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  • McKenzie, David  (6)
  • Das, Jishnu  (5)
  • Washington, D.C : The World Bank  (11)
  • Health, Nutrition and Population  (11)
  • 1
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    The Prices in the Crises : What we are Learning from Twenty Years of Health Insurance in Low- and Middle-Income Countries (2023)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: 1 Online-Ressource (58 pages)
    Paralleltitel: Erscheint auch als Das, Jishnu The Prices in the Crises: What we are Learning from Twenty Years of Health Insurance in Low- and Middle-Income Countries
    Schlagwort(e): Gesundheitspolitik ; Krankenversicherung ; Gesetzliche Krankenversicherung ; Gesundheitsreform ; Gesundheitswesen ; Gesundheitsversorgung ; Gesundheitskosten ; Gesundheitsfinanzierung ; Adverse Selektion ; Entwicklungsländer ; Adverse Selection ; Health Care Provider Behavior ; Health Care Quality ; Health Insurance ; Health Insurance Utilization ; Health Ministries ; Health Policy and Management ; Health, Nutrition and Population ; Medical Insurance Premiums ; Moral Hazard
    Kurzfassung: Governments in many low- and middle-income countries are developing health insurance products as a complement to tax-funded, subsidized provision of health care through publicly operated facilities. This paper discusses two rationales for this transition. First, health insurance would boost fiscal revenues for health care, as post-treatment out-of-pocket payments to providers would be replaced by pre-treatment insurance premia to health ministries. Second, increased patient choice and carefully designed physician reimbursements would increase quality in the health care sector. This essay shows that, at best, these objectives have only been partially met. Despite evidence that health insurance has provided financial protection, consumers are not willing to pay for unsubsidized premia. Health outcomes have not improved despite an increase in utilization. The authors argue that this is not because there was no room to improve the quality of care but because behavioral responses among health care providers have systematically undermined the objectives of these insurance schemes
    DOI: 10.1596/1813-9450-10313
    URL: lizenzpflichtig
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  • 2
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    Online-Ressource
    Randomized Regulation : The Impact of Minimum Quality Standards on Health Markets (2023)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: 1 Online-Ressource (65 pages)
    Paralleltitel: Erscheint auch als Bedoya, Guadalupe Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets
    Schlagwort(e): Gesundheitswesen ; Gesundheitsreform ; Patienten ; Gesundheitsversorgung ; Produktqualität ; Epidemie ; Regulierung ; Experiment ; Kenia ; Health Care Market ; Health Care Utilizaton ; Health, Nutrition and Population ; Informal Sector ; Patient Safety Standards ; Public Health ; Regulatory Enforcement
    Kurzfassung: This paper presents 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 the experiment, all 1,348 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. This 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
    DOI: 10.1596/1813-9450-10386
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  • 3
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    Fears and Tears : Should More People be Moving within and from Developing Countries, and what Stops this Movement? (2022)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: 1 Online-Ressource (28 pages)
    Paralleltitel: Erscheint auch als McKenzie, David Fears and Tears: Should More People be Moving within and from Developing Countries, and what Stops this Movement?
    Schlagwort(e): Attachment To Home ; Benefits of Urbanization ; Communities and Human Settlements ; Constraints That Limit Movement ; Economics of Migration ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Internal Relocation ; International Economics and Trade ; International Migration ; Mental Health ; Migration Policy ; Psychological Uncertainty of Relocation ; Wealth and Wellbeing
    Kurzfassung: Only one in seven of the world's population has ever migrated, despite the enormous gains in income possible through international and internal movement. This paper examines the evidence for different explanations given in the economics literature for this lack of movement and their implications for policy. Incorrect information about the gains to migrating, liquidity constraints that prevent poor people paying the costs of moving, and high costs of movement arising from both physical transportation costs and policy barriers all inhibit movement and offer scope for policy efforts to inform, provide credit, and lower moving costs. However, the economics literature has paid less attention to the fears people have when faced with the uncertainty of moving to a new place, and to the reasons behind the tears they shed when moving. While these tears reveal the attachment people have to particular places, this attachment is not fixed, but itself changes with migration experiences. Psychological factors such as a bias toward the status quo and the inability to picture what one is giving up by not migrating can result in people not moving, even when they would benefit from movement and are not constrained by finances or policy barriers from doing so. This suggests new avenues for policy interventions that can help individuals better visualize the opportunity costs of not moving, alleviate their uncertainties, and help shift their default behavior from not migrating
    DOI: 10.1596/1813-9450-10128
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  • 4
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    Online-Ressource
    The Quality of Medical Advice In Low-Income Countries (2008)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (38 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: Das, Jishnu The Quality of Medical Advice In Low-Income Countries
    Schlagwort(e): Clinics ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health outcomes ; Health, Nutrition and Population ; Intervention ; Medicines ; Nutrition ; Patient ; Patients ; Primary Health Care ; Vaccination ; Workers ; Clinics ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health outcomes ; Health, Nutrition and Population ; Intervention ; Medicines ; Nutrition ; Patient ; Patients ; Primary Health Care ; Vaccination ; Workers ; Clinics ; Health Monitoring and Evaluation ; Health Systems Development and Reform ; Health outcomes ; Health, Nutrition and Population ; Intervention ; Medicines ; Nutrition ; Patient ; Patients ; Primary Health Care ; Vaccination ; Workers
    Kurzfassung: This paper provides an overview of recent work on quality measurement of medical care and its correlates in four low and middle-income countries-India, Indonesia, Tanzania, and Paraguay. The authors describe two methods-testing doctors and watching doctors-that are relatively easy to implement and yield important insights about the nature of medical care in these countries. The paper discusses the properties of these measures, their correlates, and how they may be used to evaluate policy changes. Finally, the authors outline an agenda for further research and measurement
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  • 5
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    Mental Health Patterns And Consequences : Results From Survey Data In Five Developing Countries, Volume 1 of 1 (2008)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (29 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: Das, Jishnu Mental Health Patterns And Consequences
    Schlagwort(e): Anxiety ; Depression ; Health Monitoring and Evaluation ; Health care ; Health indicators ; Health outcomes ; Health, Nutrition and Population ; Mental ; Mental Health ; Mental illness ; Morbidity ; Public health ; Anxiety ; Depression ; Health Monitoring and Evaluation ; Health care ; Health indicators ; Health outcomes ; Health, Nutrition and Population ; Mental ; Mental Health ; Mental illness ; Morbidity ; Public health ; Anxiety ; Depression ; Health Monitoring and Evaluation ; Health care ; Health indicators ; Health outcomes ; Health, Nutrition and Population ; Mental ; Mental Health ; Mental illness ; Morbidity ; Public health
    Kurzfassung: The social and economic consequences of poor mental health in the developing world are presumed to be significant, yet are largely under-researched. The authors argue that mental health modules can be meaningfully added to multi-purpose household surveys in developing countries, and used to investigate this relationship. Data from nationally representative surveys in Bosnia and Herzegovina, Indonesia, and Mexico, along with special surveys from India and Tonga, show similar patterns of association between mental health and socioeconomic characteristics across countries. Individuals who are older, female, widowed, and report poor physical health are more likely to report worse mental health outcomes. Individuals living with others with poor mental health are also significantly more likely to report worse mental health themselves. In contrast, there is little observed relationship between mental health and poverty or education, common measures of socio-economic status. The results instead suggest that economic and multi-dimensional shocks such as illness or crisis can have a greater impact on mental health than overall levels of poverty. This may have important implications for social protection policy. The authors also find significant associations between poor mental health and lowered labor force participation (especially for women) and higher frequency visits to health centers, suggesting that poor mental health can have significant economic consequences for households and the health system. Finally, the paper discusses how measures of mental health are distinct from general subjective welfare measures such as happiness and indicate useful directions of future research
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  • 6
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    Migration, remittances, poverty, and human capital : conceptual and empirical challenges (2007)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (16 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: Sasin, Marcin J Migration, remittances, poverty, and human capital
    Schlagwort(e): Government policies ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Human Capital ; Impact of migration ; International migration ; Migration ; Migration data ; Policy Research ; Policy Research Working Paper ; Population Policies ; Practitioners ; Remittances ; Government policies ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Human Capital ; Impact of migration ; International migration ; Migration ; Migration data ; Policy Research ; Policy Research Working Paper ; Population Policies ; Practitioners ; Remittances ; Government policies ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Human Capital ; Impact of migration ; International migration ; Migration ; Migration data ; Policy Research ; Policy Research Working Paper ; Population Policies ; Practitioners ; Remittances
    Kurzfassung: This paper reviews common challenges faced by researchers interested in measuring the impact of migration and remittances on income, poverty, inequality, and human capital (or, in general, "welfare") as well as difficulties confronting development practitioners in converting this research into policy advice. On the analytical side, the paper discusses the proper formulation of a research question, the choice of the analytical tools, as well as the interpretation of the results in the presence of pervasive endogeneity in all decisions surrounding migration. Particular attention is given to the use of instrumental variables in migration research. On the policy side, the paper argues that the private nature of migration and remittances implies a need to carefully spell out the rationale for interventions. It also notices the lack of good migration data and proper evaluations of migration-related government policies. The paper focuses mainly on microeconomic evidence about international migration, but much of the discussion extends to other settings as well
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  • 7
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    Migration And Mental Health : Evidence From A Natural Experiment (2007)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (31 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: Stillman, Steven Migration And Mental Health
    Schlagwort(e): Anxiety ; Children ; Depression ; Families ; Health Effects ; Health, Monitoring and Evaluation ; Health, Nutrition and Population ; Hospital Admission ; Insomnia ; Mental ; Mental Health ; Migrants ; Migration ; People ; Refugees ; Anxiety ; Children ; Depression ; Families ; Health Effects ; Health, Monitoring and Evaluation ; Health, Nutrition and Population ; Hospital Admission ; Insomnia ; Mental ; Mental Health ; Migrants ; Migration ; People ; Refugees ; Anxiety ; Children ; Depression ; Families ; Health Effects ; Health, Monitoring and Evaluation ; Health, Nutrition and Population ; Hospital Admission ; Insomnia ; Mental ; Mental Health ; Migrants ; Migration ; People ; Refugees
    Kurzfassung: People migrate to improve their well-being, whether through an expansion of economic and social opportunities or a reduction in persecution. Yet a large literature suggests that migration can be a stressful process, with potentially negative impacts on mental health, reducing the net benefits of migration. However, to truly understand the effect of migration on mental health one must compare the mental health of migrants to what their mental health would have been had they stayed in their home country. The existing literature is not able to do this and typically settles for comparing the mental health of migrants to that of natives in the destination country, which takes no account of any pre-existing differences between these groups. This paper overcomes the selection problems affecting previous studies of the effect of migration on mental health by examining a migrant lottery program. New Zealand allows a quota of Tongans to immigrate each year with a lottery used to choose among the excess number of applicants. A unique survey conducted by the authors in these two countries allows experimental estimates of the mental health effects of migration to be obtained by comparing the mental health of migrants who were successful applicants in the lottery to the mental health of those who applied to migrate under the quota, but whose names were not drawn in the lottery. Migration is found to lead to improvements in mental health, particularly for women and those with poor mental health in their home country
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  • 8
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    A Land of Milk And Honey With Streets Paved With Gold : Do Emigrants Have Over-Optimistic Expectations About Incomes Abroad ? (2007)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (34 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: McKenzie, David A Land of Milk And Honey With Streets Paved With Gold
    Schlagwort(e): Accurate Information ; Annual Income ; Bank ; Consumer ; Consumer Goods ; Demands ; Earnings ; Economic Theory and Research ; Education ; Finance and Financial Sector Development ; Financial Literacy ; Fiscal and Monetary Policy ; Health Systems Development and Reform ; Health, Nutrition and Population ; Household Income ; Income ; Income ; Incomes ; Information ; Labor Markets ; Labor Policies ; Macroeconomics and Economic Growth ; Money ; Population Policies ; Public Sector Development ; Remittances ; Social Protections and Labor ; Accurate Information ; Annual Income ; Bank ; Consumer ; Consumer Goods ; Demands ; Earnings ; Economic Theory and Research ; Education ; Finance and Financial Sector Development ; Financial Literacy ; Fiscal and Monetary Policy ; Health Systems Development and Reform ; Health, Nutrition and Population ; Household Income ; Income ; Income ; Incomes ; Information ; Labor Markets ; Labor Policies ; Macroeconomics and Economic Growth ; Money ; Population Policies ; Public Sector Development ; Remittances ; Social Protections and Labor ; Accurate Information ; Annual Income ; Bank ; Consumer ; Consumer Goods ; Demands ; Earnings ; Economic Theory and Research ; Education ; Finance and Financial Sector Development ; Financial Literacy ; Fiscal and Monetary Policy ; Health Systems Development and Reform ; Health, Nutrition and Population ; Household Income ; Income ; Income ; Incomes ; Information ; Labor Markets ; Labor Policies ; Macroeconomics and Economic Growth ; Money ; Population Policies ; Public Sector Development ; Remittances ; Social Protections and Labor
    Kurzfassung: Millions of people emigrate every year in search of better economic and social opportunities. Anecdotal evidence suggests that emigrants may have over-optimistic expectations about the incomes they can earn abroad, resulting in excessive migration pressure, and in disappointment among those who do migrate. Yet there is almost no statistical evidence on how accurately these emigrants predict the incomes that they will earn working abroad. In this paper the authors combine a natural emigration experiment with unique survey data on would-be emigrants' probabilistic expectations about employment and incomes in the migration destination. Their procedure enables them to obtain moments and quantiles of the subjective distribution of expected earnings in the destination country. The authors find a significant underestimation of both unconditional and conditional labor earnings at all points in the distribution. This underestimation appears driven in part by potential migrants placing too much weight on the negative employment experiences of some migrants, and by inaccurate information flows from extended family, who may be trying to moderate remittance demands by understating incomes
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  • 9
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    Using The Global Positioning System In Household Surveys For Better Economics And Better Policy (2007)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (29 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: McKenzie, David Using The Global Positioning System In Household Surveys For Better Economics And Better Policy
    Schlagwort(e): Accessibility ; Air ; Aircraft ; Costs ; E-Business ; Externalities ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Infrastructure ; Policies ; Private Sector Development ; Railway ; Railway Lines ; Road ; Road Network ; Roads ; Roads and Highways ; Signals ; Training ; Transport ; Transport Economics, Policy and Planning ; Accessibility ; Air ; Aircraft ; Costs ; E-Business ; Externalities ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Infrastructure ; Policies ; Private Sector Development ; Railway ; Railway Lines ; Road ; Road Network ; Roads ; Roads and Highways ; Signals ; Training ; Transport ; Transport Economics, Policy and Planning ; Accessibility ; Air ; Aircraft ; Costs ; E-Business ; Externalities ; Health Monitoring and Evaluation ; Health, Nutrition and Population ; Infrastructure ; Policies ; Private Sector Development ; Railway ; Railway Lines ; Road ; Road Network ; Roads ; Roads and Highways ; Signals ; Training ; Transport ; Transport Economics, Policy and Planning
    Kurzfassung: Distance and location are important determinants of many choices that economists study. While these variables can sometimes be obtained from secondary data, economists often rely on information that is self-reported by respondents in surveys. These self-reports are used especially for the distance from households or community centers to various features such as roads, markets, schools, clinics, and other public services. There is growing evidence that self-reported distance is measured with error and that these errors are correlated with outcomes of interest. In contrast to self-reports, the Global Positioning System (GPS) can determine almost exact location (typically within 15 meters). The falling cost of GPS receivers (typically below US
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  • 10
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    Self-Selection Patterns In Mexico-U.S. Migration : The Role of Migration Networks (2007)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (28 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: McKenzie, David Self-Selection Patterns In Mexico-U.S. Migration
    Schlagwort(e): Anthropology ; Communities & Human Settlements ; Culture & Development ; Finance and Financial Sector Development ; Financial Literacy ; Gender ; Gender and Social Development ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Immigrants ; Immigration ; Important Policy ; Income Inequality ; Industry ; International Migration ; Job Opportunities ; Labor Market ; Language Proficiency ; Migrant ; Migrants ; Migration ; Population Policies ; Social Development ; Technology Industry ; Voluntary and Involuntary Resettlement ; Anthropology ; Communities & Human Settlements ; Culture & Development ; Finance and Financial Sector Development ; Financial Literacy ; Gender ; Gender and Social Development ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Immigrants ; Immigration ; Important Policy ; Income Inequality ; Industry ; International Migration ; Job Opportunities ; Labor Market ; Language Proficiency ; Migrant ; Migrants ; Migration ; Population Policies ; Social Development ; Technology Industry ; Voluntary and Involuntary Resettlement ; Anthropology ; Communities & Human Settlements ; Culture & Development ; Finance and Financial Sector Development ; Financial Literacy ; Gender ; Gender and Social Development ; Health, Nutrition and Population ; Human Migrations and Resettlements ; Immigrants ; Immigration ; Important Policy ; Income Inequality ; Industry ; International Migration ; Job Opportunities ; Labor Market ; Language Proficiency ; Migrant ; Migrants ; Migration ; Population Policies ; Social Development ; Technology Industry ; Voluntary and Involuntary Resettlement
    Kurzfassung: The authors examine the role of migration networks in determining self-selection patterns of Mexico-U.S. migration. They first present a simple theoretical framework showing how such networks impact on migration incentives at different education levels and, consequently, how they are likely to affect the expected skill composition of migration. Using survey data from Mexico, the authors then show that the probability of migration is increasing with education in communities with low migrant networks, but decreasing with education in communities with high migrant networks. This is consistent with positive self-selection of migrants being driven by high migration costs, and with negative self-selection of migrants being driven by lower returns to education in the U.S. than in Mexico
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  • 11
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    Patient Satisfaction, Doctor Effort, And Interview Location : Evidence From Paraguay (2006)
    Washington, D.C : The World Bank
    Details
    Sprache: Englisch
    Seiten: Online-Ressource (1 online resource (20 p.))
    Ausgabe: Online-Ausg. World Bank E-Library Archive
    Paralleltitel: Das, Jishnu Patient Satisfaction, Doctor Effort, And Interview Location
    Schlagwort(e): Aged ; Clinics ; Gender ; Gender and Health ; General Practice ; Health ; Health Care ; Health Monitoring and Evaluation ; Health Outcomes ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; Interview ; Knowledge ; Measurement ; Medicines ; Nursing ; Observation ; Aged ; Clinics ; Gender ; Gender and Health ; General Practice ; Health ; Health Care ; Health Monitoring and Evaluation ; Health Outcomes ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; Interview ; Knowledge ; Measurement ; Medicines ; Nursing ; Observation ; Aged ; Clinics ; Gender ; Gender and Health ; General Practice ; Health ; Health Care ; Health Monitoring and Evaluation ; Health Outcomes ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; Interview ; Knowledge ; Measurement ; Medicines ; Nursing ; Observation
    Kurzfassung: To examine the relationship between patient satisfaction and doctor performance, the authors observed 2,271 interactions between 292 doctors and their patients in 98 clinics and hospitals in Paraguay and conducted an exit-survey with the same patients as they left the clinic. For a subsample of 64 facilities they also interviewed patients who visited the facility within the last week. There are three patterns in the data: (1) Patient satisfaction is positively correlated with doctor effort, measured as a combination of time spent, questions asked, and examinations performed after controlling for observed doctor and patient characteristics; (2) However, accounting for unobserved doctor characteristics dramatically reduces the level of significance and size of correlation between effort and satisfaction, showing that much of the positive relationship is driven by these unobserved doctor-specific factors; and (3) Reported satisfaction is significantly lower for patients interviewed at home compared with those interviewed at the clinic. This leads the authors to conclude that even if patient satisfaction reflects some aspects of the doctor's performance, unobserved heterogeneity combined with survey biases limit the widespread applicability of patient satisfaction as an indicator of doctor performance
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