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

Tinbergen Institute Discussion Paper No. 10-122/3

29 Pages Posted: 8 Dec 2010

See all articles by Teresa Bago d'Uva

Teresa Bago d'Uva

Erasmus University Rotterdam (EUR) - Faculty of Economics; Tinbergen Institute

Maarten Lindeboom

Vrije Universiteit Amsterdam; Tinbergen Institute Amsterdam; IZA Institute of Labor Economics

Owen A. O'Donnell

University of Macedonia

Eddy van Doorslaer

Erasmus School of Economics

Multiple version iconThere are 2 versions of this paper

Date Written: December 7, 2010

Abstract

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

JEL Classification: C35, C42, I12

Suggested Citation

Bago d'Uva, Teresa and Lindeboom, Maarten and O'Donnell, Owen A. and van Doorslaer, Eddy, Education-Related Inequity in Health Care with Heterogeneous Reporting of Health (December 7, 2010). Tinbergen Institute Discussion Paper No. 10-122/3. Available at SSRN: https://ssrn.com/abstract=1721567 or http://dx.doi.org/10.2139/ssrn.1721567

Teresa Bago d'Uva (Contact Author)

Erasmus University Rotterdam (EUR) - Faculty of Economics ( email )

Burgemeester Oudlaan 50
3000 DR Rotterdam, Zuid-Holland 3062PA
Netherlands

Tinbergen Institute ( email )

Burg. Oudlaan 50
Rotterdam, 3062 PA
Netherlands

Maarten Lindeboom

Vrije Universiteit Amsterdam ( email )

De Boelelaan 1105
1081 HV Amsterdam
Netherlands
+31 20 444 6033 (Phone)
+31 20 444 6020 (Fax)

Tinbergen Institute Amsterdam

Gustav Mahlerplein 117
Amsterdam, 1082 MS
Netherlands

IZA Institute of Labor Economics

P.O. Box 7240
Bonn, D-53072
Germany

Owen A. O'Donnell

University of Macedonia ( email )

156 Egnatia St.
P.O. 1591
Thessaloniki, 54006
Greece

Eddy Van Doorslaer

Erasmus School of Economics ( email )

Netherlands

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