Publication:
Quality and Accountability in Healthcare Delivery: Audit Evidence from Primary Care Providers in India

Simple item page
dc.contributor.authorHolla, Alaka
dc.contributor.authorDas, Jishnu
dc.contributor.authorMohpal, Aakash
dc.contributor.authorMuralidharan, Karthik
dc.date.accessioned2015-07-17T18:42:42Z
dc.date.available2015-07-17T18:42:42Z
dc.date.issued2015-06
dc.description.abstractThis paper presents direct evidence on the quality of health care in low-income settings using a unique and original set of audit studies, where standardized patients were presented to a nearly representative sample of rural public and private primary care providers in the Indian state of Madhya Pradesh. Three main findings are reported. First, private providers are mostly unqualified, but they spent more time with patients and completed more items on a checklist of essential history and examination items than public providers, while being no different in their diagnostic and treatment accuracy. Second, the private practices of qualified public sector doctors were identified and the same doctors exerted higher effort and were more likely to provide correct treatment in their private practices. Third, there is a strong positive correlation between provider effort and prices charged in the private sector, whereas there is no correlation between effort and wages in the public sector. The results suggest that market-based accountability in the unregulated private sector may be providing better incentives for provider effort than administrative accountability in the public sector in this setting. While the overall quality of care is low both sectors, the 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2015/06/24689973/quality-accountability-healthcare-delivery-audit-evidence-primary-care-providers-india
dc.identifier.doi10.1596/1813-9450-7334
dc.identifier.urihttps://hdl.handle.net/10986/22215
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 7334
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectMEDICAL PRACTICE
dc.subjectCHILD HEALTH
dc.subjectRISKS
dc.subjectTREATMENT
dc.subjectDIAGNOSIS
dc.subjectMARKET STRUCTURE
dc.subjectCHRONIC DISEASES
dc.subjectINFORMED CONSENT
dc.subjectPEOPLE
dc.subjectVACCINATION
dc.subjectPHARMACISTS
dc.subjectSALES
dc.subjectASTHMA
dc.subjectMARKET INCENTIVE
dc.subjectMORBIDITY
dc.subjectALLERGIES
dc.subjectCOMMUNITY HEALTH
dc.subjectPRICE SETTING
dc.subjectHEALTH SURVEYS
dc.subjectHEALTH CARE
dc.subjectEFFECTS
dc.subjectCHILDHOOD ILLNESS
dc.subjectHEALTH
dc.subjectDISTRIBUTION
dc.subjectHEALTH WORKERS
dc.subjectPRICING
dc.subjectMALARIA TREATMENTS
dc.subjectPRICE
dc.subjectDYSENTERY
dc.subjectDEHYDRATION
dc.subjectCESAREAN SECTION
dc.subjectALLOPATHIC MEDICINE
dc.subjectPUBLIC HEALTH
dc.subjectMARKET INCENTIVES
dc.subjectRADIATION
dc.subjectKNOWLEDGE
dc.subjectVIRAL INFECTION
dc.subjectDIABETES
dc.subjectLABOR MARKET
dc.subjectANALGESICS
dc.subjectPAIN
dc.subjectABDOMINAL PAIN
dc.subjectDISEASES
dc.subjectLIFE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectSMOKING
dc.subjectORAL REHYDRATION
dc.subjectORT
dc.subjectMEDICAL SCIENCES
dc.subjectNURSES
dc.subjectOBSERVATION
dc.subjectBARRIERS TO ENTRY
dc.subjectMARKETS
dc.subjectANXIETY
dc.subjectANGINA
dc.subjectHAZARD
dc.subjectMEDICAL CARE
dc.subjectORAL REHYDRATION SALTS
dc.subjectTUBERCULOSIS
dc.subjectPRODUCT
dc.subjectSYMPTOMS
dc.subjectVOMITING
dc.subjectPRICE SUBSIDIES
dc.subjectMORTALITY
dc.subjectMEDICAL TREATMENT
dc.subjectEXPENDITURE
dc.subjectDIAGNOSES
dc.subjectSUBSTITUTE
dc.subjectWORKERS
dc.subjectFEVER
dc.subjectMEDICAL ATTENTION
dc.subjectSURGERY
dc.subjectAGED
dc.subjectMARKET PRICES
dc.subjectVALUE
dc.subjectHEALTH POLICY
dc.subjectMEDICINE
dc.subjectHEALTH OUTCOMES
dc.subjectDEMAND
dc.subjectDIARRHEA
dc.subjectSALE
dc.subjectMEASUREMENT
dc.subjectNUTRITION
dc.subjectINJURIES
dc.subjectMARKET
dc.subjectMEDICAL OFFICER
dc.subjectWORKSHOPS
dc.subjectSYRINGES
dc.subjectMALARIA
dc.subjectSICK LEAVE
dc.subjectLIVER
dc.subjectREST
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRICE DISCRIMINATION
dc.subjectINTERNET
dc.subjectULCER
dc.subjectRISK FACTORS
dc.subjectOUTPATIENT CARE
dc.subjectWEIGHT
dc.subjectPHYSICIANS
dc.subjectEXERCISE
dc.subjectCHILDREN
dc.subjectMARKET SHARE
dc.subjectDISEASE
dc.subjectDRINKING WATER
dc.subjectCLINICS
dc.subjectMARKET EQUILIBRIUM
dc.subjectNAUSEA
dc.subjectINFECTION
dc.subjectGENERAL PRACTITIONERS
dc.subjectSUPPLY
dc.subjectRESPIRATORY DISEASES
dc.subjectINFECTIONS
dc.subjectMATERNAL AND CHILD HEALTH
dc.subjectHEART ATTACK
dc.subjectMYOCARDIAL INFARCTION
dc.subjectWEIGHT LOSS
dc.subjectSTRATEGY
dc.subjectCHILD HEALTH SERVICES
dc.subjectSUPPLIERS
dc.subjectMEDICINES
dc.subjectHOSPITALS
dc.subjectLABOR MARKETS
dc.subjectILLNESSES
dc.subjectPATIENT CHOICE
dc.subjectHEADACHE
dc.subjectHEALTH SERVICES
dc.subjectPREGNANCY
dc.subjectPRICES
dc.subjectNURSING
dc.titleQuality and Accountability in Healthcare Deliveryen
dc.title.subtitleAudit Evidence from Primary Care Providers in Indiaen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.crossref.titleQuality and Accountability in Healthcare Delivery: Audit Evidence from Primary Care Providers in India
okr.date.disclosure2015-06-23
okr.date.doiregistration2025-04-10T10:13:49.643755Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/2015/06/24689973/quality-accountability-healthcare-delivery-audit-evidence-primary-care-providers-india
okr.globalpracticeHealth, Nutrition, and Population
okr.guid959771468000899235
okr.identifier.doi10.1596/1813-9450-7334
okr.identifier.externaldocumentum090224b082f7d787_1_0
okr.identifier.internaldocumentum24689973
okr.identifier.reportWPS7334
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2015/06/23/090224b082f7d787/1_0/Rendered/PDF/Quality0and0ac0e0providers0in0India.pdfen
okr.region.administrativeSouth Asia
okr.region.countryIndia
okr.topicGender::Gender and Health
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.unitHuman Development and Public Services Team, Development Research Group
relation.isAuthorOfPublicationea440dcd-bd1b-5ecb-99eb-ac38454d8b51
relation.isAuthorOfPublication.latestForDiscoveryea440dcd-bd1b-5ecb-99eb-ac38454d8b51
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
Quality0and0ac0e0providers0in0India.pdf
Size:
1.9 MB
Format:
Adobe Portable Document Format
Download
No Thumbnail Available
Name:
Quality0and0ac0e0providers0in0India.txt
Size:
280.23 KB
Format:
Plain Text
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download
Collections
Policy Research Working Papers