Although measures of sensitivity to inequality are important in judging the welfare effects of health-care programmes, it is far from straightforward how to elicit them and apply them in health-care decision-making. This paper provides an overview of the literature on the measurement of inequality aversion, examines some of the features specific of the health domain that depart from the income domain, and discusses its implementation in health-system priority-setting decisions. We find evidence that individuals exhibit a preference for more equitable health distribution, but inequality aversion estimates from the literature are unclear. Unlike the income-inequality literature, standard approaches in the health economics do not follow a ‘veil-of-ignorance’ approach and elicit mostly bivariate (income-related health) inequality aversion estimates. We suggest some ideas to reduce the disconnect between the income inequality and health economics literature.

中文翻译：

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将不平等厌恶纳入医疗卫生优先事项确定

尽管对不平等的敏感性的衡量方法对于判断医疗保健计划的福利影响很重要，但是要如何将其引出并将其应用到医疗保健决策中，还远非直截了当。本文概述了有关不平等厌恶情绪测度的文献，考察了健康领域中与收入领域不同的某些特征，并讨论了其在卫生系统优先级设定决策中的实施。我们发现有证据表明，个人对更公平的健康分配表现出偏爱，但文献中对不平等厌恶的估计尚不清楚。与收入不平等文献不同，卫生经济学中的标准方法不遵循“无面纱”方法，并且大多得出双变量（与收入相关的健康）不平等厌恶估计。