Assessing the reliability of household expenditure data: Results of the World Health Survey
Assessing the reliability of household expenditure data: Results of the World Health Survey
复制标题
DOI：
10.1016/j.healthpol.2009.01.002
复制
发表时间：
2009-08-01
期刊：
影响因子：
3.3
通讯作者：
Carrin, Guy
中科院分区：
文献类型：
--
作者：
Xu, Ke;Ravndal, Frode;Carrin, Guy
世界卫生调查（WHS）已在70多个国家实施，采用标准化问卷，为研究卫生保健筹资问题提供了一个很好的机会。本研究以50个家庭健康调查和37个其他类型的调查（生活水平测量调查、家庭预算调查和收入和支出调查）为数据源，从可靠性、不同调查方法之间的一致性以及与其他类型的家庭调查的一致性等方面，对家庭支出和卫生支出进行了研究。分析包括重测结果的比较;家庭总支出和卫生支出的汇总和报告; WHS和其他类型调查的支出。就卫生支出而言，报告总额的平均数低于合计总额，而就家庭总支出而言，两种计量方法得出的估计数相似。最后，发现WHS报告较低的家庭总支出，但较高的自付支出相比，其他类型的调查。研究报告建议进一步努力使住户调查中收集支出数据的问题标准化，以便进行跨国和长期比较。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
The World Health Survey (WHS) which has been implemented in more than 70 countries with standardized questionnaires opens a great opportunity for research on health care financing issues. This study examines the household expenditures and health expenditure collected in the WHS in terms of reliability, consistency between different ways of data collection within the survey and with other types of household surveys.Data used in this study include 50 WHS and 37 other type of surveys, namely the Living Standard Measurement Survey, Household Budget Survey and Income and Expenditure Survey. The analysis consists of comparison of test-retest results; the aggregated and reported total household expenditure and health expenditure; the expenditures from the WHS and other type of surveys.The results from test-retest are fairly similar in the WHS. For health expenditure the average of reported total is lower than the aggregated total while for household total expenditure the estimate is similar from the two measures. Finally the WHS was found to report lower total household expenditure but higher out-of-pocket expenditure comparing with other types of surveys. The study suggests further efforts to standardize the questions in collecting expenditure data in household surveys for the purpose of cross-country and over time comparison. (C) 2009 Elsevier Ireland Ltd. All rights reserved.