Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia

Usage of health facilities in Ethiopia is among the lowest in the world; raising usage rates is probably critical for improving health outcomes. The government has diagnosed the principal problem as the lack of primary health facilities and is devo...

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Main Authors:	Collier, Paul, Dercon, Stefan, Mackinnon, John
Format:	Journal Article
Language:	English en_US
Published:	Washington, DC: World Bank 2014
Subjects:	ADULT MORTALITY ALLOCATIVE EFFICIENCY BUDGET ALLOCATION CAPITAL COSTS CAPITAL EXPENDITURE CAPITAL SPENDING CHILD HEALTH CLINICS COMMUNITIES COST OF HEALTH CARE COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DETERMINANTS OF HEALTH DIAGNOSIS DIARRHEA DISEASE DISTRIBUTION SYSTEMS DRESSINGS DURATION OF ILLNESS ECONOMIC DEVELOPMENT ECONOMIC REVIEW EQUALITY ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FEMALE FINANCIAL INFORMATION GRID HEALTH CARE HEALTH CARE DEMAND HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE POLICY HEALTH CARE PROVISION HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH PRODUCTION HEALTH PROGRAMS HEALTH PROVIDERS HEALTH PROVISION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH WORKERS HOSPITALS HOUSEHOLD DEMAND HOUSEHOLD DEMAND FOR HEALTH CARE HOUSEHOLD EXPENDITURE HOUSEHOLD INCOME HOUSEHOLDS HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME EFFECT INDIVIDUAL CHARACTERISTICS INTERVENTIONS LIFE EXPECTANCY LOW-INCOME COUNTRIES MALARIA MALNUTRITION MEDICAL CARE MEDICAL TREATMENT MEDICINE MORTALITY NUTRITION PATIENTS PHARMACIES PHARMACY POLICY RESEARCH PREVENTATIVE TREATMENT PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE HOSPITALS PRIVATE PHARMACIES PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF HEALTH CARE RISK SHARING RURAL AREAS RURAL DEVELOPMENT SEX SOCIAL SCIENCE SOCIAL SCIENCES SYMPTOMS VILLAGES WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2002/05/17741856/density-versus-quality-health-care-provision-using-household-data-make-budgetary-choices-ethiopia http://hdl.handle.net/10986/17208

id	okr-10986-17208
recordtype	oai_dc
spelling	okr-10986-172082021-04-23T14:03:29Z Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia Collier, Paul Dercon, Stefan Mackinnon, John ADULT MORTALITY ALLOCATIVE EFFICIENCY BUDGET ALLOCATION CAPITAL COSTS CAPITAL EXPENDITURE CAPITAL SPENDING CHILD HEALTH CLINICS COMMUNITIES COST OF HEALTH CARE COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DETERMINANTS OF HEALTH DIAGNOSIS DIARRHEA DISEASE DISTRIBUTION SYSTEMS DRESSINGS DURATION OF ILLNESS ECONOMIC DEVELOPMENT ECONOMIC REVIEW EQUALITY ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FEMALE FINANCIAL INFORMATION GRID HEALTH CARE HEALTH CARE DEMAND HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE POLICY HEALTH CARE PROVISION HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH PRODUCTION HEALTH PROGRAMS HEALTH PROVIDERS HEALTH PROVISION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH WORKERS HOSPITALS HOUSEHOLD DEMAND HOUSEHOLD DEMAND FOR HEALTH CARE HOUSEHOLD EXPENDITURE HOUSEHOLD INCOME HOUSEHOLDS HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME EFFECT INDIVIDUAL CHARACTERISTICS INTERVENTIONS LIFE EXPECTANCY LOW-INCOME COUNTRIES MALARIA MALNUTRITION MEDICAL CARE MEDICAL TREATMENT MEDICINE MORTALITY NUTRITION PATIENTS PHARMACIES PHARMACY POLICY RESEARCH PREVENTATIVE TREATMENT PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE HOSPITALS PRIVATE PHARMACIES PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF HEALTH CARE RISK SHARING RURAL AREAS RURAL DEVELOPMENT SEX SOCIAL SCIENCE SOCIAL SCIENCES SYMPTOMS VILLAGES WORKERS Usage of health facilities in Ethiopia is among the lowest in the world; raising usage rates is probably critical for improving health outcomes. The government has diagnosed the principal problem as the lack of primary health facilities and is devoting a large share of the health budget to building more facilities. But household data suggest that usage of health facilities is sensitive not just to the distance to the nearest facility but also to the quality of health care provided. If the quality of weak facilities were raised to that currently provided by the majority of facilities in Ethiopia, usage would rise significantly. National data suggest that given the current density and quality of service provision, additional expenditure on improving the quality of service delivery will be more cost-effective than increasing the density of service provision. The budget allocation rule presented in the article can help local policymakers make decisions about how to allocate funds between improving the quality of care and decreasing the distance to the nearest health care facility. 2014-03-04T19:50:53Z 2014-03-04T19:50:53Z 2002-09 Journal Article http://documents.worldbank.org/curated/en/2002/05/17741856/density-versus-quality-health-care-provision-using-household-data-make-budgetary-choices-ethiopia World Bank Economic Review http://hdl.handle.net/10986/17208 English en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Washington, DC: World Bank Publications & Research :: Journal Article Publications & Research Africa Ethiopia
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	ADULT MORTALITY ALLOCATIVE EFFICIENCY BUDGET ALLOCATION CAPITAL COSTS CAPITAL EXPENDITURE CAPITAL SPENDING CHILD HEALTH CLINICS COMMUNITIES COST OF HEALTH CARE COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DETERMINANTS OF HEALTH DIAGNOSIS DIARRHEA DISEASE DISTRIBUTION SYSTEMS DRESSINGS DURATION OF ILLNESS ECONOMIC DEVELOPMENT ECONOMIC REVIEW EQUALITY ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FEMALE FINANCIAL INFORMATION GRID HEALTH CARE HEALTH CARE DEMAND HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE POLICY HEALTH CARE PROVISION HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH PRODUCTION HEALTH PROGRAMS HEALTH PROVIDERS HEALTH PROVISION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH WORKERS HOSPITALS HOUSEHOLD DEMAND HOUSEHOLD DEMAND FOR HEALTH CARE HOUSEHOLD EXPENDITURE HOUSEHOLD INCOME HOUSEHOLDS HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME EFFECT INDIVIDUAL CHARACTERISTICS INTERVENTIONS LIFE EXPECTANCY LOW-INCOME COUNTRIES MALARIA MALNUTRITION MEDICAL CARE MEDICAL TREATMENT MEDICINE MORTALITY NUTRITION PATIENTS PHARMACIES PHARMACY POLICY RESEARCH PREVENTATIVE TREATMENT PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE HOSPITALS PRIVATE PHARMACIES PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF HEALTH CARE RISK SHARING RURAL AREAS RURAL DEVELOPMENT SEX SOCIAL SCIENCE SOCIAL SCIENCES SYMPTOMS VILLAGES WORKERS
spellingShingle	ADULT MORTALITY ALLOCATIVE EFFICIENCY BUDGET ALLOCATION CAPITAL COSTS CAPITAL EXPENDITURE CAPITAL SPENDING CHILD HEALTH CLINICS COMMUNITIES COST OF HEALTH CARE COST-EFFECTIVENESS DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DETERMINANTS OF HEALTH DIAGNOSIS DIARRHEA DISEASE DISTRIBUTION SYSTEMS DRESSINGS DURATION OF ILLNESS ECONOMIC DEVELOPMENT ECONOMIC REVIEW EQUALITY ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FEMALE FINANCIAL INFORMATION GRID HEALTH CARE HEALTH CARE DEMAND HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE POLICY HEALTH CARE PROVISION HEALTH CARE QUALITY HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH DATA HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH PRODUCTION HEALTH PROGRAMS HEALTH PROVIDERS HEALTH PROVISION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH WORKERS HOSPITALS HOUSEHOLD DEMAND HOUSEHOLD DEMAND FOR HEALTH CARE HOUSEHOLD EXPENDITURE HOUSEHOLD INCOME HOUSEHOLDS HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME EFFECT INDIVIDUAL CHARACTERISTICS INTERVENTIONS LIFE EXPECTANCY LOW-INCOME COUNTRIES MALARIA MALNUTRITION MEDICAL CARE MEDICAL TREATMENT MEDICINE MORTALITY NUTRITION PATIENTS PHARMACIES PHARMACY POLICY RESEARCH PREVENTATIVE TREATMENT PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE HOSPITALS PRIVATE PHARMACIES PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SERVICES PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF HEALTH CARE RISK SHARING RURAL AREAS RURAL DEVELOPMENT SEX SOCIAL SCIENCE SOCIAL SCIENCES SYMPTOMS VILLAGES WORKERS Collier, Paul Dercon, Stefan Mackinnon, John Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia
geographic_facet	Africa Ethiopia
description	Usage of health facilities in Ethiopia is among the lowest in the world; raising usage rates is probably critical for improving health outcomes. The government has diagnosed the principal problem as the lack of primary health facilities and is devoting a large share of the health budget to building more facilities. But household data suggest that usage of health facilities is sensitive not just to the distance to the nearest facility but also to the quality of health care provided. If the quality of weak facilities were raised to that currently provided by the majority of facilities in Ethiopia, usage would rise significantly. National data suggest that given the current density and quality of service provision, additional expenditure on improving the quality of service delivery will be more cost-effective than increasing the density of service provision. The budget allocation rule presented in the article can help local policymakers make decisions about how to allocate funds between improving the quality of care and decreasing the distance to the nearest health care facility.
format	Journal Article
author	Collier, Paul Dercon, Stefan Mackinnon, John
author_facet	Collier, Paul Dercon, Stefan Mackinnon, John
author_sort	Collier, Paul
title	Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia
title_short	Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia
title_full	Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia
title_fullStr	Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia
title_full_unstemmed	Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia
title_sort	density versus quality in health care provision : using household data to make budgetary choices in ethiopia
publisher	Washington, DC: World Bank
publishDate	2014
url	http://documents.worldbank.org/curated/en/2002/05/17741856/density-versus-quality-health-care-provision-using-household-data-make-budgetary-choices-ethiopia http://hdl.handle.net/10986/17208
_version_	1764433264171286528

Density versus Quality in Health Care Provision : Using Household Data to Make Budgetary Choices in Ethiopia

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