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Modeling Area-Level Health Rankings

Author

Listed:
  • Courtemanche, Charles

    () (Georgia State University)

  • Soneji, Samir

    () (Geisel School of Medicine at Dartmouth College)

  • Tchernis, Rusty

    () (Georgia State University)

Abstract

We propose a Bayesian factor analysis model to rank the health of localities. Mortality and morbidity variables empirically contribute to the resulting rank, and population and spatial correlation are incorporated into a measure of uncertainty. We use county-level data from Texas and Wisconsin to compare our approach to conventional rankings that assign deterministic factor weights and ignore uncertainty. Greater discrepancies in rankings emerge for Texas than Wisconsin since the differences between the empirically-derived and deterministic weights are more substantial. Uncertainty is evident in both states but becomes especially large in Texas after incorporating noise from imputing its considerable missing data.

Suggested Citation

  • Courtemanche, Charles & Soneji, Samir & Tchernis, Rusty, 2013. "Modeling Area-Level Health Rankings," IZA Discussion Papers 7631, Institute for the Study of Labor (IZA).
  • Handle: RePEc:iza:izadps:dp7631
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2006.092981_4 is not listed on IDEAS
    2. repec:aph:ajpbhl:2004:94:10:1661-1663_7 is not listed on IDEAS
    3. Chib, Siddhartha & Greenberg, Edward, 1996. "Markov Chain Monte Carlo Simulation Methods in Econometrics," Econometric Theory, Cambridge University Press, vol. 12(03), pages 409-431, August.
    4. repec:aph:ajpbhl:2003:93:3:380-383_8 is not listed on IDEAS
    5. repec:aph:ajpbhl:2003:93:3:366-369_0 is not listed on IDEAS
    6. Hogan J.W. & Tchernis R., 2004. "Bayesian Factor Analysis for Spatially Correlated Data, With Application to Summarizing Area-Level Material Deprivation From Census Data," Journal of the American Statistical Association, American Statistical Association, vol. 99, pages 314-324, January.
    7. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
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    Cited by:

    1. Ian M. McCarthy, 2014. "Eliminating Aggregation Bias when Estimating Treatment Effects on Combined Outcomes with Applications to Quality of Life Assessment," Emory Economics 1409, Department of Economics, Emory University (Atlanta).
    2. Qihua Qiu & Jaesang Sung & Will Davis & Rusty Tchernis, 2017. "Using Spatial Factor Analysis to Measure Human Development," NBER Working Papers 23952, National Bureau of Economic Research, Inc.

    More about this item

    Keywords

    county; rank; health; factor analysis; Bayesian;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • C11 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Bayesian Analysis: General

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