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

  • 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)

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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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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  1. Elliott, Graham & Timmermann, Allan G, 2007. "Economic Forecasting," CEPR Discussion Papers 6158, C.E.P.R. Discussion Papers.
  2. 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.
  3. 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.
  4. Pesaran, M.H. & Weale, M., 2005. "Survey Expectations," Cambridge Working Papers in Economics 0536, Faculty of Economics, University of Cambridge.
  5. repec:ner:tilbur:urn:nbn:nl:ui:12-210598 is not listed on IDEAS
  6. Kapteyn, A. & Smith, J.P. & van Soest, A.H.O., 2007. "Vignettes and self-reports of work disability in the United States and the Netherlands," Other publications TiSEM 17902a1e-7cbb-4f3f-a772-e, School of Economics and Management.
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