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Self-rated health and endogenous selection into primary care

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  • Bilgel, Fırat
  • Karahasan, Burhan Can

Abstract

This study assesses the causal effects of primary care utilization on subjective health status in Turkey using individual-level data from the 2012 Health Research Survey. Employing recursive bivariate ordered models that take into account the possibility that selection into healthcare might be correlated with the respondent's self-reported health status, we find that selection into primary care is endogenously determined and that the utilization of primary care significantly improves self-rated health after controlling for sociodemographics, socioeconomic status, health behaviors and risk factors, and access to healthcare. We show that the causal association between healthcare utilization and health status is robust to the use of objective measures of health and specific types of care, suggesting that the use of a single-item question on self-rated health and binary measures of preventive care utilization is valid.

Suggested Citation

  • Bilgel, Fırat & Karahasan, Burhan Can, 2018. "Self-rated health and endogenous selection into primary care," Social Science & Medicine, Elsevier, vol. 197(C), pages 168-182.
    • Handle: RePEc:eee:socmed:v:197:y:2018:i:c:p:168-182
    DOI: 10.1016/j.socscimed.2017.11.057
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    1. Patrick Hullegie & Tobias J. Klein, 2010. "The effect of private health insurance on medical care utilization and self‐assessed health in Germany," Health Economics, John Wiley & Sons, Ltd., vol. 19(9), pages 1048-1062, September.
    2. Manderbacka, Kristiina & Lundberg, Olle & Martikainen, Pekka, 1999. "Do risk factors and health behaviours contribute to self-ratings of health?," Social Science & Medicine, Elsevier, vol. 48(12), pages 1713-1720, June.
    3. Snelgrove, John W. & Pikhart, Hynek & Stafford, Mai, 2009. "A multilevel analysis of social capital and self-rated health: Evidence from the British Household Panel Survey," Social Science & Medicine, Elsevier, vol. 68(11), pages 1993-2001, June.
    4. Goldstein, M.S. & Siegel, J.M. & Boyer, R., 1984. "Predicting changes in perceived health status," American Journal of Public Health, American Public Health Association, vol. 74(6), pages 611-614.
    5. Christian Gregory, 2015. "Estimating Treatment Effects for Ordered Outcomes Using Maximum Simulated Likelihood," 2015 Stata Conference 2, Stata Users Group.
    6. Schultz, Jennifer & O'Brien, A. Maureen & Tadesse, Bedassa, 2008. "Social capital and self-rated health: Results from the US 2006 social capital survey of one community," Social Science & Medicine, Elsevier, vol. 67(4), pages 606-617, August.
    7. Lamb, K. L. & Roberts, K. & Brodie, D. A., 1990. "Self-perceived health among sports participants and non-sports participants," Social Science & Medicine, Elsevier, vol. 31(9), pages 963-969, January.
    8. Christian A. Gregory, 2015. "Estimating treatment effects for ordered outcomes using maximum simulated likelihood," Stata Journal, StataCorp LP, vol. 15(3), pages 756-774, September.
    9. Nicholson, Amanda & Bobak, Martin & Murphy, Michael & Rose, Richard & Marmot, Michael, 2005. "Socio-economic influences on self-rated health in Russian men and women--a life course approach," Social Science & Medicine, Elsevier, vol. 61(11), pages 2345-2354, December.
    10. Hoeymans, N. & Feskens, E. J. M. & Kromhout, D. & Van Den Bos, G. A. M., 1997. "Ageing and the relationship between functional status and self-rated health in elderly men," Social Science & Medicine, Elsevier, vol. 45(10), pages 1527-1536, November.
    11. Franks, Peter & Gold, Marthe R. & Fiscella, Kevin, 2003. "Sociodemographics, self-rated health, and mortality in the US," Social Science & Medicine, Elsevier, vol. 56(12), pages 2505-2514, June.
    12. Celik, Yusuf & Hotchkiss, David R., 2000. "The socio-economic determinants of maternal health care utilization in Turkey," Social Science & Medicine, Elsevier, vol. 50(12), pages 1797-1806, June.
    13. Bruce Newbold, K., 2005. "Self-rated health within the Canadian immigrant population: risk and the healthy immigrant effect," Social Science & Medicine, Elsevier, vol. 60(6), pages 1359-1370, March.
    14. Bobak, Martin & Pikhart, Hynek & Hertzman, Clyde & Rose, Richard & Marmot, Michael, 1998. "Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey," Social Science & Medicine, Elsevier, vol. 47(2), pages 269-279, July.
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    More about this item

    Keywords

    Recursive bivariate models; Ordinal outcomes; Treatment effects; Preventive care; Turkey;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • C31 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions; Social Interaction Models

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