Using the Hawthorne effect to examine the gap between a doctor's best possible practice and actual performance
Using the Hawthorne effect to examine the gap between a doctor's best possible practice and actual performance
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DOI：
10.1016/j.jdeveco.2009.11.001
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发表时间：
2010-11-01
影响因子：
5
通讯作者：
Masatu, Melkiory C.
中科院分区：
文献类型：
--
作者：
Leonard, Kenneth L.;Masatu, Melkiory C.
发展中国家的许多医生为病人提供的护理质量远远低于他们所接受的培训。最佳实践与实际表现之间的差距（通常称为“知-行差距”）很难在不同培训和经验水平的医生之间进行衡量，他们面对的是非常不同类型的患者。我们利用霍桑效应--当研究人员观察他们的实践时，医生会改变他们的行为--来衡量最佳表现和实际表现之间的差距。我们分析了这一差距的医生样本，也研究了医生工作的组织对他们的表现的影响。我们发现，一些组织成功地激励医生的工作水平的性能接近他们的最佳实践。本文补充了最近的证据表明，动机可以作为重要的医疗质量的培训和知识。(C)2009爱思唯尔有限公司版权所有。
Many doctors in developing countries provide considerably lower quality care to their patients than they have been trained to provide. The gap between best possible practice and actual performance (often referred to as the know-do gap) is difficult to measure among 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 and also examine the impact of the organization for which doctors work on their performance. We find that some organizations succeed in motivating doctors to work at levels of performance that are close to their best possible practice. This paper adds to recent evidence that motivation can be as important to health care quality as training and knowledge. (C) 2009 Elsevier B.V. All rights reserved.