Education-Related Inequity in Health Care with Heterogeneous Reporting of Health
Teresa Bago d'Uva
Erasmus University Rotterdam (EUR) - Faculty of Economics; Tinbergen Institute
Vrije Universiteit Amsterdam; Tinbergen Institute Amsterdam; Institute for the Study of Labor (IZA)
University of Macedonia
Eddy Van Doorslaer
Erasmus University Rotterdam (EUR)
November 10, 2010
Netspar Discussion Paper No. 11/2010-094
Reliance on self‐rated health to proxy medical need can bias estimation of education‐related inequity in health care utilization. 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 favoring 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.
Number of Pages in PDF File: 28
Keywords: health care, health, equity, reporting heterogeneity, vignettes
JEL Classification: C35, C42, I12working papers series
Date posted: July 13, 2011
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