The Three-Gap Model of Health Worker Performance
The Three-Gap Model examines the determinants of low-quality health care by examining the patterns and determinants of three gaps. Using four measures of performance -- target performance, actual performance, capacity to perform, and knowledge to p...
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| Format: | Working Paper |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/891931552578615885/The-Three-Gap-Model-of-Health-Worker-Performance http://hdl.handle.net/10986/31408 |
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okr-10986-314082022-09-05T00:20:09Z The Three-Gap Model of Health Worker Performance Ibnat, Fabliha Leonard, Kenneth L Bawo, Luke Mohammed-Roberts, Rianna HEALTH WORKERS HEALTH SERVICES PAY FOR PERFORMANCE HEALTH CARE EVALUATION HEALTH SERVICE DELIVERY PEDIATRIC CARE The Three-Gap Model examines the determinants of low-quality health care by examining the patterns and determinants of three gaps. Using four measures of performance -- target performance, actual performance, capacity to perform, and knowledge to perform -- this paper defines three gaps for each health worker: the gap between target performance and what they have the knowledge to do (the know gap), the gap between their knowledge and their capacity to perform (the know-can gap), and the gap between their capacity and what they actually do (the can-do gap). The paper demonstrates how the patterns of these gaps across health workers in a sample can be used to diagnose failures in the system as well as evaluate the outcomes of policy experiments. Using data on pediatric care from hospitals in Liberia, the paper illustrates how the model can be used to investigate the potential for improvements in the quality of care from several possible policy interventions. The analysis of the relationships between these gaps across health workers in a health system help to paint a better picture of the determinants of performance and can assist policy makers in choosing relevant policies to improve health worker performance. 2019-03-14T21:34:17Z 2019-03-14T21:34:17Z 2019-03 Working Paper http://documents.worldbank.org/curated/en/891931552578615885/The-Three-Gap-Model-of-Health-Worker-Performance http://hdl.handle.net/10986/31408 English Policy Research Working Paper;No. 8782 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa Liberia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
HEALTH WORKERS HEALTH SERVICES PAY FOR PERFORMANCE HEALTH CARE EVALUATION HEALTH SERVICE DELIVERY PEDIATRIC CARE |
| spellingShingle |
HEALTH WORKERS HEALTH SERVICES PAY FOR PERFORMANCE HEALTH CARE EVALUATION HEALTH SERVICE DELIVERY PEDIATRIC CARE Ibnat, Fabliha Leonard, Kenneth L Bawo, Luke Mohammed-Roberts, Rianna The Three-Gap Model of Health Worker Performance |
| geographic_facet |
Africa Liberia |
| relation |
Policy Research Working Paper;No. 8782 |
| description |
The Three-Gap Model examines the
determinants of low-quality health care by examining the
patterns and determinants of three gaps. Using four measures
of performance -- target performance, actual performance,
capacity to perform, and knowledge to perform -- this paper
defines three gaps for each health worker: the gap between
target performance and what they have the knowledge to do
(the know gap), the gap between their knowledge and their
capacity to perform (the know-can gap), and the gap between
their capacity and what they actually do (the can-do gap).
The paper demonstrates how the patterns of these gaps across
health workers in a sample can be used to diagnose failures
in the system as well as evaluate the outcomes of policy
experiments. Using data on pediatric care from hospitals in
Liberia, the paper illustrates how the model can be used to
investigate the potential for improvements in the quality of
care from several possible policy interventions. The
analysis of the relationships between these gaps across
health workers in a health system help to paint a better
picture of the determinants of performance and can assist
policy makers in choosing relevant policies to improve
health worker performance. |
| format |
Working Paper |
| author |
Ibnat, Fabliha Leonard, Kenneth L Bawo, Luke Mohammed-Roberts, Rianna |
| author_facet |
Ibnat, Fabliha Leonard, Kenneth L Bawo, Luke Mohammed-Roberts, Rianna |
| author_sort |
Ibnat, Fabliha |
| title |
The Three-Gap Model of Health Worker Performance |
| title_short |
The Three-Gap Model of Health Worker Performance |
| title_full |
The Three-Gap Model of Health Worker Performance |
| title_fullStr |
The Three-Gap Model of Health Worker Performance |
| title_full_unstemmed |
The Three-Gap Model of Health Worker Performance |
| title_sort |
three-gap model of health worker performance |
| publisher |
World Bank, Washington, DC |
| publishDate |
2019 |
| url |
http://documents.worldbank.org/curated/en/891931552578615885/The-Three-Gap-Model-of-Health-Worker-Performance http://hdl.handle.net/10986/31408 |
| _version_ |
1764474261741764608 |