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Thus to the extent that there are mechanisms in general practice that generate inequity in specialist utilization, they are not mechanisms that generate widespread discontent with GP-patient interaction as measured by the variables in this study.
Poorly regulated fee-for-service payment systems generate inequity and initiate a vicious circle in which access to quality health care gradually deteriorates.
As geographical imbalances may generate inequity in health care accessibility, the challenge is to achieve a more even distribution of practitioners.
The composition of this group emphasizes the socioeconomic, demographic and cultural aspects of a marginalized society, demonstrating that systematic inequalities in health positions groups of people who are already socially underprivileged to be disadvantaged even more with respect to health, i.e., they further increase the social differences that generate inequity [ 41].
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However, these reforms would not necessarily make the tax more equitable under a proper utility-based interpretation of these same principles because reforms themselves generate inequities.
The papers in this volume aim to build understanding of how evaluations can contribute to addressing inequities and how evaluation design can develop a better understanding and also better respond to: (i) policy maker and practitioner needs; (ii) the systemic and complex nature of the interventions necessary to impact inequities; (iii) an understanding of the processes that generate inequities.
Our results indicate unstructured group dynamics could generate inequities in the roles that students assume in group discussions.
However, while decentralization may facilitate management and adequacy of programmes, it can also generate inequities and disarticulation with the central level.
In addition to the direct impact of social determinants of health on children's oral health, behavioral, psychological and social factors could also generate inequities of access to dental services, as poorer children were less likely to use these services [ 31, 48- 51].
Indeed, fee-for-service payment encourages inefficient provider behavior and generates inequity (3).
Thus the sample of responders is relevant in uncovering mechanisms generating inequity in access to specialist care.
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