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2017 | Buch

Inequity in Indian Health Care

verfasst von: Prof. Brijesh C. Purohit

Verlag: Springer Singapore

Buchreihe : India Studies in Business and Economics

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Über dieses Buch

This book addresses major aspects of inequity, such as access, financing, financial risk protection, gender, service delivery and utilization, in the healthcare sector in India,. Further, it discusses various measures for defining inequity in each of these aspects, and employs different indices for each dimension of inequity, which include financing, utilization, region, health outcomes, caste and class, and gender. The book covers both theoretical and empirical issues, examining fifteen major Indian States, as well as selected case studies at the district level. Combining quantitative and qualitative analyses, the book provides an overall view of the outcomes attributable to both economic development and policy changes per se. While providing essential data and insights for policymakers and researchers alike, the book also outlines further feasible policy changes that could potentially mitigate the current inequities in Indian healthcare. As such, it offers a valuable resource for upper graduate-level students in health economics, as well as for researchers and policymakers.

Inhaltsverzeichnis

Frontmatter
Chapter 1. Introduction
Abstract
In this introductory chapter, we review the emphasis laid out on reducing inequity in healthcare which has been highlighted by different policy forums and countries across the world. We also look Indian policy stand as seen through the health policy documents.
Brijesh C. Purohit
Chapter 2. Various Approaches to Inequity: A Review of Literature
Abstract
This chapter reviews various theoretical and empirical studies related to health care. It covers both Indian and various countries’ experience. The countries other than India include European countries, African nations, American and Latin American countries and Asian nations. Various dimensions across geographical regions, healthcare inputs and input utilization and health outcome aspects have been synthesized through this review chapter.
Brijesh C. Purohit
Chapter 3. Data and Methodology
Abstract
This chapter provides main conceptual and analytical tools and methods adopted by us in this book for further analysis, which is carried out in Chaps. 4 to 6. We provide basic definitions as well as formulas or tools used by us in the measurement of inequity in health care. We also discuss the numerous databases used by us in the chapters that follow.
Brijesh C. Purohit
Chapter 4. Health Expenditures and Health Facilities in India
Abstract
In this chapter we discuss aggregate all-India and state-level data. We provide a synoptic view of state-level scenario for sixteen major Indian states. We discuss the situation in regard to budgetary expenditure on health care on its various components including primary, secondary and tertiary care. We use National Sample Survey latest round data to discuss utilization pattern across states in India. We highlight dimensions of inequity through various socio-economic classifications and different inequity measures.
Brijesh C. Purohit
Chapter 5. District-Level Inequity in Selected Indian States
Abstract
In this chapter, we focus on district-level data for five major Indian states which include poor and rich states across different geographical directions in India. The district-level data thus used include the states of Assam, Bihar, Orissa, Gujarat and Tamil Nadu. We discuss various aspects of health care namely medical facilities, medical manpower, utilization, efficiency and equity. We use different inequity coefficients including Gini coefficients, Theils T and L measures, concentration curve, concentration index and Erryger’s index.
Brijesh C. Purohit
Chapter 6. Demand Elasticities for Health Care
Abstract
In this chapter, we look into demand elasticities for public and private health care in India. We analyse using data from National Family Health Survey (NFHS). We cover all India and 13 Indian states (including eight north-eastern states and five major Indian states across rich-, poor- and middle-income categories) using the household survey data from NFHs. We estimate healthcare demand elasticities across these states and with respect to availability, quality and socio-economic status both in rural as well as urban areas of the states covered in the analysis. We also look into inequities that are estimated using these healthcare demand elasticities.
Brijesh C. Purohit
Chapter 7. Conclusions and Policy Imperatives
Abstract
In this chapter, we bring together major findings as discussed in details in earlier chapters. Based on our analysis in this book, we also suggest possible policy imperatives that could help to reduce inequity in health care at different levels.
Brijesh C. Purohit
Metadaten
Titel
Inequity in Indian Health Care
verfasst von
Prof. Brijesh C. Purohit
Copyright-Jahr
2017
Verlag
Springer Singapore
Electronic ISBN
978-981-10-5044-2
Print ISBN
978-981-10-5043-5
DOI
https://doi.org/10.1007/978-981-10-5044-2

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