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A New Approach for Constructing a Health Care Index including the Subjective Level
[journal article]
Abstract Until now, health care systems have been compared by means of macro criteria, an approach that might have its shortcomings in assessing the actual benefits that health care systems may provide for people. Therefore, a new health care index is presented which combines individual assessments of health... view more
Until now, health care systems have been compared by means of macro criteria, an approach that might have its shortcomings in assessing the actual benefits that health care systems may provide for people. Therefore, a new health care index is presented which combines individual assessments of health care systems with objective macro health care system criteria. Two steps are taken for furthering this approach: First, a data-driven procedure is used to determine the influence of self-rated health on confidence in the health care system through macro criteria of health care systems. The macro indicators are weighted accordingly and created into an index, which adds to the subjective level of the link. In a second step, the constructed health care index is tested in a multilevel model with self-rated health being the dependent variable, to avoid tautological conclusions. The index is able to reduce country differences, decrease explained variability and has a statistically significant effect without affecting other estimates.... view less
Keywords
ISSP; health care delivery system; index; health status; confidence
Classification
Health Policy
Methods and Techniques of Data Collection and Data Analysis, Statistical Methods, Computer Methods
Free Keywords
subjective; objective; micro; macro; ISSP2008 (ZA5800 v3.0.0)
Document language
English
Publication Year
2022
Page/Pages
p. 1-16
Journal
International Journal of Environmental Research and Public Health, 19 (2022) 15
DOI
https://doi.org/10.3390/ijerph19159686
ISSN
1660-4601
Status
Published Version; peer reviewed