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The use of video vignettes to measure health worker knowledge. Evidence from Burkina Faso

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  • Banuri, Sheheryar
  • de Walque, Damien
  • Keefer, Philip
  • Haidara, Ousmane Diadie
  • Robyn, Paul Jacob
  • Ye, Maurice
Abstract
The quality of care is a crucial determinant of good health outcomes, but is difficult to measure. Survey vignettes are a standard approach to measuring medical knowledge among health care providers. Given that written vignettes or knowledge tests may be too removed from clinical practice, particularly where “learning by doing” may be an important form of training, we developed a new type of provider vignette. It uses videos presenting a patient visiting the clinic with maternal/early childhood symptoms. We tested these video vignettes with current and future (students) health professionals in Burkina Faso. Participants indicated that the cases used were interesting, understandable and common. Their performance was consistent with expectations. Participants with greater training (medical doctors vs. nurses and midwives) and experience (health professionals vs. students) performed better. The video vignettes can easily be embedded in computers, tablets and smart phones; they are a convenient tool to measure provider knowledge; and they are cost-effective instruction and testing tools.

Suggested Citation

  • Banuri, Sheheryar & de Walque, Damien & Keefer, Philip & Haidara, Ousmane Diadie & Robyn, Paul Jacob & Ye, Maurice, 2018. "The use of video vignettes to measure health worker knowledge. Evidence from Burkina Faso," Social Science & Medicine, Elsevier, vol. 213(C), pages 173-180.
    • Handle: RePEc:eee:socmed:v:213:y:2018:i:c:p:173-180
    DOI: 10.1016/j.socscimed.2018.07.046
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    References listed on IDEAS

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    1. Armin Falk & James J. Heckman, 2009. "Lab Experiments are a Major Source of Knowledge in the Social Sciences," Working Papers 200935, Geary Institute, University College Dublin.
    2. Leonard, Kenneth & Masatu, Melkiory C., 2006. "Outpatient process quality evaluation and the Hawthorne Effect," Social Science & Medicine, Elsevier, vol. 63(9), pages 2330-2340, November.
    3. Smith, Vernon L, 1976. "Experimental Economics: Induced Value Theory," American Economic Review, American Economic Association, vol. 66(2), pages 274-279, May.
    4. Das, Jishnu & Hammer, Jeffrey, 2005. "Which doctor? Combining vignettes and item response to measure clinical competence," Journal of Development Economics, Elsevier, vol. 78(2), pages 348-383, December.
    5. Leonard, Kenneth L. & Masatu, Melkiory C., 2005. "The use of direct clinician observation and vignettes for health services quality evaluation in developing countries," Social Science & Medicine, Elsevier, vol. 61(9), pages 1944-1951, November.
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    Cited by:

    1. Sheheryar Banuri & Philip Keefer & Damien de Walque, 2017. "Love the job... or the patient? Task vs. mission-based motiviations in healthcare," Working Paper series, University of East Anglia, Centre for Behavioural and Experimental Social Science (CBESS) 17-09, School of Economics, University of East Anglia, Norwich, UK..
    2. Ye-Seul Lee & Song-Yi Kim & Younbyoung Chae, 2019. "Distribution of monetary incentives in health insurance scheme influences acupuncture treatment choices: An experimental study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-12, June.

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