Management, Supervision, and Health Care: A Field Experiment

85 Pages Posted: 6 Sep 2017 Last revised: 22 Nov 2024

See all articles by Felipe Dunsch

Felipe Dunsch

World Bank

David Evans

World Bank

Ezinne Eze-Ajoku

Johns Hopkins University

Mario Macis

Johns Hopkins University - Carey Business School; IZA Institute of Labor Economics; National Bureau of Economic Research (NBER)

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Date Written: August 2017

Abstract

We used a randomized management consulting intervention with 80 public-sector healthcare facilities in Nigeria to study the role of information, training, and supervision on the adoption of improved organizational practices. Facilities that received detailed improvement plans and nine months of implementation support—including regular visits to monitor progress and set intermediate goals related to the plans—showed large, significant short-term effects on the adoption of practices that were under the responsibility of facility staff. Facilities that received general improvement advice but no implementation support showed no change in practices. Implementation support appears crucial for improvements, especially in contexts without market incentives for the adoption of effective managerial practices.

Suggested Citation

Dunsch, Felipe and Evans, David and Eze-Ajoku, Ezinne and Macis, Mario, Management, Supervision, and Health Care: A Field Experiment (August 2017). NBER Working Paper No. w23749, Available at SSRN: https://ssrn.com/abstract=3031720

Felipe Dunsch (Contact Author)

World Bank ( email )

1818 H Street, NW
Washington, DC 20433
United States

David Evans

World Bank ( email )

1818 H Street, NW
Washington, DC 20433
United States

Ezinne Eze-Ajoku

Johns Hopkins University ( email )

Baltimore, MD 20036-1984
United States

Mario Macis

Johns Hopkins University - Carey Business School ( email )

100 International Drive
Baltimore, MD 21202
United States

IZA Institute of Labor Economics ( email )

P.O. Box 7240
Bonn, D-53072
Germany

National Bureau of Economic Research (NBER) ( email )

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Cambridge, MA 02138
United States

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