Location, Location, Location: Residence, Wealth, And The Quality Of Medical Care In Delhi, India: Quality of care varied by neighborhood but not necessarily by patients' income level.
Abstract
There are seventy medical care providers within walking distance of every household in Delhi. However, inequalities in health outcomes persist among the rich and poor, which might reflect differences in the quality of available care. This paper shows that providers visited by the poor were indeed less knowledgeable than those visited by the rich. There is strong evidence of inequalities in access, with lower competence among private- and public-sector providers in poor neighborhoods, but no evidence of inequalities in choices. Practical policy options include targeted information to patients on provider competence and improving the allocation of public doctors across poor and rich neighborhoods.
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Primary healthcare providers in urban informal settlements tend to have less medical training and lower competence than healthcare providers in wealthier neighborhoods.
“Primary healthcare providers in urban informal settlements ( e.g. , drug sellers and unqualified practitioners) tend to have less medical training and lower competence than healthcare providers in wealthier neighborhoods 15 .”
From Urban informal settlements as hotspots of antimicrobial resistance and the need to curb environmental transmission. (2020) · cites this paper as [15]
Residents of urban informal settlements have similar access to drug vendors as wealthier urban communities.
“Residents of urban informal settlements have similar access to drug vendors as wealthier urban communities 15 .”
From Urban informal settlements as hotspots of antimicrobial resistance and the need to curb environmental transmission. (2020) · cites this paper as [15]
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- Authors
- Das, J., & Hammer, J.
- Affiliations
- World Bank (US)
- ORCID
- Das, Jishnu
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2007-01
- Volume
- 26
- Issue
- Suppl2
- Pages
- w338-w351
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2159407670
- Cited by
- 127
- References
- 9
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 2 · 2022: 3 · 2021: 7 · 2020: 6 · 2019: 2 · 2018: 9 · 2017: 8 · 2016: 5 · 2015: 10 · 2014: 7 · 2013: 9 · 2012: 10
- FWCI
- 11.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Keywords
- health care access, quality of care, socioeconomic inequalities in health, place of residence, provider competence, household wealth, health care choice, Delhi
- MeSH terms
- Clinical Competence, Health Services Accessibility, Humans, Income, India, Quality of Health Care, Regression Analysis, Residence Characteristics, Multivariate Analysis, Health Care Surveys
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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