Vignettes and health systems responsiveness in crosscountry comparative analyses
AbstractThis paper explores the use of anchoring vignettes as a means to adjust survey reports of health system performance for differential reporting behaviour using data contained within the World Health Survey (WHS). Survey respondents are asked to rate their experiences of health systems across a number of domains on a five-point categorical scale. Using data provided through a set of vignettes we investigate variations in reporting of interactions with health services across both socio-demographic groups and countries. We show how the method of anchoring vignettes can be used to enhance cross-country comparability of performance. Our results show large differences in the rankings of country performance once adjustment for systematic country-level reporting behaviour has been undertaken compared to a ranking based on raw unadjusted data.
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Bibliographic InfoPaper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 09/29.
Date of creation: Oct 2009
Date of revision:
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More information through EDIRC
Anchoring vignettes; Cross-country comparison; Health care responsiveness; Health system performance;
Other versions of this item:
- Nigel Rice & Silvana Robone & Peter C. Smith, 2012. "Vignettes and health systems responsiveness in cross‐country comparative analyses," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 175(2), pages 337-369, 04.
- NEP-ALL-2009-12-05 (All new papers)
- NEP-EEC-2009-12-05 (European Economics)
- NEP-HEA-2009-12-05 (Health Economics)
- NEP-LTV-2009-12-05 (Unemployment, Inequality & Poverty)
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