Quality and Accountability in Health Care Delivery: Audit-Study Evidence from Primary Care in India

S-Tier
Journal: American Economic Review
Year: 2016
Volume: 106
Issue: 12
Pages: 3765-99

Score contribution per author:

2.011 = (α=2.01 / 4 authors) × 4.0x S-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We present unique audit-study evidence on health care quality in rural India, and find that most private providers lacked medical qualifications, but completed more checklist items than public providers and recommended correct treatments equally often. Among doctors with public and private practices, all quality metrics were higher in their private clinics. Market prices are positively correlated with checklist completion and correct treatment, but also with unnecessary treatments. However, public sector salaries are uncorrelated with quality. A simple model helps interpret our findings: Where public-sector effort is low, the benefits of higher diagnostic effort among private providers may outweigh costs of potential overtreatment.

Technical Details

RePEc Handle
repec:aea:aecrev:v:106:y:2016:i:12:p:3765-99
Journal Field
General
Author Count
4
Added to Database
2026-01-25