Titre :
|
Should we have confidence if a physician is accredited ? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines. (2008)
|
Auteurs :
|
Stella-A QUIMBO ;
John-W PEABODY ;
Riti SHIMKHADA ;
Orville SOLON ;
Kimberly WOO ;
Institute of Global Health. San Francisco. CA. USA ;
University of the Philippines. Economics. Quezon City. PHL
|
Type de document :
|
Article
|
Dans :
|
Social science and medicine (vol. 67, n° 4, 2008)
|
Pagination :
|
505-510
|
Langues:
|
Anglais
|
Mots-clés :
|
Médecin
;
Profession santé
;
Accréditation
;
Paiement
;
Economie santé
;
Qualité soins
;
Qualité
;
Soins
;
Philippines
;
Enfant
;
Pédiatrie
;
Asie
;
Homme
|
Résumé :
|
[BDSP. Notice produite par INIST-CNRS GrR0xl88. Diffusion soumise à autorisation]. It is unclear whether health provider accreditation ensures or promotes quality of care. Using baseline data from the Quality Improvement Demonstration Study (QIDS) in the Philippines we measured the quality of pediatric care provided by private and public doctors working at the district hospital level in the country's central region. We found that national level accreditation by a national insurance program influences quality of care. However, our data also show that insurance payments have a similar, strong impact on quality of care. These results suggest that accreditation alone may not be sufficient to promote high quality of care. Further improvements may be achieved with properly monitored and well-designed payment or incentive schemes.
|