Efficiency, equity and equality in health and health care

Tony Culyer

Three common “Es” have high ethical and political content for health policy: efficiency, equity and equality. This article examines the links between the three, with especial attention given to (a) the claimed conflict between efficiency and equity, (b) the equity of inequalities and (c) the conflict between six equity principles: equal health, equal health gain, equal value of additional health, maintaining existing distributions, allocation according to need and equal per capita resources.

Citation

Culyer, T. 2015. Efficiency, equity and equality in health and health care. (pp. 1-20). (CHE Research Paper; No. 120). York, UK: Centre for Health Economics, University of York.