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

28 Pages Posted: 13 Jul 2011

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

O. O'Donnell

University of Macedonia

Eddy van Doorslaer

Erasmus School of Economics

Multiple version iconThere are 2 versions of this paper

Date Written: November 10, 2010

Abstract

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.

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, O. and van Doorslaer, Eddy, Education-Related Inequity in Health Care with Heterogeneous Reporting of Health (November 10, 2010). Netspar Discussion Paper No. 11/2010-094. Available at SSRN: https://ssrn.com/abstract=1884907 or http://dx.doi.org/10.2139/ssrn.1884907

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

O. O'Donnell

University of Macedonia

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

Eddy Van Doorslaer

Erasmus School of Economics ( email )

Netherlands

Register to save articles to
your library

Register

Paper statistics

Downloads
24
Abstract Views
759
PlumX Metrics