Primary Care for the Poor
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Much of the primary curative care
provided to the poor by the private sector occurs not at
large hospitals but at small, single-person clinics. While
such micro-health providers increase access, questions
persist about quality. Some have argued that the
micro-health sector needs to be better regulated. This note
cites recent studies in arguing that the micro-health sector
needs to be better understood. A more evidence based
approach may enable the World Bank Group to better target
investments and interventions and help these providers
fulfill an important role serving the poor. The following
recommendations are made at the conclusion of this paper:
(1) Effort, rather than hardware or training, may count the
most. (2) Scaling up interventions to improve quality
requires understanding and addressing market failures. (3)
Changing the way impacts are measured will lead to smarter investments.
Palabras clave
AGED, AGING, CLINICS, DEVELOPING COUNTRIES, DISSEMINATION, DOCTORS, DRUGS, EQUILIBRIUM, FAMILIES, FEE-FOR-SERVICE, FINANCIAL INCENTIVE, GLOBAL HEALTH, HEALTH AFFAIRS, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE FACILITIES, HEALTH CARE MARKETS, HEALTH CARE OUTCOMES, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE QUALITY, HEALTH CARE SECTOR, HEALTH CARE SERVICES, HEALTH FACILITIES, HEALTH FUNDING, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH-CARE, HEALTHCARE PROVIDERS, HOSPITALS, HOUSEHOLDS, HUMAN DEVELOPMENT, HYPERTENSION, ILLNESSES, IMPORTANT POLICY, INCOME, INFORMAL SECTOR, INTERVENTIONS, LEVELS OF KNOWLEDGE, LOW-INCOME COUNTRIES, MARKET FAILURES, MEDICAL CARE, MEDICAL DOCTOR, MEDICAL TRAINING, MINISTRY OF HEALTH, NURSES, OFFICIAL POLICY, PATIENT, PATIENTS, PHARMACISTS, POLICY DISCUSSIONS, POLICY LEVER, POOR HEALTH, POPULATION DENSITY, PRACTITIONERS, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE CARE, PRIVATE CLINICS, PRIVATE SECTOR, PUBLIC HEALTH, PUBLIC POLICY, PUBLIC PROVIDERS, PUBLIC SECTOR, QUALITY CARE, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, SAFETY, SERVICE PROVIDERS, SURGERY, TRAFFIC, URBAN AREAS, VILLAGE LEVEL, VILLAGES, WORLD HEALTH ORGANIZATION