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The Effect of an Increase in the Rate of Payment on General Practitioner's Intrinsic and Extrinsic Motivation

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  • Yan Feng;Shelley Farrar;Matt Sutton;Ada May

Abstract

This paper investigates how the increased rate of Quality and Outcomes Framework (QOF) payments implemented on 1 April 2005 affects Scottish general practitioners’ (GPs) intrinsic, extrinsic and overall motivation. A first difference method is used to model GPs’ intrinsic and overall motivation. The main finding is that the increased QOF payment effectively motivated GPs' health care supply, but it also 'crowded out' GPs' intrinsic motivation. The result suggests that using strong financial incentives to further motivate already well-motivated health care professionals may have unintended effects on their performance.

Suggested Citation

  • Yan Feng;Shelley Farrar;Matt Sutton;Ada May, 2011. "The Effect of an Increase in the Rate of Payment on General Practitioner's Intrinsic and Extrinsic Motivation," Grant-Funded Research 000175, Office of Health Economics.
    • Handle: RePEc:ohe:grafun:000175
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    File URL: https://www.ohe.org/publications/effect-increase-rate-payment-general-practitioners-intrinsic-and-extrinsic-motivation/attachment-361-effect_of_an_increase_14nov2011-revised/
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    Keywords

    The Effect of an Increase in the Rate of Payment on General Practitioner's Intrinsic and Extrinsic Motivation;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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