Randomized regulation: the impact of minimum quality standards on health markets
Working Paper Series - National Bureau of Economic Research (Massachusetts) 2023. (w31203):42 pp. many ref.
; 2023.
Article
Dans Anglais
| CAB Abstracts | ID: covidwho-2321934
ABSTRACT
We report results from the first randomization of a regulatory reform in the health sector. The reform established minimum quality standards for patient safety, an issue that has become increasingly salient following the Ebola and COVID-19 epidemics. In our experiment, all 1348 health facilities in three Kenyan counties were classified into 273 markets, and the markets were then randomly allocated to treatment and control groups. Government inspectors visited health facilities and, depending on the results of their inspection, recommended closure or a timeline for improvements. The intervention increased compliance with patient safety measures in both public and private facilities (more so in the latter) and reallocated patients from private to public facilities without increasing out-of-pocket payments or decreasing facility use. In treated markets, improvements were equally marked throughout the quality distribution, consistent with a simple model of vertical differentiation in oligopolies. Our paper thus establishes the use of experimental techniques to study regulatory reforms and, in doing so, shows that minimum standards can improve quality across the board without adversely affecting utilization.
Prion; Viral; Bacterial and Fungal Pathogens of Humans [VV210]; Health Services [UU350]; Health Economics [EE118]; Laws and Regulations [DD500]; human diseases; public health; health care; epidemics; epidemiology; health services; inspection; markets; risk factors; safety; standards; quality of care; quality standards; patient care; public sector; private sector; man; Kenya
Texte intégral:
Disponible
Collection:
Bases de données des oragnisations internationales
Base de données:
CAB Abstracts
Type d'étude:
Études expérimentales
/
Essai contrôlé randomisé
langue:
Anglais
Revue:
Working Paper Series - National Bureau of Economic Research (Massachusetts) 2023. (w31203):42 pp. many ref.
Année:
2023
Type de document:
Article
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