Getting Doctors to Do Their Best: The Roles of Ability and Motivation in Health Care Quality
AbstractAdherence to medical protocol (quality) is low in most developing countries. We show that, although the differences in knowledge of protocol among doctors in Arusha region of Tanzania are explained by years of training, the differences in actual adherence to protocol and the gap between knowledge and actual adherence are best understood by examining the types of organizations in which these doctors work. These results suggest that some organizations are better at getting doctors to perform at capacity and that understanding the link between organizational structure and protocol adherence is important in any attempt to increase the quality of care.
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Bibliographic InfoArticle provided by University of Wisconsin Press in its journal Journal of Human Resources.
Volume (Year): 42 (2007)
Issue (Month): 3 ()
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- Schultz, T. Paul & Tansel, Aysit, 1997.
"Wage and labor supply effects of illness in Cote d'Ivoire and Ghana: instrumental variable estimates for days disabled,"
Journal of Development Economics,
Elsevier, vol. 53(2), pages 251-286, August.
- Schultz, T-P, 1996. "Wage and Labor Supply effects of Illness in Cote d'Ivoire and Ghana : Instrumental Variable Estimates for Days Disabled," Papers 757, Yale - Economic Growth Center.
- Rosenzweig, Mark R. & Pitt, Mark M., 1984. "Agricultural Prices, Food Consumption and the Health and Productivity of Farmers," Bulletins 7471, University of Minnesota, Economic Development Center.
- Leonard, Kenneth L., 2002. "When both states and markets fail: asymmetric information and the role of NGOs in African health care," International Review of Law and Economics, Elsevier, vol. 22(1), pages 61-80, July.
- Bhargava, Alok & Jamison, Dean T. & Lau, Lawrence J. & Murray, Christopher J. L., 2001. "Modeling the effects of health on economic growth," Journal of Health Economics, Elsevier, vol. 20(3), pages 423-440, May.
- Bengt Holmstrom, 1982.
"Moral Hazard in Teams,"
Bell Journal of Economics,
The RAND Corporation, vol. 13(2), pages 324-340, Autumn.
- Das, Jishnu & Hammer, Jeffrey, 2007.
"Money for nothing: The dire straits of medical practice in Delhi, India,"
Journal of Development Economics,
Elsevier, vol. 83(1), pages 1-36, May.
- Das, Jishnu & Hammer, Jeffrey, 2005. "Money for nothing : the dire straits of medical practice in Delhi, India," Policy Research Working Paper Series 3669, The World Bank.
- Chaudhury, Nazmul & Hammer, Jeffrey S., 2003. "Ghost doctors - absenteeism in Bangladeshi health facilities," Policy Research Working Paper Series 3065, The World Bank.
- Leonard, Kenneth & Masatu, Melkiory C., 2006. "Outpatient process quality evaluation and the Hawthorne Effect," Social Science & Medicine, Elsevier, vol. 63(9), pages 2330-2340, November.
- Reinikka, Ritva & Svensson, Jakob, 2004. "Working for God?," CEPR Discussion Papers 4214, C.E.P.R. Discussion Papers.
- Das, Jishnu & Hammer, Jeffrey, 2004. "Which doctor? Combining vignettes and item response to measure doctor quality," Policy Research Working Paper Series 3301, The World Bank.
- Tomas Philipson, 1996. "Private Vaccination and Public Health: An Empirical Examination for U.S. Measles," Journal of Human Resources, University of Wisconsin Press, vol. 31(3), pages 611-630.
- Das, Jishnu & Hammer, Jeffrey & Sánchez-Paramo, Carolina, 2012.
"The impact of recall periods on reported morbidity and health seeking behavior,"
Journal of Development Economics,
Elsevier, vol. 98(1), pages 76-88.
- Das, Jishnu & Hammer, Jeffrey & Sanchez-Paramo, Carolina, 2011. "The impact of recall periods on reported morbidity and health seeking behavior," Policy Research Working Paper Series 5778, The World Bank.
- Jishnu Das & Jeffrey Hammer & Carolina Sánchez-Paramo, 2011. "The Impact of Recall Periods on Reported Morbidity and Health Seeking Behavior," Working Papers 1320, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- Serra, Danila & Serneels, Pieter & Barr, Abigail, 2010.
"Intrinsic Motivations and the Non-Profit Health Sector: Evidence from Ethiopia,"
IZA Discussion Papers
4746, Institute for the Study of Labor (IZA).
- Abigail Barr & Danila Serra and Pieter Serneels, 2010. "Intrinsic motivations and the non-profit health sector: Evidence from Ethiopia," Economics Series Working Papers CSAE WPS/2010-04, University of Oxford, Department of Economics.
- Danila Serra & Pieter Serneels & Abigail Barr, 2010. "Intrinsic motivations and the non-profit health sector: Evidence from Ethiopia," Working Paper series, University of East Anglia, Centre for Behavioural and Experimental Social Science (CBESS) 10-01, School of Economics, University of East Anglia, Norwich, UK..
- Danila Serra & Pieter Serneels & Abigail Barr, 2010. "Intrinsic motivations and the non-profit health sector: Evidence from Ethiopia," CSAE Working Paper Series 2010-04, Centre for the Study of African Economies, University of Oxford.
- Leonard, Kenneth L., 2009. "The cost of imperfect agency in health care: Evidence from rural Cameroun," Journal of Development Economics, Elsevier, vol. 88(2), pages 282-291, March.
- Clemens, Michael A., 2009.
"Skill Flow: A Fundamental Reconsideration of Skilled-Worker Mobility and Development,"
19186, University Library of Munich, Germany.
- Michael Clemens, 2009. "Skill Flow: A Fundamental Reconsideration of Skilled-Worker Mobility and Development," Working Papers 180, Center for Global Development.
- Michael A. Clemens, 2009. "Skill Flow: A Fundamental Reconsideration of Skilled-Worker Mobility and Development," Human Development Research Papers (2009 to present) HDRP-2009-08, Human Development Report Office (HDRO), United Nations Development Programme (UNDP), revised Apr 2009.
- Klemick, Heather & Leonard, Kenneth L. & Masatu, Melkiory C., 2008.
"Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania,"
6178, University of Maryland, Department of Agricultural and Resource Economics.
- Heather Klemick & Kenneth L. Leonard & Melkiory C. Masatu, 2007. "Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 91(2), pages 347-358.
- Mæstad, Ottar & Torsvik, Gaute & Aakvik, Arild, 2010. "Overworked? On the relationship between workload and health worker performance," Journal of Health Economics, Elsevier, vol. 29(5), pages 686-698, September.
- Leonard, David K. & Bloom, Gerald & Hanson, Kara & O’Farrell, Juan & Spicer, Neil, 2013. "Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor," World Development, Elsevier, vol. 48(C), pages 71-87.
- Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008.
"The Quality of Medical Advice in Low-Income Countries,"
Journal of Economic Perspectives,
American Economic Association, vol. 22(2), pages 93-114, Spring.
- Das, Jishnu & Hammer, Jeffrey & Leonard, Kenneth, 2008. "The quality of medical advice in low-income countries," Policy Research Working Paper Series 4501, The World Bank.
- Lange, Siri & Mwisongo, Aziza & Mæstad, Ottar, 2014. "Why don't clinicians adhere more consistently to guidelines for the Integrated Management of Childhood Illness (IMCI)?," Social Science & Medicine, Elsevier, vol. 104(C), pages 56-63.
- Jishnu Das, 2011. "The Quality of Medical Care in Low-Income Countries: From Providers to Markets," Working Papers id:3955, eSocialSciences.
- Ottar Mæstad & Gaute Torsvik, 2008.
"Improving the Quality of Health Care when Health Workers are in Short Supply,"
CMI Working Papers
12, CMI (Chr. Michelsen Institute), Bergen, Norway.
- Mæstad, Ottar & Torsvik, Gaute, 2008. "Improving the quality of health care when health workers are in short supply," Working Papers in Economics 14/08, University of Bergen, Department of Economics.
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