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
    improving patient experience
    6 Ways to Improve Patient Satisfaction Within Hospitals
    December 1, 2021
    degree for healthcare job
    What Are The Health Benefits Of Having A Degree?
    March 9, 2022
    custom software development is changing healthcare
    Digital Customer Journey Mapping and its Importance for Healthcare
    July 21, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 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
    Can Thinking Younger Make You Live Longer?
    April 20, 2011
    Image
    Obesity’s Outlook Unchanged
    June 13, 2011
    When It’s An Emergency Elderly Not Treated As Well in Hospitals
    July 16, 2011
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 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
Last updated: September 17, 2011 7:54 am
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

Six Ideas and Questions for GAVI’s New CEO
89 New ACOs in the MSSP – iHT2 Special Report
Professions of Interest in the Medical Field
Visit Your Parents…or Else
Let a Thousand Free Markets Bloom

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

Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025
Learn how to Renew your Medical Card in West Virginia
Learn how to Renew your Medical Card in West Virginia
Health
May 15, 2025
Dr. Klaus Rentrop Shares Acute Myocardial Infarction heart treatment
Dr. Klaus Rentrop Shares Acute Myocardial Infarction
Cardiology
May 13, 2025

You Might also Like

Enhancing Medical Technologies in Developing Nations

July 18, 2016
you need to know both how to prevent railway accidents and recover from them
Global HealthcareHealth care

Knowing How to Prevent and Recover from Railway Accidents

March 14, 2022
Image
Global Healthcare

Market for Obesity Products in India

May 31, 2011

Cancer Scare for Coke, Pepsi Drinkers

March 24, 2011
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?