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Highlights

  • To measure health worker knowledge, we tested a new type of provider vignette using videos.
  • The videos presented a patient with maternal/childhood symptoms visiting the clinic.
  • Results displayed significant variance in performance, consistent with expectations.
  • Participants expected to perform better (doctors, experienced professionals) did perform better.

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.

Resource Information

Author/s: Sheheryar Banuri, Damien de Walque, Philip Keefer, Ousman Diadi Haidara, Paul Jacob Robyn, MauriceYe
Publication ID: https://doi.org/10.1016/j.socscimed.2018.07.046
Date of Publication: August 2018

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