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Comparability of Health Care Responsiveness in Europe using anchoring vignettes from SHARE

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Author Info

  • Nicolas Sirven

    ()
    (IRDES institut for research and information in health economics)

  • Brigitte Santos-Eggimann

    ()
    (IUMSP Institute of Social and Preventive Medicine, University of Lausanne)

  • Jacques Spagnoli

    ()
    (IUMSP Institute of Social and Preventive Medicine, University of Lausanne)

Abstract

The aim of this paper is to measure and to correct for the potential incomparability of responses to the SHARE survey on health care responsiveness. A parametric approach based on the use of anchoring vignettes is applied to cross-sectional data (2006-07) in ten European countries. More than 6,000 respondents aged 50 years old and over were asked to assess the quality of health care responsiveness in three domains: waiting time for medical treatment, quality of the conditions in visited health facilities, and communication and involvement in decisions about the treatment. Chopit models estimates suggest that reporting heterogenity is influenced by both individual (socio-economic, health) and national characteristics. Although correction for differential item functioning does not considerably modify countries ranking after controlling for the usual covariates, about two thirds of the respondents' self-assessments have been re-scaled in each domain. Our results suggest that reporting heterogenity tends to overestimate health care responsiveness for "time to wait for treatment", whereas it seems to underestimate people's self-assessment in the two other domains.

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File URL: http://www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT15ComparabilityHealthCareResponsEurope.pdf
File Function: First version, 2008
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Bibliographic Info

Paper provided by IRDES institut for research and information in health economics in its series Working Papers with number DT15.

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Length: 16 pages
Date of creation: Sep 2008
Date of revision: Sep 2008
Handle: RePEc:irh:wpaper:dt15

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Keywords: Anchoring Vignettes; Cross-Country Comparison; Chopit Model;

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References

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  1. Elliott, Graham & Timmermann, Allan G, 2007. "Economic Forecasting," CEPR Discussion Papers 6158, C.E.P.R. Discussion Papers.
  2. Sophia Rabe-Hesketh & Anders Skrondal & Andrew Pickles, 2002. "Reliable estimation of generalized linear mixed models using adaptive quadrature," Stata Journal, StataCorp LP, vol. 2(1), pages 1-21, February.
  3. Pesaran, M. Hashem & Weale, Martin, 2006. "Survey Expectations," Handbook of Economic Forecasting, Elsevier.
  4. Arie Kapteyn & James P. Smith & Arthur van Soest, 2007. "Vignettes and Self-Reports of Work Disability in the United States and the Netherlands," American Economic Review, American Economic Association, vol. 97(1), pages 461-473, March.
  5. Rice, N & Robone, S & Smith, P.C, 2008. "The measurement and comparison of health system responsiveness," Health, Econometrics and Data Group (HEDG) Working Papers 08/05, HEDG, c/o Department of Economics, University of York.
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Cited by:
  1. Thierry Debrand & Nicolas Sirven, 2009. "What are the Motivations of Pathways to Retirement in Europe: Individual, Familial, Professional Situation or Social Protection Systems?," Working Papers DT28, IRDES institut for research and information in health economics, revised Oct 2009.
  2. Nigel Rice & Silvana Robone & Peter Smith, 2009. "Analysis of the Validity of the Vignette Approach to Correct for Heterogeneity in Reporting Health System Responsiveness," Health, Econometrics and Data Group (HEDG) Working Papers 09/28, HEDG, c/o Department of Economics, University of York.
  3. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 269-293, July.
  4. Thierry Debrand & Christine Sorasith, 2010. "Out-of-Pocket Maximum Rules under a Compulsatory Health Care Insurance Scheme: A Choice between Equality and Equity," Working Papers DT34, IRDES institut for research and information in health economics, revised Nov 2010.
  5. Hullegie, P.G.J., 2012. "Essays on health and labor economics," Open Access publications from Tilburg University urn:nbn:nl:ui:12-5637283, Tilburg University.

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