Click here for search results
Which doctor? Combining vignettes and item response to measure doctor quality
 
Author:Das, Jishnu; Hammer, Jeffrey; Collection Title:Policy, Research working paper ; no. WPS 3301
Country:India; Date Stored:2004/07/23
Document Date:2004/05/01Document Type:Policy Research Working Paper
SubTopics:Information and Records Management; Health Monitoring & Evaluation; Disease Control & Prevention; Health Systems Development & Reform; Health Economics & Finance; Public Health Promotion; Educational SciencesLanguage:English
Region:South AsiaReport Number:WPS3301
Volume No:1 of 1  

Summary: The authors develop a method in which vignettes-a battery of questions for hypothetical cases-are evaluated with item response theory to create a metric for doctor quality. The method allows a simultaneous estimation of quality and validation of the test instrument that can be used for further refinements. The authors apply the method to a sample of medical practitioners in Delhi, India. The method gives plausible results, rationalizes different perceptions of quality in the public and private sectors, and pinpoints several serious problems with health care delivery in urban India. The findings confirm, for instance, that the quality of private providers located in poorer areas of the city is significantly lower than those in richer neighborhoods. Surprisingly, similar results hold for providers in the public sector, with important implications for inequities in the availability of health care.

Official Documents
Official, scanned versions of documents (may include signatures, etc.)
File TypeDescriptionFile Size (mb)
PDF 37 pagesOfficial version*0.45
TextText version**
How To Order
Light-Weight Documents
Lighter (less MB) documents which may or may not be the final, official version
File TypeDescriptionFile Size (mb)
PDF 37 pagesWPS33010.39

* The official version is derived from scanning the final, paper copy of the document and is the official,
archived version including all signatures, charts, etc.
** The text version is the OCR text of the final scanned version and is not an accurate representation of the final text.
It is provided solely to benefit users with slow connectivity.



Permanent URL for this page: http://go.worldbank.org/IR68P45DF0