Literature DB >> 27524208

Doctor Competence and the Demand for Healthcare: Evidence from Rural China.

Eduardo Fe1, Timothy Powell-Jackson2, Winnie Yip3.   

Abstract

The agency problem between patients and doctors has long been emphasised in the health economics literature, but the empirical evidence on whether patients can evaluate and respond to better quality care remains mixed and inconclusive. Using household data linked to an assessment of village doctors' clinical competence in rural China, we show that there is no correlation between doctor competence and patients' healthcare utilisation, with confidence intervals reasonably tight around zero. Household perceptions of quality are an important determinant of care-seeking behaviour, yet patients appear unable to recognise more competent doctors - there is no relationship between doctor competence and perceptions of quality.
Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Entities:  

Keywords:  doctor competence; item response theory; perceptions; quality of care

Mesh：

Year:  2016        PMID： 27524208     DOI： 10.1002/hec.3387

Source DB:  PubMed          Journal:  Health Econ        ISSN： 1057-9230            Impact factor:   3.046


  6 in total

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Authors:  Margaret E Kruk; Anna D Gage; Catherine Arsenault; Keely Jordan; Hannah H Leslie; Sanam Roder-DeWan; Olusoji Adeyi; Pierre Barker; Bernadette Daelmans; Svetlana V Doubova; Mike English; Ezequiel García-Elorrio; Frederico Guanais; Oye Gureje; Lisa R Hirschhorn; Lixin Jiang; Edward Kelley; Ephrem Tekle Lemango; Jerker Liljestrand; Address Malata; Tanya Marchant; Malebona Precious Matsoso; John G Meara; Manoj Mohanan; Youssoupha Ndiaye; Ole F Norheim; K Srinath Reddy; Alexander K Rowe; Joshua A Salomon; Gagan Thapa; Nana A Y Twum-Danso; Muhammad Pate
Journal:  Lancet Glob Health       Date:  2018-09-05       Impact factor: 26.763

2.  Reasons for low utilisation of public facilities among households with hypertension: analysis of a population-based survey in India.

Authors:  Stephanie A Kujawski; Hannah H Leslie; Dorairaj Prabhakaran; Kavita Singh; Margaret E Kruk
Journal:  BMJ Glob Health       Date:  2018-12-20

3.  The Willingness for Downward Referral and Its Influencing Factors: A Cross-Sectional Study among Older Adults in Shandong, China.

Authors:  Xiang Jing; Lingzhong Xu; Wenzhe Qin; Jiao Zhang; Lu Lu; Yali Wang; Yu Xia; An'an Jiao; Yaozu Li
Journal:  Int J Environ Res Public Health       Date:  2020-01-06       Impact factor: 3.390

4.  Governance Capability of the Public Health System: A Comparative Analysis of the Control of COVID-19 in the Different Provinces of China.

Authors:  Yingfeng Fang; Fen Zhang; Chenyu Zhou; Ming Chen
Journal:  Int J Environ Res Public Health       Date:  2021-04-15       Impact factor: 3.390

5.  Provider competence in hypertension management and challenges of the rural primary healthcare system in Sichuan province, China: a study based on standardized clinical vignettes.

Authors:  Yuju Wu; Ruixue Ye; Qingzhi Wang; Chang Sun; Sha Meng; Sean Sylvia; Huan Zhou; Dimitris Friesen; Scott Rozelle
Journal:  BMC Health Serv Res       Date:  2022-07-01       Impact factor: 2.908

6.  Primary healthcare system performance in low-income and middle-income countries: a scoping review of the evidence from 2010 to 2017.

Authors:  Asaf Bitton; Jocelyn Fifield; Hannah Ratcliffe; Ami Karlage; Hong Wang; Jeremy H Veillard; Dan Schwarz; Lisa R Hirschhorn
Journal:  BMJ Glob Health       Date:  2019-08-16
  6 in total

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