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...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2012/06/16404683/using-performance-incentives-improve-health-outcomes http://hdl.handle.net/10986/9316 |
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okr-10986-9316 |
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oai_dc |
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Digital Repository |
| institution_category |
Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| language |
English en_US |
| topic |
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 |
| spellingShingle |
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 Gertler, Paul Vermeersch, Christel Using Performance Incentives to Improve Health Outcomes |
| relation |
Policy Research Working Paper; No. 6100 |
| description |
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. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Gertler, Paul Vermeersch, Christel |
| author_facet |
Gertler, Paul Vermeersch, Christel |
| author_sort |
Gertler, Paul |
| title |
Using Performance Incentives to Improve Health Outcomes |
| title_short |
Using Performance Incentives to Improve Health Outcomes |
| title_full |
Using Performance Incentives to Improve Health Outcomes |
| title_fullStr |
Using Performance Incentives to Improve Health Outcomes |
| title_full_unstemmed |
Using Performance Incentives to Improve Health Outcomes |
| title_sort |
using performance incentives to improve health outcomes |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2012/06/16404683/using-performance-incentives-improve-health-outcomes http://hdl.handle.net/10986/9316 |
| _version_ |
1764409296144039936 |
| spelling |
okr-10986-93162021-04-23T14:02:45Z Using Performance Incentives to Improve Health Outcomes Gertler, Paul Vermeersch, Christel 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 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. 2012-06-29T18:59:28Z 2012-06-29T18:59:28Z 2012-06 http://documents.worldbank.org/curated/en/2012/06/16404683/using-performance-incentives-improve-health-outcomes http://hdl.handle.net/10986/9316 English en_US Policy Research Working Paper; No. 6100 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research |