Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes
AbstractWe nested a large-scale field experiment into the national rollout of the introduction of performance pay for medical care providers in Rwanda to study the effect of incentives for health care providers. In order to identify the effect of incentives separately from higher compensation, we held constant compensation across treatment and comparison groups – a portion of the treatment group’s compensation was based on performance whereas the compensation of the comparison group was fixed. The incentives led to a 20% increase in productivity, and significant improvements in child health. We also find evidence of a strong complementarity between performance incentives and baseline provider skill.
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Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 19046.
Date of creation: May 2013
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Other versions of this item:
- Gertler, Paul & Vermeerch, Christel, 2013. "Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes," Institute for Research on Labor and Employment, Working Paper Series qt9qn9q7ph, Institute of Industrial Relations, UC Berkeley.
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- J33 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Compensation Packages; Payment Methods
- O12 - Economic Development, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
This paper has been announced in the following NEP Reports:
- NEP-ALL-2013-05-24 (All new papers)
- NEP-EXP-2013-05-24 (Experimental Economics)
- NEP-HEA-2013-05-24 (Health Economics)
- NEP-HRM-2013-05-24 (Human Capital & Human Resource Management)
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- Das, Jishnu & Hammer, Jeffrey, 2007.
"Money for nothing: The dire straits of medical practice in Delhi, India,"
Journal of Development Economics,
Elsevier, vol. 83(1), pages 1-36, May.
- Das, Jishnu & Hammer, Jeffrey, 2005. "Money for nothing : the dire straits of medical practice in Delhi, India," Policy Research Working Paper Series 3669, The World Bank.
- Valérie Paris & Marion Devaux & Lihan Wei, 2010. "Health Systems Institutional Characteristics: A Survey of 29 OECD Countries," OECD Health Working Papers 50, OECD Publishing.
- Nazmul Chaudhury & Jeffrey Hammer & Michael Kremer & Karthik Muralidharan & F. Halsey Rogers, 2006. "Missing in Action: Teacher and Health Worker Absence in Developing Countries," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 91-116, Winter.
- Ritva Reinikka & Jakob Svensson, 2010. "Working for God? Evidence from a Change in Financing of Nonprofit Health Care Providers in Uganda," Journal of the European Economic Association, MIT Press, vol. 8(6), pages 1159-1178, December.
- Anthony Scott & Stefanie Schurer & Paul H. Jensen & Peter Sivey, 2008.
"The Effect of Financial Incentives on Quality of Care: The Case of Diabetes,"
Melbourne Institute Working Paper Series
wp2008n12, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
- Scott, A & Schurer, S & Jensen, P H & Sivey, P, 2008. "The Effects of Financial Incentives on Quality of Care: The Case of Diabetes," Health, Econometrics and Data Group (HEDG) Working Papers 08/15, HEDG, c/o Department of Economics, University of York.
- World Bank, 2010. "Budgeting for Effectiveness in Rwanda : From Reconstruction to Reform," World Bank Publications, The World Bank, number 5953, March.
- Karthik Muralidharan & Venkatesh Sundararaman, 2009.
"Teacher Performance Pay: Experimental Evidence from India,"
NBER Working Papers
15323, National Bureau of Economic Research, Inc.
- Karthik Muralidharan & Venkatesh Sundararaman, 2011. "Teacher Performance Pay: Experimental Evidence from India," Journal of Political Economy, University of Chicago Press, vol. 119(1), pages 39 - 77.
- Das, Jishnu & Hammer, Jeffrey & Leonard, Kenneth, 2008.
"The quality of medical advice in low-income countries,"
Policy Research Working Paper Series
4501, The World Bank.
- Jishnu Das & Jeffrey Hammer & Kenneth Leonard, 2008. "The Quality of Medical Advice in Low-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 93-114, Spring.
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