O brother how art thou: Propensity to report self-assessed unmet need
| Autor: | Grant Gibson, Luc Clair |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Gerontology Canada Self-Assessment Health (social science) Inequality Health Status media_common.quotation_subject Health Services Accessibility 03 medical and health sciences 0302 clinical medicine History and Philosophy of Science Health care Humans 030212 general & internal medicine Set (psychology) Socioeconomic status Aged media_common Aged 80 and over Health Services Needs and Demand business.industry 030503 health policy & services Middle Aged Response bias Health Surveys Brother Social Class Community health Survey data collection Female Self Report 0305 other medical science business Psychology |
| Zdroj: | Social Science & Medicine. 243:112632 |
| ISSN: | 0277-9536 |
| Popis: | Research investigating self-assessed unmet need (SUN) has taken the reports from surveys as given and subsequently attempted to discover patterns in inequality of access to healthcare. This requires the yet untested assumption that, given a certain level of care and demand, the likelihood of reporting unmet need does not vary across socioeconomic/demographic status (SEDS), be satisfied. Using an administrative dataset spanning 2001 to 2011 comprised of sufferers of a set of conditions that suggest unmet need (n = 3300) we evaluate the proposition that, given health status and care received, the propensity to report unmet need does not vary along SEDS. The results are further validated using the Canadian Community Health Surveys between 2001 and 2013 (n = 237,483). We find that the assumption of independence between reporting SUN and SEDS is not satisfied. Many of the groups found to have less access in previous studies may simply be more prone to interpret/answer the survey questions about unmet need in a certain way. The results of this research suggest that, in its present incarnation, survey data on self-assessed unmet need does not accurately measure what much of the academic literature has assumed it does. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect