Health care workers in many parts of India have little or no medical training and the quality of care provided is deficient in many respects, report researchers from India, Canada, the United States, and the World Bank (Das J et al. Health Aff [Millwood]. 2012;31:2774-2784).
To assess the quality of individuals providing primary health care services, the researchers used 22 “standardized patients” trained to memorize and present symptoms for several common conditions with well-known textbook treatment plans. These “patients” made 926 visits to 305 health care workers, presenting symptoms of chest pain, asthma, and dysentery.
Friedrich MJ. Gaps in India’s Health Care. JAMA. 2013;309(3):223. doi:10.1001/jama.2012.206196