Generosity norms and intrinsic motivation in health care provision: evidence from the laboratory and the field
AbstractWe examine the correlation between the generosity of clinicians – as measured in a laboratory experiment – and the quality of care in their normal practices under three different intrinsic incentive schemes. Specifically, we observe clinicians in their normal work environment, when a peer observes them and six weeks after an encouragement visit from a peer. Clinicians who give at least half of their endowment to a stranger in the laboratory (generous) provide 10 per cent better quality care than those who do not. In addition, the average clinician provides about 4 per cent better quality when observed by a peer and 10 per cent higher quality care after the encouragement visit. Importantly, we find that generous clinicians react to peer scrutiny and encouragement in the same way as non-generous clinicians. Many clinicians are intrinsically motivated to provide higher quality care. However, most clinicians respond to increased intrinsic incentives in the form of scrutiny and encouragement from peers.
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Bibliographic InfoPaper provided by European Bank for Reconstruction and Development, Office of the Chief Economist in its series Working Papers with number 147.
Length: 27 pages
Date of creation: Aug 2012
Date of revision:
Publication status: Published in Working papers 147, European Bank for Reconstruction and Development
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intrinsic incentives; health care quality; altruism; professionalism; Tanzania; experimental economics; Hawthorne effect; Encouragement effect; Study effect;
Find related papers by JEL classification:
- I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
- O19 - Economic Development, Technological Change, and Growth - - Economic Development - - - International Linkages to Development; Role of International Organizations
- C91 - Mathematical and Quantitative Methods - - Design of Experiments - - - Laboratory, Individual Behavior
- C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
- J2 - Labor and Demographic Economics - - Demand and Supply of Labor
This paper has been announced in the following NEP Reports:
- NEP-ALL-2012-10-27 (All new papers)
- NEP-EXP-2012-10-27 (Experimental Economics)
- NEP-HEA-2012-10-27 (Health Economics)
- NEP-HRM-2012-10-27 (Human Capital & Human Resource Management)
- NEP-SOC-2012-10-27 (Social Norms & Social Capital)
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