کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9554919 | 1376291 | 2005 | 36 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Which doctor? Combining vignettes and item response to measure clinical competence
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کلمات کلیدی
موضوعات مرتبط
علوم انسانی و اجتماعی
اقتصاد، اقتصادسنجی و امور مالی
اقتصاد و اقتصادسنجی
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چکیده انگلیسی
We develop a method in which vignettes-a battery of questions for hypothetical cases-are evaluated with item response theory to measure the clinical competence of doctors. The method, which allows us to simultaneously estimate competence and validate the test instrument, is applied to a sample of medical practitioners in Delhi, India. The method gives plausible results, rationalizes different perceptions of competence in the public and private sectors and pinpoints several serious problems with health care delivery in urban India. The findings confirm, for instance, that the competence of private providers located in poorer areas of the city is significantly lower than those in richer neighborhoods. Surprisingly, similar results hold for providers in the public sector with important implications for inequalities in the availability of health care.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Development Economics - Volume 78, Issue 2, December 2005, Pages 348-383
Journal: Journal of Development Economics - Volume 78, Issue 2, December 2005, Pages 348-383
نویسندگان
Jishnu Das, Jeffrey Hammer,