Template-Type: ReDIF-Paper 1.0
Series: Tinbergen Institute Discussion Papers
Creation-Date: 2003-06-09
Number: 03-042/3
Author-Name: Maarten Lindeboom
Author-Email: mlindeboom@feweb.vu.nl
Author-Workplace-Name: FEWEB, Vrije Universiteit Amsterdam, and IZA
Author-Name: Eddy van Doorslaer
Author-Email: vandoorslaer@few.eur.nl
Author-Workplace-Name: Dept of Health & Management, Erasmus University Rotterdam
Title: Cut-point Shift and Index Shift in Self-reported Health
Abstract: There is a concern that ordered responses on health questions may differ acrosspopulations or even across subgroups of a population. This reporting heterogeneity mayinvalidate group comparisons and measures of health inequality. This paper proposes a test fordifferential reporting in ordered response models which allows us to distinguish betweencut-point shift and index shift. The method is illustrated using Canadian National PopulationHealth Survey data.  The McMaster Health Utility Index (HUI) is used as a more objective healthmeasure than the simple 5-point scale of self-assessed health. We find clear evidence of indexshifting and cut-point shifting for age and gender, but not for income, education or language.
Classification-JEL: D30; D31;  I10;  I12.
Keywords: health measurement; ordered response models; cut point shift; index shift; Canada.
File-Url: https://papers.tinbergen.nl/03042.pdf
File-Format: application/pdf
File-Size: 391886 bytes
Handle: RePEc:tin:wpaper:20030042