lynx   »   [go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/a/oup/econjl/v134y2023i657p436-456..html
   My bibliography  Save this article

Management Practices and Quality of Care: Evidence from the Private Health Care Sector in Tanzania

Author

Listed:
  • Timothy Powell-Jackson
  • Jessica J C King
  • Christina Makungu
  • Matthew Quaife
  • Catherine Goodman
Abstract
We measure the adoption of management practices in over 220 private for-profit and non-profit health facilities in 64 districts across Tanzania and link these data to process quality-of-care metrics, assessed using undercover standardised patients and clinical observations. We find that better managed health facilities are more likely to provide correct treatment in accordance with national treatment guidelines, adhere to a checklist of essential questions and examinations, and comply with infection prevention and control practices. Moving from the 10th to the 90th percentile in the management practice score is associated with a 48% increase in correct treatment. We then leverage a large-scale field experiment of an internationally recognised management support intervention in which health facilities are assessed against comprehensive standards, given an individually tailored quality improvement plan and supported through training and mentoring visits. We find zero to small effects on management scores, suggesting that improving management practices in this setting may be challenging.

Suggested Citation

  • Timothy Powell-Jackson & Jessica J C King & Christina Makungu & Matthew Quaife & Catherine Goodman, 2023. "Management Practices and Quality of Care: Evidence from the Private Health Care Sector in Tanzania," The Economic Journal, Royal Economic Society, vol. 134(657), pages 436-456.
    • Handle: RePEc:oup:econjl:v:134:y:2023:i:657:p:436-456.
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/ej/uead075
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Leonard, Kenneth L. & Masatu, Melkiory C., 2010. "Using the Hawthorne effect to examine the gap between a doctor's best possible practice and actual performance," Journal of Development Economics, Elsevier, vol. 93(2), pages 226-234, November.
    2. Daniela Scur & Raffaella Sadun & John Van Reenen & Renata Lemos & Nicholas Bloom, 2021. "The World Management Survey at 18: lessons and the way forward," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 37(2), pages 231-258.
    3. Van Reenen, John & Bloom, Nicholas & Sadun, Raffaella, 2016. "Management as a Technology," CEPR Discussion Papers 11312, C.E.P.R. Discussion Papers.
    4. Sima Berendes & Peter Heywood & Sandy Oliver & Paul Garner, 2011. "Quality of Private and Public Ambulatory Health Care in Low and Middle Income Countries: Systematic Review of Comparative Studies," PLOS Medicine, Public Library of Science, vol. 8(4), pages 1-10, April.
    5. Elizabeth H Bradley & Patrick Byam & Rachelle Alpern & Jennifer W Thompson & Abraham Zerihun & Yigeremu Abeb & Leslie A Curry, 2012. "A Systems Approach to Improving Rural Care in Ethiopia," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-7, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bilicka, Katarzyna & Scur, Daniela, 2024. "Organizational capacity and profit shifting," Journal of Public Economics, Elsevier, vol. 238(C).
    2. Sandra McNally & Luis Schmidt & Anna Valero, 2024. "Do management practices matter in further education?," Economica, London School of Economics and Political Science, vol. 91(363), pages 740-769, July.
    3. Anna Valero, 2021. "Education and management practices," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 37(2), pages 302-322.
    4. Renfu Luo & Grant Miller & Scott Rozelle & Sean Sylvia & Marcos Vera-Hernández, 2015. "Can Bureaucrats Really Be Paid Like CEOs? School Administrator Incentives for Anemia Reduction in Rural China," NBER Working Papers 21302, National Bureau of Economic Research, Inc.
    5. Anyfantaki, Sofia & Caloghirou, Yannis & Dellis, Konstantinos & Karadimitropoulou, Aikaterini & Petroulakis, Filippos, 2024. "The need for an industrial policy for long-term growth," LSE Research Online Documents on Economics 121983, London School of Economics and Political Science, LSE Library.
    6. Sofia Anyfantaki & Yannis Caloghirou & Konstantinos Dellis & Aikaterini Karadimitropoulou & Filippos Petroulakis, 2024. "The 2013 Cypriot Banking Crisis and Blame Attribution: survey evidence from the first application of a bail-in in the Eurozone," GreeSE – Hellenic Observatory Papers on Greece and Southeast Europe 193, Hellenic Observatory, LSE.
    7. Alex Hollingsworth & Krzysztof Karbownik & Melissa A. Thomasson & Anthony Wray, 2024. "The Gift of a Lifetime: The Hospital, Modern Medicine, and Mortality," American Economic Review, American Economic Association, vol. 114(7), pages 2201-2238, July.
    8. Carolina Lopez & Anja Sautmann & Simone Schaner, 2022. "Does Patient Demand Contribute to the Overuse of Prescription Drugs?," American Economic Journal: Applied Economics, American Economic Association, vol. 14(1), pages 225-260, January.
    9. Alessandra Bonfiglioli & Rosario Crinò & Gino Gancia, 2018. "Firms and Economic Performance: A View from Trade," Working Papers 1047, Barcelona School of Economics.
    10. Farrukh Iqbal & Aadil Nakhoda, 2024. "Determinants of Management Practices among Manufacturing Firms in Pakistan (Article)," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 63(1), pages 45-64.
    11. Ralf Martin & Sam Unsworth & Anna Valero & Dennis Verhoeven, 2020. "Innovation for a strong and sustainable recovery," CEP Covid-19 Analyses cepcovid-19-014, Centre for Economic Performance, LSE.
    12. Keijiro Otsuka & Tetsushi Sonobe, 2018. "The Role of Human Capital in Cluster†Based Industrial Development," The Developing Economies, Institute of Developing Economies, vol. 56(2), pages 104-116, June.
    13. Leonard, David K. & Bloom, Gerald & Hanson, Kara & O’Farrell, Juan & Spicer, Neil, 2013. "Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor," World Development, Elsevier, vol. 48(C), pages 71-87.
    14. Alex Bryson & Lucy Stokes & David Wilkinson, 2023. "Is pupil attainment higher in well-managed schools?," Education Economics, Taylor & Francis Journals, vol. 31(1), pages 129-144, January.
    15. Pietro Moncada-Paternò-Castello, 2022. "Top R&D investors, structural change and the R&D growth performance of young and old firms," Eurasian Business Review, Springer;Eurasia Business and Economics Society, vol. 12(1), pages 1-33, March.
    16. Concetta Castiglione & Davide Infante & Janna Smirnova, 2022. "Do female managers perform better? Evidence from Italian manufacturing firms," International Journal of Finance & Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 2194-2209, April.
    17. Cujean, Julien & Bustamante, Maria Cecilia & Frésard, Laurent, 2019. "Knowledge Cycles and Corporate Investment," CEPR Discussion Papers 14152, C.E.P.R. Discussion Papers.
    18. Esther Atukunda & Anne Fitzpatrick, 2015. "An Evaluation of Factors Affecting Drug Quality: Evidence from the Antimalarial Market in Uganda," Working Papers 2015_03, University of Massachusetts Boston, Economics Department.
    19. Lannes, Laurence, 2015. "Improving health worker performance: The patient-perspective from a PBF program in Rwanda," Social Science & Medicine, Elsevier, vol. 138(C), pages 1-11.
    20. Martin, R. & de Haas, Ralph & Muuls, Mirabelle & Schweiger, Helena, 2021. "Managerial and Financial Barriers to the Net-Zero Transition," Other publications TiSEM f0572d8a-40d7-458f-bb43-8, Tilburg University, School of Economics and Management.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:econjl:v:134:y:2023:i:657:p:436-456.. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press or the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/resssea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.
    Лучший частный хостинг