Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/77813
Authors: 
Fjugushige, Mototsugu
Ishikawa, Noriko
Maekawa, Satoko
Year of Publication: 
2012
Citation: 
[Journal:] Health Economics Review [ISSN:] 2191-1991 [Publisher:] Springer [Place:] Heidelberg [Volume:] 2 [Year:] 2012 [Issue:] 10 [Pages:] 1-7
Abstract: 
We propose simple modifications for the Kakwani tax progressivity measure that make it suitable for evaluating access inequality for medical services. Our modification is to measure inequality using the ratio of the concentration index to the Gini coefficient instead of the difference between them. We also propose a measure using the Gini coefficient or concentration index of consumption expenditure as the denominator in the modified measure as an alternative type of modified measure. This measure can also be interpreted as the income/consumption expenditure elasticity evaluated at the mean. Additionally, we propose a decomposition method using expenditure components and provide an empirical example with Japanese data.
Subjects: 
health inequality
Kakwani measure
decomposition
JEL: 
I14
I10
Persistent Identifier of the first edition: 
Creative Commons License: 
http://creativecommons.org/licenses/by/2.0/
Document Type: 
Article

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