当医生从天而降:放宽医生供给限制对死亡率的影响

IF 10.5 1区经济学 Q1 ECONOMICS

American Economic Review Pub Date : 2023-03-01 DOI:10.7249/wra1414-1

Edward N Okeke

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引用次数: 0

摘要

本文描述了与尼日利亚政府协调进行的一项政策实验的结果。在这个实验中，随机选择一些社区来接收一位新医生。这些医生被派往当地的公共卫生中心。在他们到达之前，保健服务是由中级保健提供者提供的。为了将质量(表面上更高)的影响与数量的影响分开，为另一组社区提供了额外的中级提供者。第三组社区没有增加工人。没有提供其他投入。我发现，在分配了医生的社区，死亡率有明显下降，但在分配了MLP的社区却没有，这表明卫生保健部门的质量是一个重大制约因素。(jel 11, i12, o15, o18)

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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When a Doctor Falls from the Sky: The Impact of Easing Doctor Supply Constraints on Mortality

This paper describes the results of a policy experiment conducted in coordination with the Nigerian government. In this experiment, some communities were randomly selected to receive a new doctor. These doctors were posted to the local public health center. Prior to their arrival, health care was provided by midlevel health-care providers (MLP). To separate the effect of (ostensibly higher) quality from that of quantity, another group of communities was provided with an additional midlevel provider. A third group of communities received no additional workers. No other inputs were provided. I find a measurable decrease in mortality in communities assigned a doctor but not in communities assigned an MLP, suggesting that quality in the health-care sector is a significant constraint. (JEL I11, I12, O15, O18)

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来源期刊

American Economic Review ECONOMICS-

CiteScore

18.60

自引率

2.80%

发文量

122

期刊介绍： The American Economic Review (AER) stands as a prestigious general-interest economics journal. Founded in 1911, it holds the distinction of being one of the nation's oldest and most esteemed scholarly journals in economics. With a commitment to academic excellence, the AER releases 12 issues annually, featuring articles that span a wide spectrum of economic topics.