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Professionalism, Latent Professionalism and Organizational Demands for Health Care Quality in a Developing Country AgEcon
Leonard, Kenneth L.; Masatu, Melkiory C..
Medicine is a professional pursuit, and even in developing countries professionalism should lead at least some practitioners to care for their patients despite the absence of direct incentives to do so. Even if practitioners do not behave as professionals, what is the extent of latent professionalism, in which socialization in the profession conditions health workers to respond to a demand for professionalism even if they do not normally act as professionals? How many health care workers in developing countries act as professionals all the time and what will happen if health services turn toward remuneration schemes in which health workers are paid by the output or outcome? We examine the behavior of 80 practitioners from Arusha region of Tanzania for...
Tipo: Working or Discussion Paper Palavras-chave: Incentives; Quality; Health care; Professionalism; Tanzania; Health Economics and Policy; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/42883
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Using the Hawthorne Effect to Examine the Gap Between a Doctor's Best Possible Practice and Actual Performance AgEcon
Leonard, Kenneth L.; Masatu, Melkiory C..
Many doctors in developing countries provide considerably lower levels of quality to their patients than they have been trained to provide. The gap between best practice and actual performance is difficult to measure for individual doctors who differ in levels of training and experience and who face very different types of patients. We exploit the Hawthorne effect—in which doctors change their behavior when a researcher comes to observe their practices—to measure the gap between best and actual performance. We analyze this gap for a sample of doctors, examining the impact of the organization for which doctors work on the performance of doctors, after controlling for their ability. We find that some organizations succeed in motivating doctors to work at...
Tipo: Working or Discussion Paper Palavras-chave: Motivation; Practice quality; Health care; Tanzania; Hawthorne effect; Health Economics and Policy; Institutional and Behavioral Economics; International Development; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/36693
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Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania AgEcon
Klemick, Heather; Leonard, Kenneth L.; Masatu, Melkiory C..
We examine the implications of health seeking behavior on access to quality health care using a unique dataset that combines a household survey from rural Tanzania with the location and quality of all health facilities available to households. Patients do not always visit the nearest facility, but choose from among multiple facilities, improving the quality of care they receive by bypassing low quality facilities. Recognizing this behavior alters the projected benefits to health interventions, reducing the value of focusing on the staff qualifications and increasing the value of focusing on travel time and the motivation of current staff.
Tipo: Working or Discussion Paper Palavras-chave: Community/Rural/Urban Development; Health Economics and Policy.
Ano: 2008 URL: http://purl.umn.edu/6178
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