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Vignettes and health systems responsiveness in cross‐country comparative analyses

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Listed author(s):
  • Nigel Rice
  • Silvana Robone
  • Peter C. Smith

Abstract

This 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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File URL: http://hdl.handle.net/10.1111/j.1467-985X.2011.01021.x
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Article provided by Royal Statistical Society in its journal Journal of the Royal Statistical Society: Series A (Statistics in Society).

Volume (Year): 175 (2012)
Issue (Month): 2 (04)
Pages: 337-369

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Handle: RePEc:bla:jorssa:v:175:y:2012:i:2:p:337-369
DOI: j.1467-985X.2011.01021.x
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  1. Kristensen, Nicolai & Johansson, Edvard, 2008. "New evidence on cross-country differences in job satisfaction using anchoring vignettes," Labour Economics, Elsevier, vol. 15(1), pages 96-117, February.
  2. Alan Williams, 2001. "Science or marketing at who? Rejoinder from Alan Williams," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 283-285.
  3. Jeff Richardson & John Wildman & Iain K. Robertson, 2003. "A critique of the World Health Organisation's evaluation of health system performance," Health Economics, John Wiley & Sons, Ltd., vol. 12(5), pages 355-366.
  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. Stephen Pudney & Michael Shields, 2000. "Gender, race, pay and promotion in the British nursing profession: estimation of a generalized ordered probit model," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 15(4), pages 367-399.
  6. 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.
  7. Teresa Bago d'Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O'Donnell, 2008. "Does reporting heterogeneity bias the measurement of health disparities?," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 351-375.
  8. Lindeboom, Maarten & van Doorslaer, Eddy, 2004. "Cut-point shift and index shift in self-reported health," Journal of Health Economics, Elsevier, vol. 23(6), pages 1083-1099, November.
  9. 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.
  10. 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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Cited by:

  1. Fiorentini, Gianluca & Ragazzi, Giovanni & Robone, Silvana, 2015. "Are bad health and pain making us grumpy? An empirical evaluation of reporting heterogeneity in rating health system responsiveness," Social Science & Medicine, Elsevier, vol. 144(C), pages 48-58.
  2. Andrew M. Jones; Nigel Rice, Silvana Robone; & Nigel Rice; & Silvana Robone:, 2012. "A comparison of parametric and non-parametric adjustments using vignettes for self-reported data," Health, Econometrics and Data Group (HEDG) Working Papers 12/10, HEDG, c/o Department of Economics, University of York.
  3. Joan Costa-i-Font & Frank Cowell, 2013. "Measuring Health Inequality with Categorical Data: Some Regional Patterns," CESifo Working Paper Series 4427, CESifo Group Munich.
  4. Di Novi, C. & Piacenza, M. & Robone, S. & Turati, G., 2015. "How does fiscal decentralization affect within-regional disparities in well-being? Evidence from health inequalities in Italy," Health, Econometrics and Data Group (HEDG) Working Papers 15/23, HEDG, c/o Department of Economics, University of York.
  5. W. Kip Viscusi, 2016. "Risk Beliefs and Preferences for E-cigarettes," American Journal of Health Economics, MIT Press, vol. 2(2), pages 213-240, April.
  6. Laura Rossouw & Teresa Bago d'Uva & Eddy van Doorslaer, 2017. "Poor Health Reporting? Using Vignettes to Recover the Health Gradient by Wealth," Tinbergen Institute Discussion Papers 17-031/V, Tinbergen Institute.
  7. G. Fiorentini & S. Robone & R. Verzulli, 2016. "How do hospital-specialty characteristics influence health system responsiveness? An empirical evaluation of in-patient care in the Italian Region of Emilia-Romagna," Working Papers wp1077, Dipartimento Scienze Economiche, Universita' di Bologna.
  8. S. Robone & G. Fiorentini & M. A. Nicoli & S. Rodella, 2014. "La responsiveness dei sistemi sanitari: un’analisi empirica sull’assistenza ospedaliera nel Servizio Sanitario Regionale dell’Emilia Romagna," Working Papers wp934, Dipartimento Scienze Economiche, Universita' di Bologna.
  9. Valentine, Nicole & Verdes-Tennant, Emese & Bonsel, Gouke, 2015. "Health systems' responsiveness and reporting behaviour: Multilevel analysis of the influence of individual-level factors in 64 countries," Social Science & Medicine, Elsevier, vol. 138(C), pages 152-160.
  10. Rossouw Laura, 2015. "Poor Health Reporting: Do Poor South Africans Underestimate Their Health Needs?," WIDER Working Paper Series 027, World Institute for Development Economic Research (UNU-WIDER).
  11. Nicolas Sirven & Brigitte Santos-Eggimann & Jacques Spagnoli, 2012. "Comparability of Health Care Responsiveness in Europe," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 105(2), pages 255-271, January.
  12. Cottini, Elena & Lucifora, Claudio, 2010. "Mental Health and Working Conditions in European Countries," IZA Discussion Papers 4717, Institute for the Study of Labor (IZA).
  13. Joan Costa-i-Font & Frank Cowell, 2016. "The Measurement of Health Inequalities: Does Status Matter?," CESifo Working Paper Series 6117, CESifo Group Munich.

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