Abstract
Jishnu Das provides a perspective on a research article by Paul Garner and colleagues that reports a systematic review of 80 studies comparing the quality of private versus public ambulatory health care in low and middle income countries.
Highlights
While problems of access are certainly salient for particular disadvantaged populations, quality is likely the constraining factor for the majority
This Perspective discusses the following new study published in PLoS Medicine: Berendes S, Heywood P, Oliver S, Garner P (2011) Quality of Private and Public Ambulatory Health Care in Low and Middle Income Countries: Systematic Review of Comparative Studies
PLoS Medicine | www.plosmedicine.org health care market for provider behavior and how do different components of quality—competence and effort—relate to each other? Recent research documents a large gap between medical knowledge and practice: doctors, in countries ranging from Tanzania to India to The Netherlands, do a lot less with real patients than they say they would in similar hypothetical scenarios [7,8,9]
Summary
This Perspective discusses the following new study published in PLoS Medicine: Berendes S, Heywood P, Oliver S, Garner P (2011) Quality of Private and Public Ambulatory Health Care in Low and Middle Income Countries: Systematic Review of Comparative Studies. Recent research documents a large gap between medical knowledge and practice: doctors, in countries ranging from Tanzania to India to The Netherlands, do a lot less with real patients than they say they would in similar hypothetical scenarios (vignettes) [7,8,9]. This ‘‘know– do’’ gap responds to incentives: it is higher in the public sector where fixed salaries provide poor incentives to exert effort.
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