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Article

A New Approach for Constructing a Health Care Index including the Subjective Level

1
Institute of Sociology, Chemnitz University of Technology, 09107 Chemnitz, Germany
2
Institute of Labor Sciences, Ruhr-University Bochum, 44801 Bochum, Germany
Academic Editor: Jayasree (Joy) Basu
Int. J. Environ. Res. Public Health 2022, 19(15), 9686; https://doi.org/10.3390/ijerph19159686
Received: 2 June 2022 / Revised: 27 July 2022 / Accepted: 1 August 2022 / Published: 5 August 2022
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 Full-Text
Keywords: health care systems; index; subjective; objective; micro; macro health care systems; index; subjective; objective; micro; macro
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MDPI and ACS Style

Jaworeck, S. A New Approach for Constructing a Health Care Index including the Subjective Level. Int. J. Environ. Res. Public Health 2022, 19, 9686. https://doi.org/10.3390/ijerph19159686

AMA Style

Jaworeck S. A New Approach for Constructing a Health Care Index including the Subjective Level. International Journal of Environmental Research and Public Health. 2022; 19(15):9686. https://doi.org/10.3390/ijerph19159686

Chicago/Turabian Style

Jaworeck, Sandra. 2022. "A New Approach for Constructing a Health Care Index including the Subjective Level" International Journal of Environmental Research and Public Health 19, no. 15: 9686. https://doi.org/10.3390/ijerph19159686

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