Using Performance Incentives to Improve Health Outcomes

This study examines the effect of performance incentives for health care providers to provide more and higher quality care in Rwanda on child health outcomes. The authors find that the incentives had a large and significant effect on the weight-for...

Full description

Bibliographic Details
Main Authors:	Gertler, Paul, Vermeersch, Christel
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2012
Subjects:	ACUTE MYOCARDIAL INFARCTION AGE GROUPS ALCOHOL ALCOHOL USE ANEMIA BABY BABY CARE BLEEDING BREAST MILK BREAST-FEEDING BULLETIN CAPACITY BUILDING CASE MANAGEMENT CHILD CARE CHILD GROWTH MONITORING CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MEDICAL CARE CHILD MORTALITY CHILD MORTALITY RATES CHILD NUTRITION CHRONIC MALNUTRITION CLEANLINESS CLINICAL PRACTICE CLINICAL SERVICES CLINICS COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMMUNITY HEALTH WORKERS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USAGE CONTRACEPTIVE USERS CONTRACEPTIVES DEATHS DEVELOPING COUNTRIES DEVELOPMENT POLICY DIABETES DIAGNOSIS DIARRHEA DIET DISSEMINATION DISTRICT HOSPITAL DOCTORS DRUGS EARLY PREGNANCY EMERGENCIES ETHICAL STANDARDS EXPENDITURES FAMILIES FAMILY PLANNING FETUS FEVER FINANCIAL MANAGEMENT GENOCIDE GLOBAL HEALTH HEALTH CARE HEALTH CARE INSTITUTIONS HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CLINICS HEALTH CONDITIONS HEALTH ECONOMICS HEALTH FACILITIES HEALTH FACILITY HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH TARGETS HEALTH WORKERS HEALTH-CARE PROVIDERS HIGH BLOOD PRESSURE HIGH-RISK HIV HOSPITAL HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS INCOME INDIVIDUAL CHARACTERISTICS INFANT INFANT MORTALITY INFANTS INFECTION INFORMATION CAMPAIGNS INTERVENTION JOURNAL OF MEDICINE LAB TESTS LABOR SUPPLY LEVELS OF KNOWLEDGE LIVE BIRTHS LOW BIRTH WEIGHT LOW-INCOME COUNTRIES MALARIA MALARIA PROPHYLAXIS MALNOURISHED CHILDREN MATERNAL AND CHILD HEALTH MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEIGHT MATERNAL MORTALITY MEDICAL CARE MEDICAL DOCTORS MEDICAL EQUIPMENT MEDICAL PERSONNEL MEDICAL PRACTICE MEDICAL SERVICES MEDICAL SUPPLIES MEDICAL TECHNICIANS MICRONUTRIENTS MIDWIVES MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MISCARRIAGES MODERN CONTRACEPTION MORTALITY MOSQUITO NETS MOTHER MYOCARDIAL INFARCTION NATIONAL HEALTH NAUSEA NUMBER OF CHILDREN NUMBER OF WOMEN NURSES NUTRITION NUTRITIONAL ADVICE OBSTETRIC SERVICES OLDER CHILDREN OWNERSHIP OF LAND PAP SMEAR PATIENT PATIENTS PHARMACY PHYSICAL EXAMINATIONS PHYSICIAN PHYSICIANS POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POSTNATAL CARE PRACTITIONERS PREGNANCY PREGNANCY STATUS PREGNANT WOMAN PREGNANT WOMEN PRENATAL CARE PRIMARY CARE PRIMARY EDUCATION PRIMARY HEALTH-CARE PRIMARY SCHOOL PROBABILITY PROGRESS PROPHYLAXIS PROVIDER INCENTIVES PROVIDER PAYMENT QUALITY CARE QUALITY CONTROL QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY SERVICES RESOURCE CONSTRAINTS RISK PREGNANCIES RURAL AREAS SERVICE DELIVERY SEX SEXUALLY TRANSMITTED INFECTIONS SMEAR TEST SOCIAL AFFAIRS SOCIAL NORMS SOCIAL RESEARCH SOCIOECONOMIC STATUS STAGES OF LIFE SYMPTOM SYMPTOMS TETANUS TOBACCO TOBACCO USE TREATMENT TROPICAL MEDICINE TUBERCULOSIS URINE SAMPLE VACCINATION VACCINE VACCINES VOMITING WEIGHT GAIN WEIGHT LOSS WOMAN WORKERS WORLD HEALTH ORGANIZATION
Online Access:	http://documents.worldbank.org/curated/en/2012/06/16404683/using-performance-incentives-improve-health-outcomes http://hdl.handle.net/10986/9316

Description
Summary:	This study examines the effect of performance incentives for health care providers to provide more and higher quality care in Rwanda on child health outcomes. The authors find that the incentives had a large and significant effect on the weight-for-age of children 0-11 months and on the height-for-age of children 24-49 months. They attribute this improvement to increases in the use and quality of prenatal and postnatal care. Consistent with theory, They find larger effects of incentives on services where monetary rewards and the marginal return to effort are higher. The also find that incentives reduced the gap between provider knowledge and practice of appropriate clinical procedures by 20 percent, implying a large gain in efficiency. Finally, they find evidence of a strong complementarity between performance incentives and provider skill.

Using Performance Incentives to Improve Health Outcomes

Similar Items