Exit interview Measures what caretaker actually Perceptions at point of care may Good – limited inter-rater Can do large Modest training – Counseling, understands; not reflect those measured later problems; some questions have numbers if facilities (e.g. 1 week) of Perceptions, Measures immediate perceptions ; shown good correlation with have high volumes, literate or student Patient Can measure key characteristics actual history better for common health workers; characteristics (e.g. wealth) which can be conditions supervision costs compared with population parameters Simulated Lowest Hawthorne effect if able to Poor verisimilitude for children and Variability based on actor Low sample size; Higher interviewer clients keep interviewer blinded women in delivery least variation in qualifications and (mystery conditions to test training can patients) increase costs Not possible for pregnant women and sick children (ethical issues) Patient record If good record keeping, can reflect Poor records are the norm; Limited Poor, especially for Non-intrusive, quick, Cheapest review care intended to be provided; information on actual tasks record keeping but records rarely of Better for diagnosis and treatment performed reflects what providers adequate quality for (if systematically recorded) say patient care was rather than use other than actual care delivered; volume of service
Exit interview – Counseling, Perceptions, Patient characteristics Measures what caretaker actually understands; Measures immediate perceptions ; Can measure key characteristics (e.g. wealth) which can be compared with population parameters Perceptions at point of care may not reflect those measured later Good – limited inter-rater problems; some questions have shown good correlation with actual history Can do large numbers if facilities have high volumes, better for common conditions Modest training (e.g. 1 week) of literate or student health workers; supervision costs Simulated clients (mystery patients) Lowest Hawthorne effect if able to keep interviewer blinded Poor verisimilitude for children and women in delivery Not possible for pregnant women and sick children (ethical issues) Variability based on actor Low sample size; least variation in conditions to test Higher interviewer qualifications and training can increase costs Patient record review If good record keeping, can reflect care intended to be provided; Better for diagnosis and treatment (if systematically recorded) Poor records are the norm; Limited information on actual tasks performed reflects what providers say patient care was rather than actual care delivered; Poor, especially for record keeping Non-intrusive, quick, but records rarely of adequate quality for use other than volume of service Cheapest
3.01a_RBF_Indicators.2012.06.13.docx