Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/299428 
Year of Publication: 
2024
Series/Report no.: 
IDB Working Paper Series No. IDB-WP-1231
Publisher: 
Inter-American Development Bank (IDB), Washington, DC
Abstract: 
We examine the efficiency gains in health systems generated after the national roll out of basic healthcare in El Salvador between 2010 and 2013. Using data from over 120 million consultations and five million hospitalizations, we demonstrate that the expansion of community health teams, comprising less-specialized health workers, increases preventive care and decreases curative care and preventable hospitalizations. We also estimate coverage improvements for previously unattended chronic conditions amenable to effective primary care. These results suggest that decentralization of tasks to less-specialized health workers improves efficiency, maintaining quality of care.
Subjects: 
community-based healthcare
efficiency
coverage
JEL: 
I15
I18
H21
H51
Persistent Identifier of the first edition: 
Creative Commons License: 
cc-by Logo
Document Type: 
Working Paper

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