By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    sailing health benefits
    Essential Gear to Enjoy the Health Benefits of Sailing
    March 7, 2024
    Gut Health in Athletes: Nutrition, Hydration, and Performance Optimization preview
    Gut Health in Athletes: Nutrition, Hydration, and Performance Optimization
    June 6, 2024
    healthcare facility expansion is to carry out a complete needs assessment
    How to Implement Strategic Facility Growth Planning for Healthcare Centers
    August 11, 2024
    Latest News
    5 Steps to a Promising Career as a Healthcare Administrator
    August 3, 2025
    Why Custom Telemedicine Apps Outperform Off‑the‑Shelf Solutions
    July 20, 2025
    How Probate Planning Shapes the Future of Your Estate and Family Care
    July 17, 2025
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Hurricane Preparedness Tips for Older Adults & Caretakers
    September 17, 2012
    A Doctor Pans Electronic Health Record Incentives
    December 24, 2011
    Heart Disease Prevention
    Fighting Heart Disease Using the Web: 3 Tips for Success
    November 20, 2012
    Latest News
    How IT and Marketing Teams Can Collaborate to Protect Patient Trust
    July 17, 2025
    How Health Choices and Legal Actions Intersect After an Injury
    July 17, 2025
    How communities and healthcare providers can address slip and fall injuries with legal awareness
    July 17, 2025
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Peer for Performance – Financial Incentives in Global Health
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Global Healthcare > Peer for Performance – Financial Incentives in Global Health
Global Healthcare

Peer for Performance – Financial Incentives in Global Health

Amanda Glassman
Amanda Glassman
Share
3 Min Read
SHARE

 

Global health-ers are increasingly focused on the potential of financial incentives to improve coverage and quality of health services in low- and middle-income countries.

 

Global health-ers are increasingly focused on the potential of financial incentives to improve coverage and quality of health services in low- and middle-income countries.

More Read

VIVUS, Inc., Presses the Case for Obesity Drug Qnexa, Market Success
The Ministry of Health in Oman Moves from Analog to Digital Radiography
Is it Possible to Sue A Hospital For Malpractice?
Mobile Health Around the Globe: Health eVillages Helps Improve Quality of Care in Haiti
Everything You Need to Know About Becoming a Pharmacist

CGD ran a whole working group dedicated to financial incentives (see here) and the World Bank –with UK and Norway support- launched a $500 million trust fund to build out and test results-based funding (RBF) to health providers (see here). All this was nice theoretically, but there was little rigorous evidence that RBF was effective on the supply-side. Finally, in April of this year, a first impact evaluation in Rwanda came out (here), reporting large, positive and significant results in the use of institutional deliveries and well child visits as well as increases in the quality of prenatal care.  Other impact evaluations are in the works.

However, as anyone who has ever presented the case for financial incentives knows, the first questions out of the crowd –particularly if you’re talking to medical professionals- are “What about intrinsic motivation? What about professional ethics?” Some observers worry that financial incentives actually crowd out intrinsic motivations like professionalism and altruism by “commodifying” health care.

Over the past years, the University of Maryland’s Ken Leonard and co-authors have been analyzing intrinsic motivation and its relationship to quality of care in Tanzania (see a full list of Ken’s papers here). In a sample of 39 health facilities in the rural and urban areas of Arusha, Ken and his co-author Melkiory Masatu find that when doctors’ interactions with patients are being watched by peers (MDs that are part of Ken’s research team), there is a significant jump in quality. For doctors that are never observed, there is no significant change in quality. However, the “Hawthorne effect” is temporary; quality rapidly returns to levels similar to those found in the absence of a research team. In another paper co-authored with Michelle Brock and Andreas Lange, a small sample field experiment finds that the average health worker is quite responsive to peer scrutiny and increases his/her effort significantly in response to encouragement.

More work from Ken and his collaborators is in store this year and next, but these results are extraordinarily interesting, particularly in light of concerns around cash incentives to providers. As always, new findings elicit more questions:

  • Are intrinsic motivation strategies more cost-effective than extrinsic motivation to improve quality of care at the margin?
  • Is there evidence that financial incentives crowd out intrinsic motivations?
  • How do both kinds of strategies compare to traditional donor-funded approaches to quality improvement such as training and capacity-building?
TAGGED:financial incentives
Share This Article
Facebook Copy Link Print
Share
By Amanda Glassman
As a healthcare blogger and author, I have been writing about the latest developments in the medical field for over 10 years. My work has been featured on various online publications, including Healthline and WebMD. I am passionate about educating people on how to stay healthy through proper nutrition and exercise practices. In addition to my blog posts, I have also authored several books that focus on health topics such as dieting tips, disease prevention strategies, and mental health awareness initiatives. My goal is to provide readers with reliable information so they can make informed decisions regarding their well-being.

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

technology in medical research
The Tools Helping Medical Researchers See the Full Picture
News Technology
August 3, 2025
5 Steps to a Promising Career as a Healthcare Administrator
5 Steps to a Promising Career as a Healthcare Administrator
Health
July 31, 2025
holistic dental
Holistic Dentist Services Are Natural and Safe
Dental health Specialties
July 28, 2025
botox certification
Help Improve People’s Skin Health Via Botox Certification
Skin Specialties
July 22, 2025

You Might also Like

changes brought on by blockchain in healthcare
Global HealthcarePolicy & LawTechnology

Advantages Of Blockchain in The Healthcare Industry

April 21, 2022
BHM Healthcare Solutions can help you improve your measures - call 1-888-831-1171 today or email results@bhmpc.com
Global HealthcarePublic Health

Why the U.S. Healthcare System Ranks Worst in the Developed World

July 15, 2014

Let a Thousand Free Markets Bloom

December 10, 2011

Melinda Gates Talks Birth Control and Contraception

April 13, 2012
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?