{"type":"script","doc_desc":{"producers":[{"name":"Krestel","abbr":"CK","affiliation":"World Bank"}],"prod_date":"2023-07-19","version":"1"},"project_desc":{"authoring_entity":[{"name":"Guadalupe Bedoya","email":"gbedoya@worldbank.org","affiliation":"World Bank"},{"name":"Jishnu Das","email":"jishnu.das@georgetown.edu","affiliation":"Georgetown University and NBER"},{"name":"Amy Dolinger","email":"adolinger@worldbank.org","affiliation":"World Bank"}],"output":[{"type":"Working Paper","title":"Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets","authors":"Guadalupe Bedoya, Jishnu Das, Amy Dolinger","doi":"https:\/\/doi.org\/10986\/39630","description":"Policy Research Working Paper (PRWP) 10386","uri":"http:\/\/hdl.handle.net\/10986\/39630"}],"software":[{"name":"Stata","version":"17"}],"scripts":[{"file_name":"RR_KEN_2023_PRWP-10386_prg_v01.zip","zip_package":"RR_KEN_2023_PRWP-10386_prg_v01.zip","title":"Reproducibility package (code) for Randomized Regulation","date":"2023-03","software":"Stata","dependencies":"Required packages are included in the ado path folder and should be loaded with the `ieboilstart` command included in the main dofile.","instructions":"See readme in reproducibility package","source_code_repo":"Reproducible Research Repository (World Bank)","notes":"Checked for reproducibility at Development Impact Evaluation (DIME), World Bank","license":[{"name":"Creative Commons Legal Code","uri":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}]}],"title_statement":{"idno":"RR_KEN_2023_PRWP-10386_v01","title":"Reproducibility package for Randomized Regulation: The Impact of Minimum Quality Standards on Health Markets","identifiers":[{"type":"DOI","identifier":"https:\/\/doi.org\/10.60572\/tqgj-7317"}]},"reproducibility_status":{"type":"Confidential data","note":"The package contains only the code files"},"sponsors":[{"name":"DIME Impact Evaluation to Development Impact (i2i) fund"},{"name":"Trade and Competitiveness Impact program","abbr":"Compel"},{"name":"Strategic Impact Evaluation Fund","abbr":"SIEF"},{"name":"Knowledge for Change Program","abbr":"KCP"},{"name":"Korea World Bank Group Partnership Facility","abbr":"KWPF"},{"name":"Development Economics Research Support Budget","abbr":"RSB"},{"name":"Development Research Group","abbr":"DECRG"}],"acknowledgment_statement":"Extended members of the Kenya Patient Safety Impact Evaluation (KePSIE) project team include Jorge Coarasa, Ana Goicoechea, Njeri Mwara, Khama Rogo, and Frank Wafula from The World Bank; John Kabanya, Charles Kandie, Mary Wangai, and representatives of the Kenya Medical Boards and Councils from the Ministry of Health; and the County Executive Members and Directors for Health of Kakamega, Kilifi, and Meru Counties.  Rodgers Kegode, Purity Kimuru, Andrew Muriithi, Pheliciah Mwachofi, Salome Omondi, Pamela Kuya, and Leah Adero provided field support. We thank Jay Bhattacharya, Paolo Belli, Mickey Chopra, Daniel Chen, Ana Goicoechea, James Habyarimana, Arianna Legovini, Nikolas Mittag, Edit Velenyi, as well as seminar participants at UCLA, Georgetown University, Warwick University, University of Washington, University of Maryland, World Bank and the 2020 ASSA meeting for providing valuable comments. We also thank the anonymous referees for their useful feedback.\n","contributors":[{"name":"Sherlene Chatterji","role":"RA"},{"name":"Benjamin Daniels","role":"RA"},{"name":"Rebecca De Guttry","role":"RA"},{"name":"Thomas Escande","role":"RA"},{"name":"Seungmin Lee","role":"RA"},{"name":"Maria Camila Ayala Guerrero","role":"RA"},{"name":"Garima Sharma","role":"RA"},{"name":"Chex Yu","role":"RA"},{"name":"Tatiana Zarate","role":"RA"}],"production_date":"2023-03","abstract":"This paper presents 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 the experiment, all 1,348 health facilities in three Kenyan counties were classified 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. This 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.","geographic_units":[{"name":"Kenya","code":"KEN","type":"cty"}],"keywords":[{"name":"Health Care Market"},{"name":"Public Health"},{"name":"Regulatory Enforcement"},{"name":"Informal Sector"},{"name":"Kenya"}],"topics":[{"id":"H75","vocabulary":"JEL Classifications","uri":"https:\/\/www.aeaweb.org\/econlit\/jelCodes.php","name":"State and Local Government: Health \u2022 Education \u2022 Welfare \u2022 Public Pensions"},{"id":"I11","vocabulary":"JEL Classifications","uri":"https:\/\/www.aeaweb.org\/econlit\/jelCodes.php","name":"Analysis of Health Care Markets"},{"id":"I18","vocabulary":"JEL Classifications","uri":"https:\/\/www.aeaweb.org\/econlit\/jelCodes.php","name":"Government Policy \u2022 Regulation \u2022 Public Health"},{"id":"O17","vocabulary":"JEL Classifications","uri":"https:\/\/www.aeaweb.org\/econlit\/jelCodes.php","name":"Formal and Informal Sectors \u2022 Shadow Economy \u2022 Institutional Arrangements"}],"language":[{"name":"English","code":"EN"}],"data_statement":"All data is private, only the code is contained in the reproducibility package. Please refer to the readme file.","methods":[{"name":"RCT"},{"name":"OLS"},{"name":"PDSLASSO"}],"repository_uri":[{"name":"Reproducible Research Repository (World Bank)","uri":" https:\/\/reproducibility.worldbank.org"}],"technology_environment":"OS: Windows 10 Enterprise, version 21H2; Processor: Intel(R) Core(TM) i7-8665U CPU @ 1.90GHz 2.11 GHz; Memory available: 15.8 GB","reproduction_instructions":"A readme file with detailed instructions is part of the reproducibility package.","disclaimer":"The materials in the reproducibility packages are distributed as they were prepared by the staff of the International Bank for Reconstruction and Development\/the World Bank. The findings, interpretations, and conclusions expressed in this event do not necessarily reflect the views of the World Bank, the Executive Directors of the World Bank, or the governments they represent. The World Bank does not guarantee the accuracy of the materials included in the reproducibility package.","license":[{"name":"Modified BSD3","uri":"https:\/\/opensource.org\/license\/bsd-3-clause\/"}],"contacts":[{"name":"Guadalupe Bedoya","role":"Author","affiliation":"World Bank","email":"gbedoya@worldbank.org"},{"name":"Reproducibility WBG","email":"reproducibility@worldbank.org","uri":"reproducibility.worldbank.org"}]},"tags":[{"tag":"DOI"},{"tag":"Not Reproducible"},{"tag":"PRWP"},{"tag":"WB verified"}],"schematype":"script"}