The quality of medical advice in low-income countries
AbstractThis paper provides an overview of recent work on quality measurement of medical care and its correlates in four low and middle-income countries-India, Indonesia, Tanzania, and Paraguay. The authors describe two methods-testing doctors and watching doctors-that are relatively easy to implement and yield important insights about the nature of medical care in these countries. The paper discusses the properties of these measures, their correlates, and how they may be used to evaluate policy changes. Finally, the authors outline an agenda for further research and measurement.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by The World Bank in its series Policy Research Working Paper Series with number 4501.
Date of creation: 01 Jan 2008
Date of revision:
Health Monitoring&Evaluation; Health Systems Development&Reform; Gender and Health; Health Economics&Finance; Disease Control&Prevention;
Other versions of this item:
- 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.
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- O15 - Economic Development, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
This paper has been announced in the following NEP Reports:
- NEP-AFR-2008-02-09 (Africa)
- NEP-ALL-2008-02-09 (All new papers)
- NEP-CWA-2008-02-09 (Central & Western Asia)
- NEP-DEV-2008-02-09 (Development)
- NEP-HEA-2008-02-09 (Health Economics)
- NEP-SEA-2008-02-09 (South East Asia)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Leonard, Kenneth L., 2008. "Is patient satisfaction sensitive to changes in the quality of care? An exploitation of the Hawthorne effect," Journal of Health Economics, Elsevier, vol. 27(2), pages 444-459, March.
- Kenneth L. Leonard & Melkiory C. Masatu & Alexandre Vialou, 2007. "Getting Doctors to Do Their Best: The Roles of Ability and Motivation in Health Care Quality," Journal of Human Resources, University of Wisconsin Press, vol. 42(3).
- 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.
- Harriss-White,Barbara, 2003. "India Working," Cambridge Books, Cambridge University Press, number 9780521809795, November.
- Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
- Leonard, Kenneth L. & Masatu, Melkiory C., 2005. "The use of direct clinician observation and vignettes for health services quality evaluation in developing countries," Social Science & Medicine, Elsevier, vol. 61(9), pages 1944-1951, November.
- 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.
- Harriss-White,Barbara, 2003. "India Working," Cambridge Books, Cambridge University Press, number 9780521007634, November.
- 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.
- Björkman, Martina & Reinikka, Ritva & Svensson, Jakob, 2006. "Local Accountability," Seminar Papers 749, Stockholm University, Institute for International Economic Studies.
- Karlan, Dean & Morduch, Jonathan, 2010. "Access to Finance," Handbook of Development Economics, Elsevier.
- Mæstad, Ottar & Torsvik, Gaute & Aakvik, Arild, 2009.
"Overworked? The relationship between workload and health worker performance in rural Tanzania,"
Working Papers in Economics
02/09, University of Bergen, Department of Economics.
- Ottar Mæstad & Gaute Torsvik & Arild Aakvik, 2009. "Overworked? The relationship between workload and health worker performance in rural Tanzania," CMI Working Papers 2, CMI (Chr. Michelsen Institute), Bergen, Norway.
- Adhvaryu, Achyuta & Nyshadham, Anant, 2011.
"Healthcare Choices, Information and Health Outcomes,"
88, Yale University, Department of Economics.
- Achyuta Adhvaryu & Anant Nyshadham, 2011. "Healthcare Choices, Information and Health Outcomes," Working Papers 994, Economic Growth Center, Yale University.
- Kjell Hausken & Mthuli Ncube, 2013. "Working Paper 172 - Political Economy of Service Delivery: Monitoring versus Contestation," Working Paper Series 468, African Development Bank.
- 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.
- Arrieta, Alejandro & García-Prado, Ariadna & Guillén, Jorge, 2011.
"The Private Health Care Sector and the Provision of Prenatal Care Services in Latin America,"
Elsevier, vol. 39(4), pages 579-587, April.
- Alejandro Arrieta & Ariadna García Prado & Jorge Guillén, 2009. "The Private Health Care Sector and the Provision of Prenatal Care Services in Latin America," IDB Publications 9335, Inter-American Development Bank.
- Grant Miller & Kimberly Singer Babiarz, 2013. "Pay-for-Performance Incentives in Low- and Middle-Income Country Health Programs," NBER Working Papers 18932, National Bureau of Economic Research, Inc.
- 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.
- Jishnu Das, 2011. "The Quality of Medical Care in Low-Income Countries: From Providers to Markets," Working Papers id:3955, eSocialSciences.
- J. Michelle Brock & Andreas Lange & Kenneth L. Leonard, 2012. "Generosity norms and intrinsic motivation in health care provision: evidence from the laboratory and the field," Working Papers 147, European Bank for Reconstruction and Development, Office of the Chief Economist.
- Beegle, Kathleen & Himelein, Kristen & Ravallion, Martin, 2012. "Frame-of-reference bias in subjective welfare," Journal of Economic Behavior & Organization, Elsevier, vol. 81(2), pages 556-570.
- 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.
- Gertler, Paul & Vermeerch, Christel, 2013.
"Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes,"
Institute for Research on Labor and Employment, Working Paper Series
qt9qn9q7ph, Institute of Industrial Relations, UC Berkeley.
- Paul Gertler & Christel Vermeersch, 2013. "Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes," NBER Working Papers 19046, National Bureau of Economic Research, Inc.
- Gertler, Paul & Vermeersch, Christel, 2012. "Using performance incentives to improve health outcomes," Policy Research Working Paper Series 6100, The World Bank.
- Jeffrey S. Hammer, 2013. "Balancing Market and Government Failure in Service Delivery," Lahore Journal of Economics, Department of Economics, The Lahore School of Economics, vol. 18(Special E), pages 1-19, September.
- Tessa Bold & Jakob Svensson, 2013. "Policies and Institutions for Effective Service Delivery: The Need of a Microeconomic and Micropolitical Approach," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 22(suppl_2), pages -ii38, August.
- Fiszbein, Ariel & Ringold, Dena & Rogers, F. Halsey, 2011. "Making services work : indicators, assessments, and benchmarking of the quality and governance of public service delivery in the human development sectors," Policy Research Working Paper Series 5690, The World Bank.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Roula I. Yazigi).
If references are entirely missing, you can add them using this form.