Publication:
Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets

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dc.contributor.authorBedoya, Guadalupe
dc.contributor.authorDas, Jishnu
dc.contributor.authorDolinger, Amy
dc.date.accessioned2023-04-04T18:52:40Z
dc.date.available2023-04-04T18:52:40Z
dc.date.issued2023-04-04
dc.description.abstractThis paper presents results from the first randomization of a regulatory reform in the health sector. The reform established minimum quality standards for patient safety, an issue that has become increasingly salient following the Ebola and COVID-19 epidemics. In the experiment, all 1,348 health facilities in three Kenyan counties were classified into 273 markets, and the markets were then randomly allocated to treatment and control groups. Government inspectors visited health facilities and, depending on the results of their inspection, recommended closure or a timeline for improvements. The intervention increased compliance with patient safety measures in both public and private facilities (more so in the latter) and reallocated patients from private to public facilities without increasing out-of-pocket payments or decreasing facility use. In treated markets, improvements were equally marked throughout the quality distribution, consistent with a simple model of vertical differentiation in oligopolies. This paper thus establishes the use of experimental techniques to study regulatory reforms and, in doing so, shows that minimum standards can improve quality across the board without adversely affecting utilization.en
dc.identifierhttp://documents.worldbank.org/curated/en/099512203282320098/IDU0932a20f9092e104d0c0a67a02b09390486b1
dc.identifier.doi10.1596/1813-9450-10386
dc.identifier.urihttps://openknowledge.worldbank.org/handle/10986/39630
dc.languageEnglish
dc.language.isoen
dc.publisherWashington, DC: World Bank
dc.relation.ispartofseriesPolicy Research Working Paper; 10386
dc.rightsCC BY 3.0 IGO
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/igo/
dc.subjectHEALTH CARE MARKET
dc.subjectPUBLIC HEALTH
dc.subjectREGULATORY ENFORCEMENT
dc.subjectPATIENT SAFETY STANDARDS
dc.subjectINFORMAL SECTOR
dc.subjectHEALTH CARE UTILIZATON
dc.titleRandomized Regulationen
dc.title.subtitleThe Impact of Minimum Quality Standards on Health Marketsen
dc.typeWorking Paper
dspace.entity.typePublication
okr.associatedcontenthttps://reproducibility.worldbank.org/index.php/catalog/44 Link to data and reproducibility package
okr.crossref.titleRandomized Regulation: The Impact of Minimum Quality Standards on Health Markets
okr.date.disclosure2023-03-28
okr.date.lastmodified2023-03-28T00:00:00Zen
okr.doctypePolicy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/099512203282320098/IDU0932a20f9092e104d0c0a67a02b09390486b1
okr.guid099512203282320098
okr.identifier.doi10.1596/1813-9450-10386
okr.identifier.externaldocumentum34030257
okr.identifier.internaldocumentum34030257
okr.identifier.reportWPS10386
okr.import.id307
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099512203282320098/pdf/IDU0932a20f9092e104d0c0a67a02b09390486b1.pdfen
okr.region.administrativeAfrica Eastern and Southern (AFE)
okr.region.countryKenya
okr.topicHealth, Nutrition and Population::Public Health Promotion
okr.topicHealth, Nutrition and Population::Communicable Diseases
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Health Policy and Management
okr.unitDIME Infra & Climate Change (DIME4)
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