Work

Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes

Year: 2013

Type: report

Abstract: We 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.

Source: National Bureau of Economic Research

DOI: 10.3386/w19046

Authors: Paul Gertler, Christel Vermeersch

Institutions: National Bureau of Economic Research, University of California, Berkeley, World Bank

Language: English

Topic: Primary Care and Health Outcomes

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: green

Funders: World Bank Group, Economic and Social Research Council

OpenAlex ID: W2146160068

Cites: 42

Cited by: 42

Related to: 10