Vignettes and health systems responsiveness in cross-country comparative analyses
Vignettes and health systems responsiveness in cross-country comparative analyses
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DOI：
10.1111/j.1467-985x.2011.01021.x
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发表时间：
2012-01-01
影响因子：
2
通讯作者：
Smith, Peter C.
中科院分区：
文献类型：
--
作者：
Rice, Nigel;Robone, Silvana;Smith, Peter C.
。该文件利用《世界卫生调查》中包含的数据，探讨了将锚定小插曲作为调整卫生系统绩效调查报告的一种手段，以适应不同的报告行为。调查受访者被要求对他们在多个领域的卫生系统的体验进行评分，评分标准为5分。使用通过一组小插曲提供的数据，我们调查了社会人口统计群体和国家在报告与卫生服务互动方面的差异。我们展示了如何使用锚定小插曲的方法来提高跨国性能的可比性。我们的结果表明，与基于未经调整的原始数据的排名相比，一旦对系统的国家一级报告行为进行了调整，国家业绩排名就会发生很大变化。
. The paper explores the use of anchoring vignettes as a means to adjust survey reports of health system performance for differential reporting behaviour by using data contained within the World Health Survey. Survey respondents are asked to rate their experiences of health systems across a number of domains on a five-point categorical scale. Using data provided through a set of vignettes we investigate variations in reporting of interactions with health services across both sociodemographic groups and countries. We show how the method of anchoring vignettes can be used to enhance cross-country comparability of performance. Our results show large changes in the rankings of country performance once adjustment for systematic country level reporting behaviour has been undertaken compared with a ranking based on raw unadjusted data.