The LSE Companion to Health Policy
Show Less

The LSE Companion to Health Policy

  • Elgar original reference

Edited by Alistair McGuire and Joan Costa-Font

The LSE Companion to Health Policy covers a wide range of conceptual and practical issues from a number of different perspectives introducing the reader to, and summarising, the vast literature that analyses the complexities of health policy. The Companion also assesses the current state of the art.
Buy Book in Print
Show Summary Details

Chapter 3: Socioeconomic Status and Access to Health Care: The Quandary of Transition Economies

Heba A. Elgazzar

Extract

3 Socioeconomic status and access to health care: the quandary of transition economies Heba A. Elgazzar 1. INTRODUCTION To sustain quality social environments with diminished resources is a difficult task. It is possible that societies with high quality social capital will be better able to adjust than will fragmented individualistic societies. Societies that have a strong, coherent sense of what is important, and a collective will, will probably be most successful. (Frank and Mustard, 1994, p. 17) Emerging studies on income inequality point to a paradox. Despite economic progress, social inequalities such as disparities in wealth and health appear to be widening in many countries (Coburn, 2003). In the case of health, various economic barriers to accessing health care services may exist, such as a low ability to pay and a lack of access to safety nets. This chapter examines the relationship between economic status and the utilisation of health care services in middle-income countries. Social values help to shape the debate on how health care should be organised and financed, as well as the role of the state. Where the health care system is oriented towards social solidarity, the state tends to play a more active role in ensuring that all socioeconomic levels have equal access to services regardless of ability to pay. In transition economies such as middle-income countries in the Middle East, Latin America, Eastern Europe and Southeast Asia, governments are currently in the process of building institutional effectiveness, reducing corruption and strengthening overall governance. Health systems...

You are not authenticated to view the full text of this chapter or article.

Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.

Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.

Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.


Further information

or login to access all content.