| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w21405 |
| 来源ID | Working Paper 21405 |
| Quality and Accountability in Healthcare Delivery: Audit-Study Evidence from Primary Care in India | |
| Jishnu Das; Alaka Holla; Aakash Mohpal; Karthik Muralidharan | |
| 发表日期 | 2015-08-03 |
| 出版年 | 2015 |
| 语种 | 英语 |
| 摘要 | We present the first direct evidence on the relative quality of public and private healthcare in a low-income setting, using a unique set of audit studies. We sent standardized (fake) patients to rural primary care providers in the Indian state of Madhya Pradesh, and recorded the quality of care provided and prices charged in each interaction. We report three main findings. First, most private providers lacked formal medical training, but they spent more time with patients and completed more essential checklist items than public providers, and were equally likely to provide a correct treatment. Second, we compare the performance of qualified public doctors across their public and private practices, and find that the same doctors exerted higher effort and were more likely to provide a correct treatment in their private practices. Third, in the private sector, we find that prices charged are positively correlated with provider effort and correct treatment, but also with unnecessary treatments. In the public sector, we find no correlation between provider salaries and any measure of quality. We develop a simple theoretical framework to interpret our results and show that in settings with low levels of effort in the public sector, the benefits of higher diagnostic effort in the private sector may outweigh the costs of market incentives to over treat. These differences in provider effort may partly explain the dominant market share of fee-charging private providers even in the presence of a system of free public healthcare. |
| 主题 | Microeconomics ; Market Structure and Distribution ; Public Economics ; Public Goods ; Health, Education, and Welfare ; Health ; Development and Growth ; Development |
| URL | https://www.nber.org/papers/w21405 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/579084 |
| 推荐引用方式 GB/T 7714 | Jishnu Das,Alaka Holla,Aakash Mohpal,et al. Quality and Accountability in Healthcare Delivery: Audit-Study Evidence from Primary Care in India. 2015. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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