Generosity norms and intrinsic motivation in health care provision: evidence from the laboratory and the field
We 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.
|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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- Charness, Gary & Rabin, Matthew, 2002.
"Understanding Social Preferences with Simple Tests,"
Department of Economics, Working Paper Series
qt3d04q5sm, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
- Gary Charness & Matthew Rabin, 2002. "Understanding Social Preferences With Simple Tests," The Quarterly Journal of Economics, MIT Press, vol. 117(3), pages 817-869, August.
- Gary Charness & Matthew Rabin, 2003. "Understanding Social Preferences with Simple Tests," General Economics and Teaching 0303002, EconWPA.
- Charness, Gary & Rabin, Matthew, 2001. "Understanding Social Preferences with Simple Tests," Department of Economics, Working Paper Series qt4qz9k8vg, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
- Charness, Gary B & Rabin, Matthew, 2001. "Understanding Social Preferences With Simple Tests," University of California at Santa Barbara, Economics Working Paper Series qt0dc3k4m5, Department of Economics, UC Santa Barbara.
- Ellingsen, Tore & Johannesson, Magnus, 2006.
"Pride and Prejudice: The Human Side of Incentive Theory,"
CEPR Discussion Papers
5768, C.E.P.R. Discussion Papers.
- Tore Ellingsen & Magnus Johannesson, 2008. "Pride and Prejudice: The Human Side of Incentive Theory," American Economic Review, American Economic Association, vol. 98(3), pages 990-1008, June.
- Leonard, Kenneth L. & Masatu, Melkiory C., 2010.
"Using the Hawthorne effect to examine the gap between a doctor's best possible practice and actual performance,"
Journal of Development Economics,
Elsevier, vol. 93(2), pages 226-234, November.
- Leonard, Kenneth L. & Masatu, Melkiory C., 2008. "Using the Hawthorne Effect to Examine the Gap Between a Doctor's Best Possible Practice and Actual Performance," Working Papers 36693, University of Maryland, Department of Agricultural and Resource Economics.
- 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.
- 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.
- Mæstad, Ottar & Torsvik, Gaute, 2008.
"Improving the quality of health care when health workers are in short supply,"
Working Papers in Economics
14/08, University of Bergen, Department of Economics.
- Ottar Mæstad & Gaute Torsvik, 2008. "Improving the Quality of Health Care when Health Workers are in Short Supply," CMI Working Papers 12, CMI (Chr. Michelsen Institute), Bergen, Norway.
- 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.
- 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.
- Steven D. Levitt & John A. List, 2007. "What Do Laboratory Experiments Measuring Social Preferences Reveal About the Real World?," Journal of Economic Perspectives, American Economic Association, vol. 21(2), pages 153-174, Spring.
- Mæstad, Ottar & Torsvik, Gaute & Aakvik, Arild, 2010. "Overworked? On the relationship between workload and health worker performance," Journal of Health Economics, Elsevier, vol. 29(5), pages 686-698, September.
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