Education-related inequity in healthcare with heterogeneous reporting of health

Teresa Bago d'Uva, Maarten Lindeboom, Owen O'Donnell, Eddy van Doorslaer

Research output: Contribution to journalArticleResearchpeer-review

23 Citations (Scopus)

Abstract

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

Original languageEnglish
Pages (from-to)639-664
Number of pages26
JournalJournal of the Royal Statistical Society Series A-Statistics in Society
Volume174
Issue number3
DOIs
Publication statusPublished - Jul 2011
Externally publishedYes

Keywords

  • Equity
  • Health
  • Healthcare
  • Reporting heterogeneity
  • Vignettes

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