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Ulf Gerdtham. Photo.

Ulf Gerdtham

Professor

Ulf Gerdtham. Photo.

Redistributive effects of Swedish health care finance

Author

  • Ulf G. Gerdtham
  • Gun Sundberg

Summary, in English

This paper investigates the redistributive effects of the Swedish health care financing system in 1980 and 1990 for four different financial sources: county council taxes, payroll taxes, direct payments and state grants. The redistributive effects are decomposed into vertical, horizontal and 'reranking' segments for each of the four financial sources. The data used are based on probability samples of the Swedish population, from the Level of Living Survey (LNU) from 1981 and 1991. The paper concludes that the Swedish health care financing system is weakly progressive, although direct payments are regressive. There is some horizontal inequity and 'reranking', which mainly comes from the county council taxes, since those tax rates vary for each county council. The implication is that, to some extent, people with equal incomes are treated unequally.

Publishing year

1998-12-01

Language

English

Pages

289-306

Publication/Series

International Journal of Health Planning and Management

Volume

13

Issue

4

Document type

Journal article

Publisher

Wiley-Blackwell

Topic

  • Economics
  • Health Care Service and Management, Health Policy and Services and Health Economy

Keywords

  • Equity
  • Financing
  • Health care
  • Redistributive effects

Status

Published

ISBN/ISSN/Other

  • ISSN: 0749-6753