Education-related inequity in healthcare with heterogeneous reporting of health |
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Authors: | d'Uva Teresa Bago Lindeboom Maarten O'Donnell Owen van Doorslaer Eddy |
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Affiliation: | Erasmus University Rotterdam and Tinbergen Institute, Rotterdam, The Netherlands. |
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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. |
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