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Do Altruistic Mental Health Care Providers Have Better Treatment Outcomes?

Author

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  • Rudy Douven
  • Minke Remmerswaal
  • Robin Zoutenbier

Abstract

We study heterogeneity in provider altruism among self-employed mental health care providers in the Netherlands. Using a large administrative data set, we exploit the discontinuities in the compensation scheme to separate altruistically motivated providers from financially motivated providers. We find strong heterogeneity in provider altruism. Moreover, we find that more altruistically motivated providers treat mental health patients for shorter durations and report better treatment outcomes, as measured by the improvement in Global Assessment of Functioning. These results suggest that provider altruism is positively related to treatment outcomes.

Suggested Citation

  • Rudy Douven & Minke Remmerswaal & Robin Zoutenbier, 2019. "Do Altruistic Mental Health Care Providers Have Better Treatment Outcomes?," Journal of Human Resources, University of Wisconsin Press, vol. 54(2), pages 310-341.
    • Handle: RePEc:uwp:jhriss:v:54:y:2019:i:2:p:310-341
    Note: DOI: 10.3368/jhr.54.2.0716.8070R1
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    File URL: http://jhr.uwpress.org/cgi/reprint/54/2/310
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    Citations

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    Cited by:

    1. Rudy Douven & Minke Remmerswaal & Tobias Vervliet, 2021. "Payment schemes and treatment responses after a demand shock in mental health care," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 2956-2973, December.
    2. Oxholm, Anne Sophie & Gyrd-Hansen, Dorte & Bøtcher Jacobsen, Christian & Thy Jensen, Ulrich & Bjørnskov Pedersen, Line, 2022. "Time to revisit the agency theory and expand our thoughts on what motivates physicians? A nudge to health economists," DaCHE discussion papers 2022:1, University of Southern Denmark, Dache - Danish Centre for Health Economics.
    3. Rudy Douven & Minke Remmerswaal & Tobias Vervliet, 2019. "Treatment responses of mental health care providers after a demand shock," CPB Discussion Paper 404.rdf, CPB Netherlands Bureau for Economic Policy Analysis.
    4. Attema, Arthur E. & Galizzi, Matteo M. & Groß, Mona & Hennig-Schmidt, Heike & Karay, Yassin & L’Haridon, Olivier & Wiesen, Daniel, 2023. "The formation of physician altruism," Journal of Health Economics, Elsevier, vol. 87(C).
    5. Rudy Douven & Minke Remmerswaal & Tobias Vervliet, 2019. "Treatment responses of mental health care providers after a demand shock," CPB Discussion Paper 404, CPB Netherlands Bureau for Economic Policy Analysis.

    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J31 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Wage Level and Structure; Wage Differentials
    • J33 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Compensation Packages; Payment Methods

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