Quality and Accountability in Health Care Delivery: Audit-Study Evidence from Primary Care in India

摘要: We present unique audit-study evidence on health care quality in rural India, and find that most private providers lacked medical qualifications, but completed more checklist items than public recommended correct treatments equally often. Among doctors with practices, all metrics were higher their clinics. Market prices are positively correlated completion treatment, also unnecessary treatments. However, sector salaries uncorrelated quality. A simple model helps interpret our findings: Where public-sector effort is low, the benefits of diagnostic among may outweigh costs potential overtreatment.