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Cut-point Shift and Index Shift in Self-reported Health

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Author Info

  • Maarten Lindeboom

    ()
    (FEWEB, Vrije Universiteit Amsterdam, and IZA)

  • Eddy van Doorslaer

    ()
    (Dept of Health & Management, Erasmus University Rotterdam)

Abstract

There is a concern that ordered responses on health questions may differ acrosspopulations or even across subgroups of a population. This reporting heterogeneity mayinvalidate group comparisons and measures of health inequality. This paper proposes a test fordifferential reporting in ordered response models which allows us to distinguish betweencut-point shift and index shift. The method is illustrated using Canadian National PopulationHealth Survey data. The McMaster Health Utility Index (HUI) is used as a more objective healthmeasure than the simple 5-point scale of self-assessed health. We find clear evidence of indexshifting and cut-point shifting for age and gender, but not for income, education or language.

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Bibliographic Info

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 2003
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Handle: RePEc:dgr:uvatin:20030042

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Web page: http://www.tinbergen.nl

Related research

Keywords: health measurement; ordered response models; cut point shift; index shift; Canada.;

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  1. van der Klaauw, Bas & Koning, Ruud H, 2003. "Testing the Normality Assumption in the Sample Selection Model with an Application to Travel Demand," Journal of Business & Economic Statistics, American Statistical Association, vol. 21(1), pages 31-42, January.
  2. van Doorslaer, Eddy & Gerdtham, Ulf-G., 2003. "Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data," Social Science & Medicine, Elsevier, vol. 57(9), pages 1621-1629, November.
  3. Amir Shmueli, 2002. "Reporting Heterogeneity in the Measurement of Health and Health-Related Quality of Life," PharmacoEconomics, Springer Healthcare | Adis, vol. 20(6), pages 405-412.
  4. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July.
  5. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
  6. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
  7. Shmueli, Amir, 2003. "Socio-economic and demographic variation in health and in its measures: the issue of reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 57(1), pages 125-134, July.
  8. Groot, Wim, 2000. "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, Elsevier, vol. 19(3), pages 403-420, May.
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