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International Comparison of Public Sector Performance: The Use of Anchoring Vignettes to adjust Self-Reported Data

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Author Info

  • Rice, N
  • Robone, S
  • Smith, P.C

Abstract

International comparison of performance has become an influential lever for change in the provision of public services. For health care, patients’ views and opinions are increasingly being recognized as legitimate means for assessing the provision of services, to stimulate quality improvements, and more recently, in evaluating system performance. This has shifted the focus of analyses towards the use of individual-level surveys of performance from the perspective of the user and raises the issue of how to compare appropriately self-reported data across institutional settings and population groups. This represents a major challenge for all public services, the fundamental problem being that comparative evaluation needs to take account of variations in social and cultural expectations and norms when relying on self-reported information. Using data on health systems responsiveness across 18 OECD countries contained within the World Health Survey, this paper outlines the issues that arise in comparative inference that relies on respondent self-reports. The problem of reporting bias is described and illustrated together with potential solutions brought about through the use of anchoring vignettes. The utility of vignettes to aid cross-country analyses and its implications for comparative inference of health system performance are discussed.

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Bibliographic Info

Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 08/28.

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Date of creation: Nov 2008
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Handle: RePEc:yor:hectdg:08/28

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Postal: HEDG/HERC, Department of Economics and Related Studies, University of York, York, YO10 5DD, United Kingdom
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Web page: http://www.york.ac.uk/economics/postgrad/herc/hedg/
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Related research

Keywords: Health system performance; Responsiveness; Cross-country comparison; Vignettes.;

This paper has been announced in the following NEP Reports:

References

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  1. Kapteyn, A. & Smith, J.P. & Soest, A.H.O. van, 2007. "Vignettes and self-reports of work disability in the United States and the Netherlands," Open Access publications from Tilburg University urn:nbn:nl:ui:12-210598, Tilburg University.
  2. Gonzalez Block, Miguel Angel, 1997. "Comparative research and analysis methods for shared learning from health system reforms," Health Policy, Elsevier, vol. 42(3), pages 187-209, December.
  3. 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.
  4. John Nixon & Philippe Ulmann, 2006. "The relationship between health care expenditure and health outcomes," The European Journal of Health Economics, Springer, vol. 7(1), pages 7-18, March.
  5. Jonas Schreyögg & Oliver Tiemann & Tom Stargardt & Reinhard Busse, 2008. "Cross-country comparisons of costs: the use of episode-specific transitive purchasing power parities with standardised cost categories," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages S95-S103.
  6. Eddy van Doorslaer & Cristina Masseria, 2004. "Income-Related Inequality in the Use of Medical Care in 21 OECD Countries," OECD Health Working Papers 14, OECD Publishing.
  7. Gravelle, H.S.E. & Backhouse, M.E., 1987. "International cross-section analysis of the determination of mortality," Social Science & Medicine, Elsevier, vol. 25(5), pages 427-441, January.
  8. Philip Stevens & Mary O'Mahoney, 2004. "International Comparisons Of Performance In The Provision Of Public Services," Royal Economic Society Annual Conference 2004 164, Royal Economic Society.
  9. Teresa Bago d’Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O’Donnell & Somnath Chatterji, 2006. "Does reporting heterogeneity bias the measurement of health disparities?," Health, Econometrics and Data Group (HEDG) Working Papers 06/03, HEDG, c/o Department of Economics, University of York.
  10. Balk, B.M., 2001. "Aggregation Methods in International Comparisons," ERIM Report Series Research in Management ERS-2001-41-MKT, Erasmus Research Institute of Management (ERIM), ERIM is the joint research institute of the Rotterdam School of Management, Erasmus University and the Erasmus School of Economics (ESE) at Erasmus Uni.
  11. Siciliani, Luigi & Hurst, Jeremy, 2005. "Tackling excessive waiting times for elective surgery: a comparative analysis of policies in 12 OECD countries," Health Policy, Elsevier, vol. 72(2), pages 201-215, May.
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Citations

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Cited by:
  1. Eric Bonsang & Arthur Soest, 2012. "Satisfaction with Social Contacts of Older Europeans," Social Indicators Research, Springer, vol. 105(2), pages 273-292, January.
  2. Jones, Andrew M. & Rice, Nigel & Robone, Silvana & Dias, Pedro Rosa, 2011. "Inequality and polarisation in health systems' responsiveness: A cross-country analysis," Journal of Health Economics, Elsevier, vol. 30(4), pages 616-625, July.
  3. Bago d'Uva T & Lindeboom M & O'Donnell O & van Doorslaer E, 2009. "Slipping Anchor? Testing the Vignettes Approach to Identification and Correction of Reporting Heterogeneity," Health, Econometrics and Data Group (HEDG) Working Papers 09/30, HEDG, c/o Department of Economics, University of York.
  4. 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.
  5. Hendrik Jürges & Arthur Soest, 2012. "Comparing the Well-Being of Older Europeans: Introduction," Social Indicators Research, Springer, vol. 105(2), pages 187-190, January.
  6. Samir KC & Harold Lentzner, 2010. "The effect of education on adult mortality and disability: a global perspective," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 8(1), pages 201-235.
  7. Teresa Bago d'Uva & Maarten Lindeboom & Owen O'Donnell & Eddy van Doorslaer, 2009. "Slipping Anchor? Testing the Vignettes Approach to Identification and Correction of Reporting Heterogeneity," Tinbergen Institute Discussion Papers 09-091/3, Tinbergen Institute.
  8. Nicolas Sirven & Brigitte Santos-Eggimann & Jacques Spagnoli, 2012. "Comparability of Health Care Responsiveness in Europe," Social Indicators Research, Springer, vol. 105(2), pages 255-271, January.

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