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Cut-point Shift and Index Shift in Self-reported Health Author info | Abstract | Publisher info | Download info | Related research | Statistics Maarten Lindeboom () (FEWEB, Vrije Universiteit Amsterdam, and IZA)
Eddy van Doorslaer () (Dept of Health & Management, Erasmus University Rotterdam)
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There is a concern that ordered responses on health questions may differ across populations or even across subgroups of a population. This reporting heterogeneity may invalidate group comparisons and measures of health inequality. This paper proposes a test for differential reporting in ordered response models which allows us to distinguish between cut-point shift and index shift. The method is illustrated using Canadian National Population Health Survey data. The McMaster Health Utility Index (HUI) is used as a more objective health measure than the simple 5-point scale of self-assessed health. We find clear evidence of index shifting and cut-point shifting for age and gender, but not for income, education or language.
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Paper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number
03-042/3.
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Date of creation: 09 Jun 2003Date of revision:
Handle: RePEc:dgr:uvatin:20030042Contact details of provider: Web page: http://www.tinbergen.nl/
For technical questions regarding this item, or to correct its listing, contact: (Walther Schoonenberg).
Keywords: health measurement ordered response models cut point shift index shift Canada. Other versions of this item:
Find related papers by JEL classification: D30 - Microeconomics - - Distribution - - - General D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution I10 - Health, Education, and Welfare - - Health - - - General I12 - Health, Education, and Welfare - - Health - - - Health Production
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