Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets

Guadalupe Bedoya, Jishnu Das and Amy Dolinger

No 31203, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: We report results from the first randomization of a regulatory reform in the health sector. The reform established minimum quality standards for patient safety, an issue that has become increasingly salient following the Ebola and COVID-19 epidemics. In our experiment, all 1348 health facilities in three Kenyan counties were classifi ed into 273 markets, and the markets were then randomly allocated to treatment and control groups. Government inspectors visited health facilities and, depending on the results of their inspection, recommended closure or a timeline for improvements. The intervention increased compliance with patient safety measures in both public and private facilities (more so in the latter) and reallocated patients from private to public facilities without increasing out-of-pocket payments or decreasing facility use. In treated markets, improvements were equally marked throughout the quality distribution, consistent with a simple model of vertical differentiation in oligopolies. Our paper thus establishes the use of experimental techniques to study regulatory reforms and, in doing so, shows that minimum standards can improve quality across the board without adversely affecting utilization.

JEL-codes: H75 I11 I18 O17 (search for similar items in EconPapers)
Date: 2023-05
New Economics Papers: this item is included in nep-exp
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