Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania
Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania
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DOI：
10.1111/j.1467-8276.2009.01252.x
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发表时间：
2009-05-01
影响因子：
4.2
通讯作者：
Masatu, Melkiory C.
中科院分区：
文献类型：
--
作者：
Klemick, Heather;Leonard, Kenneth L.;Masatu, Melkiory C.
我们使用了一个独特的数据集，将坦桑尼亚农村的家庭调查与家庭可用的所有卫生设施的位置和质量相结合，研究了寻求健康行为对获得高质量医疗保健的影响。患者并不总是去最近的设施，而是从多个设施中进行选择，通过绕过低质量的设施来提高他们接受的护理质量。认识到这一行为改变了健康干预的预期效益，降低了关注工作人员资质的价值，增加了关注旅行时间和现有工作人员积极性的价值。
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.