional economic
Page 193 and 194:
430 Olivera costs and lower market
show all

The Palestinian Economy. Theoretical and Practical Challenges

Create successful ePaper yourself

Delete template?

Save as template?