生物特征监测、服务供给与误报：来自印度医疗的证据
Biometric Monitoring, Service Delivery, and Misreporting: Evidence from Healthcare in India
Review of Economics and Statistics · 2024 · [{"name": "Thomas Bossuroy", "affiliation": ["World Bank"]}, {"name": "Clara Delavallade", "affiliation": ["World Bank"]}, {"name": "Vincent Pons", "affiliation": ["Center for Economic and Policy Research"]}]
中文摘要
摘要：我们考察了印度贫民窟结核病治疗中心配备生物识别监测设备的影响。这些设备记录卫生工作者的出勤情况和患者的就诊情况。结合调查数据、随机中心访视和医院登记记录，我们发现，配备生物识别设备的治疗中心中，患者中断治疗的可能性降低了25%，这反映了卫生工作者努力程度的提高以及患者日常依从性的增强。该技术还通过减少患者人数的虚报和治疗中断的瞒报，提高了公共数据的质量。总体而言，我们的结果表明，对服务提供的实时监测能够增强国家为贫困和边缘化人群服务的能力。
Abstract
Abstract We examine the impact of biometric monitoring devices placed in tuberculosis treatment centers in Indian slums. The devices record health worker attendance and patient visits. Combining survey data, random center visits, and hospital registers, we find that patients at biometric-equipped centers are 25% less likely to interrupt treatment, reflecting increased efforts by health workers and greater daily adherence by patients. The technology also improves the quality of public data by reducing overreported patient numbers and underreported treatment interruptions. Overall, our results suggest that real-time monitoring of service delivery can strengthen the state’s capacity to serve poor and marginalized populations.