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The Palestinian Economy. Theoretical and Practical Challenges

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Proceedings “<strong>The</strong> <strong>Palestinian</strong> <strong>Economy</strong>: <strong>The</strong>oretical <strong>and</strong> <strong>Practical</strong> <strong>Challenges</strong>” 379<br />

(being always slightly higher in the WB than in GS, <strong>and</strong> lower in the case of tertiarylevel),<br />

suggesting that if these socioeconomic variables were distributed equally across<br />

income range, income-related inequity in the utilisation of health care (the HI index)<br />

would be, in general, about 30% lower than that observed. Also, it is worth noting that,<br />

although the pro-rich contributions of all these socioeconomic variables push further the<br />

“pro-poor” distribution from need in a “pro-rich” direction, this remains less than offset<br />

by the “very pro-poor” distribution of need in the case of primary-care, <strong>and</strong> therefore,<br />

income-related inequality in that case remains, overall, pro-poor.<br />

Figure 4.2: Decomposition of Overall Income-Related Inequality<br />

<strong>and</strong> Horizontal Inequity by Levels of Health Care<br />

West Bank (WB)<br />

Tertiary-care<br />

Secondary-care<br />

(inpatient)<br />

Secondary-care<br />

(outpatient)<br />

Primray-care<br />

Need<br />

Income<br />

Education<br />

Insurance<br />

Activity status<br />

Marital status<br />

Urban resid.<br />

Participation<br />

Condit. usage<br />

Other socioecon.<br />

Residual<br />

-0.15 -0.10 -0.05 0.00 0.05 0.10 0.15 0.20 0.25<br />

Figure 2a: Contribution to inequality

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