Directions: Read the following passages and answer the question that follow: For all its acknowledged importance, the quality of medical care in India is not well understood. Many studies of the demand for medical services identify quality as a major determinant of facility selection and use, and that such use should contribute to improvements in health status. However, quality of care is not clearly defined beyond easily observable facility characteristics such as the availability of medicines or functioning equipment. What is less well understood, but has greater relevance for both the use and outcomes of services, is the quality of the actual advice given in clinical settings. Medicine can be bought over the counter and is not specific to particular facilities or providers. But good advice from a provider with knowledge and experience is a service that patients cannot easily obtain by themselves.
According to the passage, which of the following problems that have beset medical care in India has more pertinence?