Do the Poor Gain More? The Impact of Secondary-Care Expenditure on Health Inequality.

ABSTRACT:

Background

Quasi-experimental studies of mortality variation and trends among large administrative areas of England in the 2000s and early 2010s have suggested that more deprived populations gain larger mortality benefits from marginal increases in public expenditure on secondary care.

Objective

To identify causal effects of marginal changes in expenditure on mortality variation in 2018 among 32,784 more and less deprived small areas of England, with a mean population of 1700, allowing more fine-grained measurements of deprivation and mortality.

Methods

We used cross-sectional data on secondary-care funding allocated to 195 National Health Service administrative areas in England in 2018/19 and employed a well-established instrumental variable approach based on the "di

SUBMITTER: Anaya-Montes M 

PROVIDER: S-EPMC12924834 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature