Reference value sensitivity of measures of unfair health inequality.

Pilar García-Gómez, Erik Schokkaert, Tom Van Ourti
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Abstract

Most politicians and ethical observers are not interested in pure health inequalities, as they want to distinguish between different causes of health differences. Measures of "unfair" inequality - direct unfairness and the fairness gap, but also the popular standardized concentration index - therefore neutralize the effects of what are considered to be "legitimate" causes of inequality. This neutralization is performed by putting a subset of the explanatory variables at reference values, e.g. their means. We analyze how the inequality ranking of different policies depends on the specific choice of reference values. We show with mortality data from the Netherlands that the problem is empirically relevant and we suggest a statistical method for fixing the reference values.

衡量不公平健康不平等的参考值敏感性。
大多数政治家和道德观察家对纯粹的健康不平等不感兴趣,因为他们希望区分造成健康差异的不同原因。因此,"不公平 "不平等的衡量标准--直接不公平和公平差距,以及流行的标准化集中指数--中和了被认为是 "合法 "不平等原因的影响。这种中和是通过将一组解释变量置于参考值(例如其平均值)来实现的。我们分析了不同政策的不平等程度如何取决于参考值的具体选择。我们通过荷兰的死亡率数据表明,该问题与经验相关,并提出了一种固定参考值的统计方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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