Discrimination in healthcare: A field experiment with Pakistan's Transgender community

Ahmad, Husnain F., Banuri, Sheheryar and Bokhari, Farasat ORCID: https://orcid.org/0000-0001-5418-8078 (2024) Discrimination in healthcare: A field experiment with Pakistan's Transgender community. Labour Economics, 87. ISSN 0927-5371

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Abstract

Transgender individuals face high levels of discrimination and bias. However, it is not clear how such biases result in different levels of care. Using an in-person audit-study, we randomize cisgender male and transgender standardized patient visits to low-cost private clinics in Pakistan. We detail out the entire process of obtaining healthcare. Results show that transgender patients are treated differently, but consistent with preservation of dignity. Physicians substitute in procedures that require less physical contact; are less likely to ask culturally sensitive questions; and are more likely to recommend different treatment plans. These practices yield lower quality of care, though they do not stem from overtly discriminatory practices. It is important to note two caveats. We work with a small sample and therefore our results are not always precise enough to be informative. Further, without cisgender female patients, our results are not always informative about discriminatory practices against transgender patients.

Item Type: Article
Faculty \ School: Faculty of Social Sciences > School of Economics
UEA Research Groups: Faculty of Social Sciences > Research Centres > Centre for Behavioural and Experimental Social Sciences
Faculty of Social Sciences > Research Groups > Behavioural Economics
Faculty of Social Sciences > Research Groups > Behavioural and Experimental Development Economics
Faculty of Social Sciences > Research Groups > Environment, Resources and Conflict
Faculty of Social Sciences > Research Centres > Centre for Competition Policy
Faculty of Social Sciences > Research Groups > Applied Econometrics And Finance
Faculty of Social Sciences > Research Groups > Industrial Economics
Depositing User: LivePure Connector
Date Deposited: 20 Dec 2023 02:58
Last Modified: 26 Jan 2024 02:14
URI: https://ueaeprints.uea.ac.uk/id/eprint/94017
DOI: 10.1016/j.labeco.2023.102490

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