Das Jishnu, Hammer Jeffrey
Development Research Group, World Bank, Washington, DC, USA.
Health Aff (Millwood). 2007 May-Jun;26(3):w338-51. doi: 10.1377/hlthaff.26.3.w338. Epub 2007 Mar 27.
There are seventy medical care providers within walking distance of every household in Delhi. However, inequalities in health outcomes persist among the rich and poor, which might reflect differences in the quality of available care. This paper shows that providers visited by the poor were indeed less knowledgeable than those visited by the rich. There is strong evidence of inequalities in access, with lower competence among private- and public-sector providers in poor neighborhoods, but no evidence of inequalities in choices. Practical policy options include targeted information to patients on provider competence and improving the allocation of public doctors across poor and rich neighborhoods.
在德里,每户家庭步行距离内都有70名医疗服务提供者。然而,贫富之间的健康结果不平等现象依然存在,这可能反映了现有医疗服务质量的差异。本文表明,穷人就诊的医疗服务提供者确实比富人就诊的医疗服务提供者知识水平更低。有强有力的证据表明在医疗服务可及性方面存在不平等,贫困社区的私营和公共部门医疗服务提供者能力较低,但没有证据表明在选择方面存在不平等。实际的政策选择包括向患者提供有关医疗服务提供者能力的针对性信息,以及改善公共医生在贫富社区之间的分配。