As the most critical conditions of human life and a significant contributor to human capability, health is the fundamental unit for a functioning society. As a construct, health is also inherently multi-dimensional, and to understand and to evaluate whether the infrastructure of a society endows fair "health opportunities" to its people can be an enduring task for both researchers and policy-makers. In this dissertation, I explore this complex and ever more relevant issue of health disparity from different angles using administrative data and extensive exploration of the literature. In particular, I analyse the geographic disparity in quality of care and the potential drivers - differential provider behaviour. Looking at health status, I investigate the disparity of health outcomes due to external economic shocks and found that individuals from economically disadvantaged areas exhibit significantly worse mental health conditions. Given the geographic disparity, I further examine how different sources of information on provider quality affect patient choice and decision to travel for care. Moreover, I survey on how the internet has facilitated the disparity in information and diverging opinions on health. Finally, from a systems perspective, I scrutinise structural characteristics in health care system design that create disparities in benefits and access. My inquiry into the complex phenomenon of health disparity presents a humble contribution to the exiting literature at the intersection of health economics, medical sociology and social epidemiology.

Essays on Health-related Disparities

WANG, YUXI
2022

Abstract

As the most critical conditions of human life and a significant contributor to human capability, health is the fundamental unit for a functioning society. As a construct, health is also inherently multi-dimensional, and to understand and to evaluate whether the infrastructure of a society endows fair "health opportunities" to its people can be an enduring task for both researchers and policy-makers. In this dissertation, I explore this complex and ever more relevant issue of health disparity from different angles using administrative data and extensive exploration of the literature. In particular, I analyse the geographic disparity in quality of care and the potential drivers - differential provider behaviour. Looking at health status, I investigate the disparity of health outcomes due to external economic shocks and found that individuals from economically disadvantaged areas exhibit significantly worse mental health conditions. Given the geographic disparity, I further examine how different sources of information on provider quality affect patient choice and decision to travel for care. Moreover, I survey on how the internet has facilitated the disparity in information and diverging opinions on health. Finally, from a systems perspective, I scrutinise structural characteristics in health care system design that create disparities in benefits and access. My inquiry into the complex phenomenon of health disparity presents a humble contribution to the exiting literature at the intersection of health economics, medical sociology and social epidemiology.
24-gen-2022
Inglese
FATTORE, GIOVANNI
TORBICA, ALEKSANDRA
Università Bocconi
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.14242/168232
Il codice NBN di questa tesi è URN:NBN:IT:UNIBOCCONI-168232