Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania
利用坦桑尼亚农村家庭调查和卫生设施数据，研究发现患者会绕过低质量设施选择更远的机构，这改变了改善医疗干预的优先顺序。
Abstract We examine the implications of health‐seeking behavior on access to quality health care using a unique dataset that combines a household survey from rural Tanzania with the location and quality of all health facilities available to households. Patients do not always visit the nearest facility, but choose from among multiple facilities, improving the quality of care they receive by bypassing low quality facilities. Recognizing this behavior alters the projected benefits to health interventions, reducing the value of focusing on the staff qualifications and increasing the value of focusing on travel time and the motivation of current staff.