Inequality of macro-social factors determining health

Słowa kluczowe

determinant stanu zdrowia
nierówności zdrowia
analiza koncentracji health
determinants of the state of health
health inequalities
concentration analysis


The root causes of health inequalities, according to Marmot [1] are the causes of various social determinants of health. The author used socio-economic factors shaping health analyzed with a breakdown into four categories, i.e.: demographic situation, labor market and education, economic situation, state of households.

The method of financing health care adopted in a given country is directly related to the health system model used in it [8]. The examined group of countries was divided into two subgroups according to the statistical importance of the surveyed private insurance population in health care financing.

The objective of this article is statistical analysis of levels, their changes and forms of distribution of selected determinants of health status between two groups of countries where private insurance plays a greater role as a financing mechanism for benefits or is not a significant source of the available resources. The data distributed among the NUTS2 units for European countries provided by the EUROSTAT was used for the analysis. The measurement involved skewness coefficients, concentration coefficients (kurtosis, Herfindahl-Hirschman coefficient, Gini coefficient). The results confirmed lack of clear differences in inequalities between the socio-economic factors shaping health in two groups of countries with a different significance of private insurance.