Location, location, location: Residence, wealth, and the quality of medical care in Delhi, India
Location, location, location: Residence, wealth, and the quality of medical care in Delhi, India
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DOI：
10.1377/hlthaff.26.3.w338
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发表时间：
2007-05-01
期刊：
影响因子：
9.7
通讯作者：
Hammer, Jeffrey
中科院分区：
文献类型：
--
作者：
Das, Jishnu;Hammer, Jeffrey
德里的每个家庭步行即可到达70个医疗服务提供者。然而，富人和穷人在健康结果方面的不平等依然存在，这可能反映了可获得的护理质量的差异。这篇论文表明，穷人访问的提供者确实比富人访问的提供者知识更少。有强有力的证据表明，在获得机会方面存在不平等，贫困社区的私营和公共部门提供者的能力较低，但没有证据表明选择方面存在不平等。切实可行的政策选择包括向患者提供有关医疗服务提供者能力的有针对性的信息，以及改善贫穷和富裕社区的公共医生配置。
There are seventy medical care providers within walking distance of every household in Delhi. However, inequalities in health outcomes persist among the rich and poor, which might reflect differences in the quality of available care. This paper shows that providers visited by the poor were indeed less knowledgeable than those visited by the rich. There is strong evidence of inequalities in access, with lower competence among private and public-sector providers in poor neighborhoods, but no evidence of inequalities in choices. Practical policy options include targeted information to patients on provider competence and improving the allocation of public doctors across poor and rich neighborhoods.