Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

The fallacy of the equity-efficiency trade off

Rethinking the efficient health system

Bibliographic Data

ID15359164
AuthorsDaniel D Reidpath (0000-0002-8796-0420, Monash University Malaysia, corresponding author), Anna Elisabet Olafsdottir (0000-0002-9133-6487, Brunel University of London), Subhash Pokhrel (0000-0002-1009-8553, Brunel University of London), Pascale Allotey (0000-0002-6942-5774, Monash University Malaysia)
Year2012
Volume12
IssueS1
PagesS3-S3
Publication date2012-06-01
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/1471-2458-12-s1-s3
PMID22992346
PMCIDPMC3381691
OpenAlexW2166723123
LanguageEN
Citations received18
References cited13

In the health systems literature one can see discussions about the trade off between the equity achievable by the system and its efficiency. Essentially it is argued that as greater health equity is achieved, so the level of efficiency will diminish. This argument is borrowed from economics literature on market efficiency. In the application of the economic argument to health, however, serious errors have been made, because it is quite reasonable to talk of both health equity being a desirable output of a health system, and the efficient production of that output. In this article we discuss notions of efficiency, and the equity-efficiency trade off, before considering the implications of this for health systems

Actuarial science · Argument (complex analysis · Economic efficiency · Economic growth · Economics · Equity (law · Fallacy · Health care · Health equity · Microeconomics · Political science · Public economics · Public health · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Law · Medicine

  • Using a rapid review process to engage stakeholders, inform policy and set priorities for promoting physical activity and leisure participation for children with disabilities in British Columbia

    Ebele Mogo, Icoquih Badillo et al.•Leisure/Loisir•2020

  • Health Determinants

    Open Access•Pascale Allotey•The International Encyclopedia of…•2018

  • Balancing Equity and Efficiency in Kidney Allocation

    Open Access•Amir Elalouf, Joseph S Pliskin•Cambridge Quarterly of Healthcare…•2022

  • Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany

    Open Access•Louise Biddle, Katharina Wahedi et al.•Globalization and Health•2022

  • Alteridade ou austeridade

    Open Access•Schenkman, Aylene Emilia Moraes Bousquat•Ciência & Saúde Coletiva•2019

  • The relationship between SF-6D utility scores and lifestyle factors across three life stages

    Open Access•Jeeva Kanesarajah, Michael Waller et al.•Quality of Life Research•2017

  • We shouldn’t count chickens before they hatch

    Open Access•Elisabeth Paul, George W Brown et al.•Critical Public Health•2020

  • Health systems implications of rare genetic conditions in low- and middle-income countries

    Open Access•Pascale Allotey, Pascale A Allotey et al.•Critical Public Health•2017

  • Varying Opinions on Who Deserves Collectively Financed Health Care Services

    Open Access•Maartje J van der Aa, Andreas Paulus et al.•INQUIRY The Journal of Health…•2018

  • The equity–efficiency trade-off and the intensity of Covid-19 pandemic government responses

    Konstantinos Christopoulos, Konstantinos Eleftheriou et al.•Regional Studies•2023

  • Nutritional status and social behavior in preschool children

    Open Access•Jianghong Liu, Adrian Raine•Maternal and Child Nutrition•2016

  • Prevalence and Disability-Adjusted Life Year Rates of Asthma in China

    Open Access•Mingtao Liu, Hui Gan et al.•International Journal of…•2022

  • Persistent inequities in maternal mortality in Latin America and the Caribbean, 1990–2019

    Open Access•Rocío Sáenz, Gustavo Nigenda et al.•International Journal for Equity…•2024

  • A turnaround strategy

    Open Access•Gianluca Cafagna, Chiara Seghieri et al.•International Journal for Equity…•2018

  • Community social capital on the timing of sexual debut and teen birth in Nicaragua

    Open Access•Bomar Mendez Rojas, Idrissa Beogo et al.•BMC Public Health•2016

  • Evaluating urban–rural access to pathology and laboratory medicine services in Tanzania

    Open Access•Hari S Iyer, Nicholas Wolf et al.•Health Policy and Planning•2021

  • Measuring and analysing social efficiency in the production of maternal health services in Mexico, 2008–15

    Open Access•Fato Fene, Edson Serván-Mori et al.•Health Policy and Planning•2020

  • Variation in the Relationship between School Spending and Achievement

    E Rauscher, Yifan Shen•American Journal of Sociology•2022

  • Equality and Efficiency

    Open Access•Russell Keat•Philosophical Books•1980

  • The ideal of equal health revisited

    Open Access•Ole F Norheim, Ole Norheim et al.•International Journal for Equity…•2009

  • Population health. More than the sum of the parts

    Daniel D Reidpath•Journal of Epidemiology and…•2005

Citations per year1.8
Citation span2016 - 2024 (9)
Highly citedNo
Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae