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Vignettes and health systems responsiveness in crosscountry comparative analyses

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  • Nigel Rice
  • Silvana Robone
  • Peter 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.

Suggested Citation

  • Nigel Rice & Silvana Robone & Peter Smith, 2009. "Vignettes and health systems responsiveness in crosscountry comparative analyses," Health, Econometrics and Data Group (HEDG) Working Papers 09/29, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:09/29
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    1. repec:cup:apsrev:v:97:y:2003:i:04:p:567-583_00 is not listed on IDEAS
    2. repec:cup:apsrev:v:98:y:2004:i:01:p:191-207_00 is not listed on IDEAS
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    7. 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.
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    12. 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.
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    Cited by:

    1. W. Kip Viscusi, 2016. "Risk Beliefs and Preferences for E-cigarettes," American Journal of Health Economics, MIT Press, vol. 2(2), pages 213-240, Spring.
    2. Cinzia Di Novi & Massimiliano Piacenza & Silvana Robone & Gilberto Turati, 2015. "How does fiscal decentralization affect within-regional disparities in well-being? Evidence from health inequalities in Italy," Working Papers 2015:21, Department of Economics, University of Venice "Ca' Foscari".
    3. Cottini, Elena & Lucifora, Claudio, 2010. "Mental Health and Working Conditions in European Countries," IZA Discussion Papers 4717, Institute for the Study of Labor (IZA).
    4. 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.
    5. 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.
    6. 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).
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    11. Joan Costa-i-Font & Frank Cowell, 2013. "Measuring Health Inequality with Categorical Data: Some Regional Patterns," CESifo Working Paper Series 4427, CESifo Group Munich.
    12. 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.
    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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    Keywords

    Anchoring vignettes; Cross-country comparison; Health care responsiveness; Health system performance;

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