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IJE Advance Access published online on June 23, 2009
International Journal of Epidemiology, doi:10.1093/ije/dyp239
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2009; all rights reserved.

Commentary: How does ‘insurance’ improve equity in health?

Barbara Starfield

Johns Hopkins University, Baltimore, MD 21205, USA.

E-mail: bstarfie@jhsph.edu

Accepted 26 May 2009

The first 10% of the full text of this article appears below.

In a meta-analysis of eight studies on overall mortality in women with breast cancer, Kevin Gorey1 makes a powerful case that better equity in survival in Canada than in the USA is a direct result of universal financial coverage for health services in the former country. The combined studies made it possible to examine age-adjusted survival rates in different age groups (under and over the age of 65 years), with different geographic units of analysis, in different types of place of residence, and with different specifications for socio-economic characteristics. All in all, 78 different comparisons were made in seven domains [two socio-economic status (SES) group comparisons . . . [Full Text of this Article]


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