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Education-related Inequity in Health Care with Heterogeneous Reporting of Health

Teresa Bago d'Uva, Maarten Lindeboom (), Owen O'Donnell and Eddy Van Doorslaer

No 10-122/3, Tinbergen Institute Discussion Papers from Tinbergen Institute

Abstract: This discussion paper resulted in a publication in the 'Journal of the Royal Statistical Society' , Series A, 2011, 2011, 174, 639–664.

Reliance on self-rated health to proxy medical need can bias estimation of education-related inequity in health care utilisation. We correct this bias both by instrumenting self-rated health with objective health indicators and by purging self-rated health of reporting heterogeneity identified from health vignettes. Using data on elderly Europeans, we find that instrumenting self-rated health shifts the distribution of doctor visits in the direction of inequality favouring the better educated. There is a further, and typically larger, shift the same direction when correction is made for the tendency of the better educated to rate their health more negatively.

Keywords: health care; health; equity; reporting heterogeneity; vignettes (search for similar items in EconPapers)
JEL-codes: C35 C42 I12 (search for similar items in EconPapers)
Date: 2010-12-06
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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https://papers.tinbergen.nl/10122.pdf (application/pdf)

Related works:
Journal Article: Education‐related inequity in healthcare with heterogeneous reporting of health (2011)
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Persistent link: https://EconPapers.repec.org/RePEc:tin:wpaper:20100122

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