From: Incorporating concepts of inequality and inequity into health benefits analysis
Concept | Who/what is reference point? | Benefits | Limitations |
---|---|---|---|
Relative to average | The mean inequality of all individuals within a group | Often the easiest metric to obtain and compare. Can be used for both individual and group vs. group comparisons. | Group averages can mask important inter- individual inequalities |
Relative to the best- off | Experience of the single best-off person in society | Can identify differences between poorest and richest individuals; easy to quantify for income | The best-off may not be a realistic equality standard, and the experience of the best off person may be difficult to quantify in a risk context |
Relative to all those better off | The range of experiences of all those who are better- off than a given person/group | Allows a deeper understanding of scope of inequality within a group | Hard to identify the level at which claims would be deemed unequal |
Relative to the best- off person whose condition is not anomalous | Compares individual claims to a determined "good enough" level | Allows for a more reasonable expectation of equality | Hard to define "not anomalous" in real-world context |