Case- Studies- in Financing

Total Page:16

File Type:pdf, Size:1020Kb

Case- Studies- in Financing Public Disclosure Authorized Case-Studies- in Financing Quality gasic Ehrcation Public Disclosure Authorized TEe World Bank Mducation and Social Pblicy-Department Public Disclosure Authorized Public Disclosure Authorized FILE COPY SbiaONdIEEMGbtUf UTERNWM NSCVERUn@CONPWAMM ::;! ‘⋯⋯⋯⋯乌⋯ Case Studies in Financing Quality Basic Acknowledgements These case studies, co-edited by Adriaan Verspoor and Mun C. Tsang, provide the background for the Bank-sponsored presentation on "Financing Quality Basic Education" for the second meeting of the EFA Forum at New Delhi in September, 1993. Mun C. Tsang is the author of the Introduction and of the case study on China. The case study on Chile was co-authored by Donald Winkler and Taryn Rounds. David Plank is the author of the Brazilian case study. Staff in the Education and Social Policy Department prepared the case study on India. The Sahelian case study was prepared by staff in the Population and Human Resources Operations Division of the Sahelian Department. Staff in the Population and Human Resources Division of the Middle East and North Africa Country Department 1B (MN2CO) prepared the case study on Yemen. Theresa Moran provided editing and coordinated the case studies' publication. Many thanks go to all who contributed to the development of these studies and much appreciation goes to Margot Verbeeck for her invaluable assistance and desktop publishing skills. These case studies are not a formal publication of the World Bank. The findings, interpretations, and conclusions expressed in these case studies are entirely those of the author(s) and should not be attributed in any manner to the World Bank, to its affiated organizations,or to members of its Board of Executive Directors or the countries they represent. The case studies on Chile and on China were previously presented at the International Symposium on the Economics of Education in Manchester, England, May 18-21, 1993. ia Case Studies in Financing Quality Basic Table of Contents Page Acknowledgements ............................................. i Introducion ................................................. 1 I. Issues in the Financing of Quality Basic Education ................... 2 Resourc Reallocation for Quality Improvement .................. 2 Resource Mobilization for Basic Education ........ ........... 2 Targeting Resources to Benefit Females and Marginalized Populations .... 3 Decentralization ...................................... 5 II. Summary of Case Studies ................................... 6 The Sahelian Counties .................................. 7 Yemen ............................................ 7 C ins ............................................ 8 Chile ............................................. 8 India ............................................. 8 Brazil ............................................ 9 Financing Qualty Basic Educarion in the Sahel .......................... 12 1. Resource Mobilization for Basic Education ....................... 14- More Efficient Resource Use............................. 15 Reallocation of Education Resources in Favor of Primary Education .... 23 Mobilizing Outside Resources ............................ 24- Conclusion ........................................ 25 II. Quality of Basic Education .................................. 25 Repetition and Drop-out in Primary Education .................. 26 Inservice Teacher Training .............................. 29 Textbooks......................................... 30 School Feeding Programs ............................... 30 Administrative Control and 1ocal Development ................. 30 V Case &xdies i FLnescdM QaIY Bastc Educian M. Basic Education for Girls .................................. 32 IV. Conclusion ........................................... 33 Republic of Yemen: Hunan Development, Societal Needs and Human CapitalResponse . 40 I. The Financing of Education: An Overview ...................... 42 II. Increasing Female Participation in Primary Education ................ 44 M. Quality Improvement in Basic Education ........................ 46 IV. Key Issues and Problems in the Financing of Basic Education ........... 47 V. Conclusion ........................................... 51 FinancialReform of Basic Education: The Chinese Experience ................. .53 I. Socio-Economic Context of Reform ........................... 53 U. Decentralization and Diversification ........................... .55 Decentralization ..................................... 55 Diversification ...................................... 56 Ill. An Assessment of the Financial Reform of Basic Education ............. 58 An Emerging Financing System for Basic Education .............. 59 Increased Resource Mobilization ........................... 59 Low Investment and Difficulties in Poor Areas .................. 62 Large Disparities ...................... .*.*. ..... .64 Inefficiency and Management Weakness ...................... 65 IV. Lessons and Further Development ............................ 65 Increasing Resources to Basic Education ...... 66 Assisting Disadvantaged Areas and Populations ................. 68 Improving Efficiency .................................. 68 Education Reform in Cile: Decemraliationand Sdool Ooice ................ 72 1. Education Reform in Chile ................................. 72 II. Municipal and Private Sector Response ......................... .73 Revenues ......................................... 73 Changing Market Share ................................ 74 Demand for Private Education ............................ 74 Supply of Private Education ............................. 76 Model of Private School Market Share ....................... 77 Vi Tabe of CmmsIn M. The Equity and Efficiency Consequences of the Reform . 79 Equality in Spending .................................... 79 Equality in Outcomes .. ................................. 80 Effects on Costs....................................... 81 Cost-Effectiveness ................................... 82 IV. Conclusions .......................................... 85 Financing Quality Basic Educarion in India ............................. 88 1. Problems of Educational Development in India .................... 90 II. The New Direction in Indian Elementary Education: The National Policy of Education............................................ 93 M. The Uttar Pradesh Basic Education Project ....................... 94 Community Participation . ............................... 97 Institutional Development ................................. 97 Improving Information Systems for Planning, Management and Professional Support .......................................... 98 Conclusion ........................................ 98 FinancingBasic Education in Brazil ................................. 114 I. The Quality of Basic Education .............................. 115 II. Educational Finance in Brazil ................................ 117 M. Policy Options in Educational Finance .......................... 120 Administrative Decentralization............................. 120 Diversification of Revenue Sources .......................... 121 Targeting Resources to Marginalized Populations ................ 122 Transparency and Accountability .......................... 123 Conclusion ........................................ 124 vii 子 ―-------------------------,--(- Caw SmAn in Plnemcdne Ousft Bwk Edumgm 1. ISSUIES IN THE MANCING OF QUALXrV BASIC EDUCATION Resource ReaUocafton for QuaUty Imprvvemext To achieve quality basic education for all, existing resources mist be used efficiently. Interventions in the education process have to be undertaken to allocate resources among the different inputs in such a way that they improve pupil learning with maximum cost-effectiveness. In its 1990 policy paper on primary education, the World Bank identified three categories of policy measures related to I i : provision of inputs that increase learning, such as tcabooks and. improved curricula; cost-reduction measures that, within reisonable ranges, have little negative effect on learning, such as multiple shifts and multigrade classes; and inputs dun indirectly improve learning by improving educationzoana ement such as incentives for teachers and information system. For example, the Republic of Yemen is currently wairin an effort to improve education quality by reallocating its resources. Mie Yemeni govemment has a specific budget item earniarked for quality improvements in basic education such as curriculmn and tettbwk I- --1-,- - and in4ervieg tearhin training. This budget item will increase over time so that by the yew 2000 ft will be approximately 700 million Rials (about one percent of total primary education mr; . Many of the resources used for quality improvement will come from savings realized Wough the 0 n a of the teachin profession. Local teachers are replacing more experienced outside teachers and are being trained to upgrade their pedagogical skills and topic knowledge. A study of rural northeastern Brazil by R. Harbison. and E. Hanushek argues that in many cam quality improvements in basic education can over time be . The study shows that quality UMLLV .-. 1 can be P ipP P! P d to lead to gain in efticiency (such as a reduction in the number of students that repeat grades or drop out) that more than offset the direct costs of such imptovements. In fwt quality i tovements can make schooling in= equally accessible by fiveing up places occupied by repeaters for new entrants. 7his further strengthens
Recommended publications
  • 2020 WGEA Regional Meeting Abstract Compendium
    2020 WGEA Regional Meeting Abstract Compendium Table of Contents Message from WGEA Chair ........................................................................................................... 2 Message from WGEA Conference/ Host Chairs ............................................................................ 3 Special Thanks and Acknowledgments .......................................................................................... 4 WGEA Awards ............................................................................................................................... 5 Innovation Abstracts ....................................................................................................................... 6 Research Abstracts ........................................................................................................................ 85 Small Group, Workshop and Panel Discussion Abstracts .......................................................... 155 List of WGEA Steering Committee members ............................................................................ 273 List of WGEA Planning Committee and Subcommittees members ........................................... 274 2020 WGEA Reviewer List ........................................................................................................ 275 1 Message from WGEA Chair On behalf of the Western Group on Educational Affairs (WGEA) Steering Committee, I welcome you to the WGEA 2020 Annual Spring Meeting, Finding Common Ground. We will highlight the following
    [Show full text]
  • Critical Thinking Education and Debiasing
    Critical Thinking Education and Debiasing TIM KENYON University of Waterloo Department of Philosophy 200 University Avenue West Waterloo, ON N2L 3G1 Canada [email protected] GUILLAUME BEAULAC Yale University Department of Philosophy 344 College St. New Haven, CT. 06511-6629 USA [email protected] Abstract: There are empirical Résumé: Des données empiriques grounds to doubt the effectiveness of nous permettent de douter de a common and intuitive approach to l'efficacité d'une approche commune teaching debiasing strategies in et intuitive pour enseigner des critical thinking courses. We stratégies de correction de biais summarize some of the grounds cognitifs dans les cours de pensée before suggesting a broader critique. Nous résumons certains de taxonomy of debiasing strategies. ces résultats empiriques avant de This four-level taxonomy enables a suggérer une taxonomie plus useful diagnosis of biasing factors étendue de ces stratégies de and situations, and illuminates more correction de biais. Cette taxonomie strategies for more effective bias à quatre niveaux permet un mitigation located in the shaping of diagnostic utile de facteurs causant situational factors and reasoning les biais et elle met en évidence infrastructure—sometimes called davantage de stratégies permettant la “nudges” in the literature. The correction plus efficace de biais, question, we contend, then becomes stratégies situées dans des mesures how best to teach the construction modifiant les infrastructures et les and use of such infrastructures. environnements cognitifs ("nudge" dans la littérature). Nous soutenons que la question porte dès lors sur les meilleures façons d'enseigner la construction et l'utilisation de ces infrastructures. Keywords: Critical thinking, biases, debiasing, education, nudges © Tim Kenyon and Guillaume Beaulac, Informal Logic, Vol.
    [Show full text]
  • Analyzing the Principles & Techniques of English Language Teaching Emphasized in the Crescent English Course
    PASAA Volume 57 January - June 2019 Idea Sharing: Analyzing the Principles & Techniques of English Language Teaching Emphasized in the Crescent English Course for Yemen Hani Qasem Mohammed Asaad College of Arts and Sciences Universiti Utara Malaysia Sintok, Kedah, Malaysia Email: [email protected] Abstract The Ministry of Education in Yemen has utilized several methods for teaching the English language including the grammar translation method, and the communicative language teaching method. This paper presents an analysis and description of the principles and techniques of English language teaching emphasized in the English language textbook “Crescent English Course for Yemen” used for teaching English for the third secondary grade in Yemen. This paper provides also a discussion about the effectiveness and feasibility of the methodology and techniques employed in the textbook. Although the textbook was designed and developed based on the communicative language teaching method to encourage the English language learners to engage in communication, to interact and participate in communicative classroom activities, many obstacles prevent them from achieving these goals. Among these obstacles are that teachers mostly follow the traditional grammar translation method in teaching the English language and students mainly focus on the final results, 192 | PASAA Vol. 57 January - June 2019 namely to pass the examinations which mostly consist of reading and writing tests. Keywords: Crescent English Course, communicative language teaching method, principles, English language teaching, Yemen Introduction Yemen is an Arabian country located on the southwest corner of the Arabian Peninsula. The system of education in Yemen has gone through various stages and has been profoundly affected by political and ideological factors.
    [Show full text]
  • Working Memory, Cognitive Miserliness and Logic As Predictors of Performance on the Cognitive Reflection Test
    Working Memory, Cognitive Miserliness and Logic as Predictors of Performance on the Cognitive Reflection Test Edward J. N. Stupple ([email protected]) Centre for Psychological Research, University of Derby Kedleston Road, Derby. DE22 1GB Maggie Gale ([email protected]) Centre for Psychological Research, University of Derby Kedleston Road, Derby. DE22 1GB Christopher R. Richmond ([email protected]) Centre for Psychological Research, University of Derby Kedleston Road, Derby. DE22 1GB Abstract Most participants respond that the answer is 10 cents; however, a slower and more analytic approach to the The Cognitive Reflection Test (CRT) was devised to measure problem reveals the correct answer to be 5 cents. the inhibition of heuristic responses to favour analytic ones. The CRT has been a spectacular success, attracting more Toplak, West and Stanovich (2011) demonstrated that the than 100 citations in 2012 alone (Scopus). This may be in CRT was a powerful predictor of heuristics and biases task part due to the ease of administration; with only three items performance - proposing it as a metric of the cognitive miserliness central to dual process theories of thinking. This and no requirement for expensive equipment, the practical thesis was examined using reasoning response-times, advantages are considerable. There have, moreover, been normative responses from two reasoning tasks and working numerous correlates of the CRT demonstrated, from a wide memory capacity (WMC) to predict individual differences in range of tasks in the heuristics and biases literature (Toplak performance on the CRT. These data offered limited support et al., 2011) to risk aversion and SAT scores (Frederick, for the view of miserliness as the primary factor in the CRT.
    [Show full text]
  • EDUCATION DISRUPTED Report.Pdf
    EDUCATION DISRUPTED Impact of the conflict on children’s education in Yemen CONTENTS Children in distress 02 Education disrupted 04 Millions out of school 05 Destroying pillars of education 07 The most vulnerable children risk the most 08 COVID-19: Locked out of school 10 The future lies with the youth 11 When not in school 12 UNICEF in action 15 What the children need 16 Left: A student in Al-Jufainah Camp for displaced people in Marib. CHILDREN IN DIstRESS CHILDREN IN DISTRESS 1.71 MILLION Internally displaced children 3,336 Children killed between 26 March 2015 and 28 February 2021 (verified United Nations figures) 400,000 Children under 5 years with severe acute malnutrition 465 Attacks and military use of education facilities between 26 March 2015 and 28 February 2021 (verified United Nations figures) Source: United Nations Office for the Coordination of Humanitarian Affairs,Humanitarian Needs Overview – Yemen 2021, OCHA, New York, February 2021. 02 2 MILLION Children out of school 10.2 MILLION Children in need 11.3 of basic health care MILLION Children in need of 9.58 million humanitarian help Children without access to safe water, sanitation or hygiene 8.1 million Children in need of emergency education support 85% 46.5% Child Prevalence of poverty rate childhood stunting (Simulation based on 2014 Household Budget Survey) 03 EDUCATION DISRUPTED EDUCATION DISRUPTED Anas is not the only child in Yemen that had to sacrifice his education. He is one of hundreds of thousands of children victims of devastation that years of brutal conflict and, more recently, the COVID-19 pandemic have had on Yemen’s education system.
    [Show full text]
  • Reproductions Supplied by EDRS Are the Best That Can Be Made from the Original Document
    DOCUMENT RESUME ED 482 489 FL 027 909 AUTHOR Liskin-Gasparro, Judith E., Ed. TITLE Patterns and Policies: The Changing Demographics of Foreign Language Instruction. Issues in Language Program Direction:A Series of Annual Volumes. ISBN ISBN-0-8384-5732-0 PUB DATE 1996-00-00 NOTE 246p.; Prepared by the American Association of University Supervisors, Coordinators, and Directors of ForeignLanguage Programs. AVAILABLE FROM Heinle & Heinle Publishers, 20 Park Plaza, Boston, MA 02116. Tel: 800-730-2214 (Toll Free); Fax: 800-730-2215 (TollFree); Web site: http://www.heinle.com. PUB TYPE Books (010) Collected Works General (020) EDRS PRICE EDRS Price MF01/PC10 Plus Postage. DESCRIPTORS Bilingualism; Case Studies; Chinese; *Curriculum Development; *Demography; Diversity (Student); Elementary Secondary Education; French; Gender Issues; German; Higher Education; Intercultural Communication; Literature; Native Language Instruction; Second Language Instruction; Spanish; Student Attitudes; Student Characteristics; Student Evaluation;Two Year Colleges IDENTIFIERS Georgia ABSTRACT This collection of papers is divided into threeparts. Part 1, "Changing Patterns: Curricular Implications," includes "Basic Assumptions Revisited: Today's French and Spanish Students at a Large Metropolitan University" (Gail Guntermann, Suzanne Hendrickson, and Carmen de Urioste) and "Le Francais et Mort, Vive le Francais: Rethinking the Function of French" (H. Jay Siskin, Mark A. Knowles, and Robert L. Davis) . Part 2, "Changing Patterns: Student Populations," includes "Do German Students Hold Gender Biases about Their TAs?" (Monika Chavez) ;"Teaching Chinese to the Chinese: The Development of an Assessment and Instructional Model" (Scott McGinnis); "Students Classified as Learning Disabled and the College Foreign Language Requirement: A Case Study of One University" (Richard L. Sparks, Lois Philips, and Leonore Ganschow); "Changing Demographics in Foreign Language Study and the Impact Upon Two-Year Colleges: A Case Study from Georgia" (Carol A.
    [Show full text]
  • Keith Stanovich Curriculum Vitae
    CURRICULUM VITAE PERSONAL INFORMATION: Name: Keith E. Stanovich Date of Birth: December 13, 1950 Marital Status: Married Address: Department of Human Development and Applied Psychology Ontario Institute for Studies in Education University of Toronto 252 Bloor Street West Toronto, Ontario Canada M5S 1V6 Phone: 503-297-3912 E-mail [email protected] EDUCATION: The Ohio State University, 1969-1973 - B.A., 1973 (Major - Psychology) The University of Michigan, 1973-1977 - M. A., Ph.D. (Major - Psychology) POSITIONS HELD: Professor, University of Toronto, 1991-present Department of Human Development and Applied Psychology Member, Centre for Applied Cognitive Science Program Head, Human Development and Education, 1996 - 2001 Department of Human Development and Applied Psychology Canada Research Chair of Applied Cognitive Science, 2002-2005 Professor of Psychology and Education, Oakland University, 1987-1991 Associate Professor of Psychology and Education, Oakland University 1985 - 1987 Associate Professor of Psychology, Oakland University 1982 - 1985 Assistant Professor of Psychology, Oakland University 1977 - 1982 Stanovich, Keith E. 1 AWARDS AND NATIONAL COMMITTEES: Distinguished Scientific Contributions Award, Society for the Scientific Study of Reading, July, 2000. Distinguished Researcher Award, Special Education Research SIG, American Educational Research Association, March, 2008 Oscar S. Causey Award, National Reading Conference, 1996 Silvia Scribner Award, Division C, American Educational Research Association, March, 1997 Elected,
    [Show full text]
  • Downloads/Esp/Education%20Sector%20Plan%202015.P Df
    KIX Europe | Asia | Pacific Hub Thematic Priorities in 21 GPE Partner Countries of the Europe | Asia |Pacific Region Volume 2: Appendix June 2020 Table of Contents Appendix 1 – Findings of Desk Review Appendix 2 – Survey (English version) Appendix 3 – Survey (Russian version) Appendix 4 – Raw Data (Whole Survey) Appendix 5 – Raw Data (All countries except Maldives) Appendix 6 – Raw Data (Maldives) Appendix 7 – Raw Data (Kyrgyzstan) This volume consists of appendices. The actual report is published in volume 1. 1 Appendix 1 – Desk Review Finding Table of Contents Appendix 1 – Desk Review Finding ........................................................................................ 2 I. Caucasus, Central Asia and Mongolia .................................................................... 5 Kyrgyzstan ....................................................................................................................... 5 Evaluation of Thematic Priorities ............................................................................................. 5 Main observations .................................................................................................................... 9 Sources ...................................................................................................................................... 9 Uzbekistan ..................................................................................................................... 10 Evaluation of Thematic Priorities ..........................................................................................
    [Show full text]
  • Values and Ethics in Educational Administration
    CENTRE FOR THE STUDY OF LEADERSHIP AND ETHICS UCEA ISSN 1703-5759 VALUES AND ETHICS IN EDUCATIONAL ADMINISTRATION MARCH 2014 VOLUME 11 NUMBER 1 ETHICAL LEADERSHIP: A TEXAS SCHOOL DISTRICT’S EFFORTS TOWARD CULTURAL PROFICIENCY VALUES AND ETHICS IN EDUCATIONAL Miriam Ezzani ADMINISTRATION University of North Texas Editor: Chris Branson Introduction University of Waikato, New Zealand Co-Editor: Diversity in United States K-12 public school systems demands William Frick culturally proficient leadership, which is situated in ethics. The University of Oklahoma, USA challenge to meet this expectation is well articulated by numerous scholars in the field of multicultural education. Specifically, most educators, unlike their students, are European American, middle class Editorial Board: females and the cultural differences between the educators and their Paul Begley students make them strangers within the dynamics of the daily school Nipissing University, Canada environment (Apple, 1996; Hawley and Nieto, 2010). Even with the Paul Bredeson best of intentions, ethical practices are compromised due to the University of Wisconsin-Madison, USA cultural dissonance, which often leaves educators relying on invalid Charles Burford assumptions. Such beliefs and attitudes not only create a schism in the Australian Catholic University, Aust relationship between educators and their diverse students and families, but influence actions, which may be deemed micro- Margaret Grogan aggressions. One way to alleviate this gap in understanding is to Claremont Graduate School, USA develop leaders who safeguard diversity and equity (Skrla, Scheurich, Catherine Hands Garcia and Nolly, 2006) through the ethics of care and respect for Brock University, Canada people of all cultures and traditions (Noddings, 2005; Shah, 2006).
    [Show full text]
  • The DRIVE Initiative
    The DRIVE Initiative Did they just say that?! Addressing Bias in the Curriculum DRIVE is a 3-school & GME initiative working toward Diversity, Representation, Inclusion and Value in Education The goals of DRIVE are: • To promote a representative and bias-free curriculum across our learning environments • To enhance the accuracy, representation, and inclusion of diverse populations in all our educational activities Everyone has bias—educators are not immune. Our learning environment reflects these biases Implicit Association Test (IAT) take the IAT test: Blindspot: Hidden Biases of Good People https://implicit.harvard.edu/implicit by Mahzarin R. Banaji & Anthony G. Greenwald (http://blindspot.fas.harvard.edu) We can improve the quality of our educational programs by sensitizing ourselves to bias in the curricula Our students report bias and marginalization in their learning environments Results from the AAMC 2018 graduate questionnaire: Faculty ALWAYS demonstrate respect for diversity Students have identified a lack of diverse and appropriate representation in their curricula An analysis of SOM curricular materials revealed bias Bias in education may lead to bias in practice An Institute of Medicine report documented the extent of racial and ethnic disparities in health care People of color are less likely than whites to receive needed services, including — cancer, cardiovascular disease, HIV/AIDS, diabetes, mental illness — clinically necessary procedures and routine treatments for common health problems “Bias, stereotyping, prejudice, and clinical uncertainty on the part of healthcare providers may contribute to racial and ethnic disparities in healthcare.” Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting (Finding 4-1, p178) racial and ethnic disparities in health care.
    [Show full text]
  • 2020 AAP Annual Meeting Poster Descriptions & Electronic
    2020 AAP Annual Meeting Poster Descriptions & Electronic Submissions Available online at www.academicpsychiatry.org 2020 AAP Annual Meeting Poster Descriptions & Electronic Submissions GENERAL INFORMATION The following poster abstracts were accepted for presentation at the 2020 AAP Annual Meeting. Due to the cancellation of the meeting, due to COVID-19, this information is being offered online. Submitted electronic posters are linked to corresponding descriptions. * Denotes trainee authors POSTER ABSTRACTS Poster 1 Mentoring the Millennials: A Perspective from Faculty of Two Psychiatry Residency Programs Abstract Mentoring millennials is a challenge as traditional teaching arrangements can be inadequate. Mentorship strategies for faculty members, residents and medical students need to be re- evaluated. The objective of this paper is to discuss if traditional, prevailing mentoring methods, are applicable to millennials and to assess common challenges experienced by faculty when mentoring this generation. We will also suggest some mentoring styles that our faculty found very effective based on their experience with millennials mentees. We developed a set of 16 questions that were sent out to members of faculty of two psychiatry residency programs at Ocean Medical Center and Jersey Shore University Medical Center. Survey included questions pertaining to faculty teaching interaction and feedback with millennials mentees. Survey results showed significant percentage (48%) of the faculty find mentoring millennials challenging especially if traditional methods are used. High percentage (78%) agreed that mentors should adjust mentoring style based on race, culture and religion of mentee. Majority (82%)agreed that effective mentoring requires adapting to the unique interests and goals of individual mentees of millennial generation. We also gathered qualitative data on how to mentor millennials by experienced faculty that include various mentoring style including reverse mentoring as well as group mentoring among other mentoring styles.
    [Show full text]
  • Cognitive Debiasing 1: Origins of Bias and Theory of Debiasing
    Downloaded from qualitysafety.bmj.com on January 30, 2014 - Published by group.bmj.com NARRATIVE REVIEW Cognitive debiasing 1: origins of bias and theory of debiasing Pat Croskerry,1 Geeta Singhal,2 Sílvia Mamede3 1Department of Pediatrics, ABSTRACT used. They are fast, usually effective, but Division of Medical Education, Numerous studies have shown that diagnostic also more likely to fail. As they are largely Dalhousie University, Halifax, — Nova Scotia, Canada failure depends upon a variety of factors. unconscious, mistakes when they occur 1–3 2Baylor College of Medicine Psychological factors are fundamental in —are seldom corrected. In contrast, Texas Children’s Hospital, influencing the cognitive performance of the Type 2 processes are fairly reliable, safe Houston, Texas, USA decision maker. In this first of two papers, we and effective, but slow and resource inten- 3Institute of Medical Education Research, Rotterdam, Erasmus discuss the basics of reasoning and the Dual sive. The intuitive mode of decision University Medical Center, Process Theory (DPT) of decision making. The making is characterised by heuristics— Rotterdam general properties of the DPT model, as it applies short-cuts, abbreviated ways of thinking, ‘ ’ Correspondence to to diagnostic reasoning, are reviewed. A variety maxims, seen this many times before , Professor Pat Croskerry, Division of cognitive and affective biases are known to ways of thinking. Heuristics represent an of Medical Education, Dalhousie compromise the decision-making process. They adaptive mechanism that saves us time University, Clinical Research mostly appear to originate in the fast intuitive and effort while making daily decisions. Centre, 5849 University Avenue, PO Box 15000, Halifax, NS, processes of Type 1 that dominate (or drive) Indeed, it is a rule of thumb among cogni- Canada B3H 4R2; decision making.
    [Show full text]