Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality
The authors develop a method in which vignettes-a battery of questions for hypothetical cases-are evaluated with item response theory to create a metric for doctor quality. The method allows a simultaneous estimation of quality and validation of th...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, D.C.
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2004/05/4966960/doctor-combining-vignettes-item-response-measure-doctor-quality http://hdl.handle.net/10986/14032 |
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okr-10986-140322021-04-23T14:03:21Z Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality Das, Jishnu Hammer, Jeffrey ABSTRACTING ABSTRACTION ALTERNATIVE MEDICINE BENCHMARK CERTIFICATION CLASSIFICATION CLASSIFYING COMPETENCE COMPETENCIES CONDITIONING DEATHS DEPRESSION DISCRIMINATION DISPENSARIES DOCTORS EXPENDITURES GRADING HEALTH CARE HEALTH INSURANCE HEALTH OUTCOMES HEALTH SERVICES HEALTH STATUS HOMEOPATHY HOSPITALS INCOME LEARNING LOW-INCOME COUNTRIES MEDICAL CARE MEDICAL PERSONNEL MEDICAL SUPPLIES MEDICAL SYSTEMS MEDICINES MOTIVATION NOTATION PATIENTS PHYSICIANS PREGNANCY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC SECTOR RECOGNITION SELECTION BIAS SEXUALLY TRANSMITTED DISEASES STANDARDIZATION SURGERY THERAPY WALKING FAMILY HEALTH HEALTH CARE HEALTH CARE CENTERS HEALTH CARE DELIVERY HEALTH CARE PROVIDERS HEALTH FACILITIES HEALTH SERVICES DOCTORS DOCTOR PATIENT RELATIONSHIP MEDICAL CARE MEDICAL PERSONNEL PHYSICIANS PRIMARY CARE PRIMARY HEALTH CARE QUALITY OF CARE The authors develop a method in which vignettes-a battery of questions for hypothetical cases-are evaluated with item response theory to create a metric for doctor quality. The method allows a simultaneous estimation of quality and validation of the test instrument that can be used for further refinements. The authors apply the method to a sample of medical practitioners in Delhi, India. The method gives plausible results, rationalizes different perceptions of quality 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 quality 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 inequities in the availability of health care. 2013-06-19T20:22:54Z 2013-06-19T20:22:54Z 2004-05 http://documents.worldbank.org/curated/en/2004/05/4966960/doctor-combining-vignettes-item-response-measure-doctor-quality http://hdl.handle.net/10986/14032 English en_US Policy Research Working Paper;No.3301 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, D.C. Publications & Research :: Policy Research Working Paper Publications & Research South Asia India |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABSTRACTING ABSTRACTION ALTERNATIVE MEDICINE BENCHMARK CERTIFICATION CLASSIFICATION CLASSIFYING COMPETENCE COMPETENCIES CONDITIONING DEATHS DEPRESSION DISCRIMINATION DISPENSARIES DOCTORS EXPENDITURES GRADING HEALTH CARE HEALTH INSURANCE HEALTH OUTCOMES HEALTH SERVICES HEALTH STATUS HOMEOPATHY HOSPITALS INCOME LEARNING LOW-INCOME COUNTRIES MEDICAL CARE MEDICAL PERSONNEL MEDICAL SUPPLIES MEDICAL SYSTEMS MEDICINES MOTIVATION NOTATION PATIENTS PHYSICIANS PREGNANCY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC SECTOR RECOGNITION SELECTION BIAS SEXUALLY TRANSMITTED DISEASES STANDARDIZATION SURGERY THERAPY WALKING FAMILY HEALTH HEALTH CARE HEALTH CARE CENTERS HEALTH CARE DELIVERY HEALTH CARE PROVIDERS HEALTH FACILITIES HEALTH SERVICES DOCTORS DOCTOR PATIENT RELATIONSHIP MEDICAL CARE MEDICAL PERSONNEL PHYSICIANS PRIMARY CARE PRIMARY HEALTH CARE QUALITY OF CARE |
| spellingShingle |
ABSTRACTING ABSTRACTION ALTERNATIVE MEDICINE BENCHMARK CERTIFICATION CLASSIFICATION CLASSIFYING COMPETENCE COMPETENCIES CONDITIONING DEATHS DEPRESSION DISCRIMINATION DISPENSARIES DOCTORS EXPENDITURES GRADING HEALTH CARE HEALTH INSURANCE HEALTH OUTCOMES HEALTH SERVICES HEALTH STATUS HOMEOPATHY HOSPITALS INCOME LEARNING LOW-INCOME COUNTRIES MEDICAL CARE MEDICAL PERSONNEL MEDICAL SUPPLIES MEDICAL SYSTEMS MEDICINES MOTIVATION NOTATION PATIENTS PHYSICIANS PREGNANCY PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC SECTOR RECOGNITION SELECTION BIAS SEXUALLY TRANSMITTED DISEASES STANDARDIZATION SURGERY THERAPY WALKING FAMILY HEALTH HEALTH CARE HEALTH CARE CENTERS HEALTH CARE DELIVERY HEALTH CARE PROVIDERS HEALTH FACILITIES HEALTH SERVICES DOCTORS DOCTOR PATIENT RELATIONSHIP MEDICAL CARE MEDICAL PERSONNEL PHYSICIANS PRIMARY CARE PRIMARY HEALTH CARE QUALITY OF CARE Das, Jishnu Hammer, Jeffrey Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality |
| geographic_facet |
South Asia India |
| relation |
Policy Research Working Paper;No.3301 |
| description |
The authors develop a method in which
vignettes-a battery of questions for hypothetical cases-are
evaluated with item response theory to create a metric for
doctor quality. The method allows a simultaneous estimation
of quality and validation of the test instrument that can be
used for further refinements. The authors apply the method
to a sample of medical practitioners in Delhi, India. The
method gives plausible results, rationalizes different
perceptions of quality 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 quality 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 inequities in the availability of health care. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Das, Jishnu Hammer, Jeffrey |
| author_facet |
Das, Jishnu Hammer, Jeffrey |
| author_sort |
Das, Jishnu |
| title |
Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality |
| title_short |
Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality |
| title_full |
Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality |
| title_fullStr |
Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality |
| title_full_unstemmed |
Which Doctor? Combining Vignettes and Item Response to Measure Doctor Quality |
| title_sort |
which doctor? combining vignettes and item response to measure doctor quality |
| publisher |
World Bank, Washington, D.C. |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2004/05/4966960/doctor-combining-vignettes-item-response-measure-doctor-quality http://hdl.handle.net/10986/14032 |
| _version_ |
1764430386951094272 |