Tom Van Ourti

Erasmus University Rotterdam, Netherlands

Awad Mataria

Tom Van Ourti is Professor of Applied Health Economics at Erasmus University Rotterdam. His research lies at the intersection of health economics, inequality, and public policy, with a particular focus on the socioeconomic gradient in health. He has worked extensively on impact evaluation, preventive care, mental health, perinatal health, and the measurement of inequalities in health and healthcare. He also studies social preferences relating to income and health. His work has appeared in leading academic journals, including the Review of Economics and Statistics, the Journal of Health Economics, and the Bulletin of the World Health Organization.

ADDITIONAL RESOURCES

SELECTED PUBLICATIONS 

Do social preferences explain health inequality aversion?

M Robson, T Doran, O O’Donnell, TV Ourti The Journal of Economic Inequality, 1-24, 2025

Impartial-spectator experiments find strong average health inequality aversion with much variation that is unexplained. We examine whether social preferences over own and others’ health can partly explain this variation. We conduct an online experiment, with a UK general public sample (n=903), in which participants allocate resources to determine health of hypothetical individuals. Randomly induced equality-efficiency...

2025

Responsibility-sensitive welfare weights for health

M Robson, O O’Donnell, T Van Ourti Journal of Health Economics 102, 103018, 2025

We estimate welfare weights for health to facilitate program evaluation allowing for aversion to health inequality and to health inequity by three non-health characteristics. In a UK general population sample, 569 online experiment participants distribute constrained resources to determine the health of hypothetical individuals distinguished by randomly generated resource productivity as well as sex, income...

2025

Health disparities in the impact of prenatal temperature exposure on birth outcomes: A nationwide population-based study in the Netherlands

L Burgos-Ochoa, P Garcia-Gomez, EAP Steegers, TGM Van Ourti, ... Public Health, 105819, 2025

ObjectiveThis study aimed to investigate the impact of prenatal temperature exposure on birth outcomes and related health disparities across socioeconomic status (SES) levels.Study designRetrospective study, based on birth registry national data comprising the years 2003–2017.MethodsData on singleton births from the Dutch perinatal registry (N = 2,472,352) were analysed. We measured exposure as the number of days during...

2025

Deprivation Payments, Regional Disparities in Birth Outcomes, and the Role of Community Midwives

J Vidiella-Martin, T Van Ourti, L Bertens

Deprivation payments provide additional per-patient fees to health professionals serving patients in socioeconomically deprived areas. These payments financially compensate for higher workloads in deprived areas, but their effect on health gaps between deprived and non-deprived areas is unknown. We evaluate the effectiveness of this policy instrument by assessing its adoption among Dutch community midwives. Leveraging...

2025

Income‐Related Inequalities in Future Health Prospects

G Kjellsson, D Petrie, T Van Ourti Health Economics, 2025

Measuring health disparities is key to monitoring health systems, but hitherto disparities in the individual risk people face about their future health has been neglected. This paper integrates individual health risk into income‐related health inequality measurement. We develop a rank dependent health inequality index that considers inequalities in each individual's expected future health and the...

2025

Association of socioeconomic inequality in cardiovascular disease risk with economic development across 57 low-and middle-income countries: Cross-sectional analysis of …

C Brindley, T Van Ourti, I Bonfrer, O O'Donnell Social Science & Medicine 365, 117591, 2025

BackgroundAccording to epidemiological transition theory, cardiovascular disease (CVD) risk shifts down the socioeconomic distribution with economic development.MethodsWe tested this hypothesis using nationally representative data on 88,559 individuals aged 40–80 years from 57 low- and middle-income countries (LMICs). We used measured risk factors to estimate the 10-year probability of a CVD event (CVD risk) and proxied...

2025

Ranking Age-at-Death Distributions Using Dominance: Robust Evaluation of United States Mortality Trends, 2006–2021

J Issa, T Van Ourti, P van Baal, O O'Donnell Demography 61 (4), 1143-1159, 2024

Diverging mortality trends at different ages motivate the monitoring of lifespan inequality alongside life expectancy. Conclusions are ambiguous when life expectancy and lifespan inequality move in the same direction or when inequality measures display inconsistent trends. We propose using nonparametric dominance analysis to obtain a robust ranking of age-at-death distributions. Application to U.S. period life...

2024

Research on the health impact of climate must consider distributive justice and environmental sustainability

C Richie, P Garcia-Gomez, HB Thio, A Rwei, C Joo, U Staufer, D Muratore, ... PLOS Climate 3 (6), e0000431, 2024

Climate and justice are interconnected. However, simply raising ethical issues associated with the links between climate change, technology, and health is insufficient. Rather, policies and practices need to consider ethics ahead of time. If it is only added “after the fact,” policy will be less efficient and opportunities for carbon minimization will be lost. This...

2024

Het belang van het inkomen van patiënten in de specialistische ggz

T Van Ourti Tijdschrift voor Psychiatrie, 227-227, 2024

OnderzoeksvraagZijn er verschillen tussen inkomensgroepen in termen van initiële ziekte-ernst, behandeltijd en ziekte-ernst bij het einde van de behandeling, nadat patiënten zijn ingestroomd in de specialistische ggz in Nederland?

2024

Aversion to health inequality—Pure, income-related and income-caused

M Robson, O O’Donnell, T Van Ourti Journal of Health Economics 94, 102856, 2024

We design a novel experiment to identify aversion to pure (univariate) health inequality separately from aversion to income-related and income-caused health inequality. Participants allocate resources to determine health of individuals. Identification comes from random variation in resource productivity and information on income and its causal effect. We gather data (26,286 observations) from a sample of...

2024
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