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Getting Doctors to Do Their Best: The Roles of Ability and Motivation in Health Care Quality

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Author Info
Kenneth L. Leonard
Melkiory C. Masatu
Alexandre Vialou

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Abstract

Adherence 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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File URL: http://jhr.uwpress.org/cgi/reprint/XLII/3/682
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Publisher Info
Article provided by University of Wisconsin Press in its journal Journal of Human Resources.

Volume (Year): 42 (2007)
Issue (Month): 3 ()
Pages:
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Handle: RePEc:uwp:jhriss:v:42:y:2007:i3:p682-700

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  1. 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," Working Papers 6178, University of Maryland, Department of Agricultural and Resource Economics. [Downloadable!]
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  2. 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. [Downloadable!]
    Other versions:
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This page was last updated on 2009-11-28.


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