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Long-Run Effects of Temporary Incentives on Medical Care Productivity
- Publication Year :
- 2015
- Publisher :
- World Bank, Washington, DC, 2015.
-
Abstract
- The adoption of new clinical practice patterns by medical care providers is often challenging, even when the patterns are believed to be efficacious and profitable. This paper uses a randomized field experiment to examine the effects of temporary financial incentives paid to medical care clinics for the initiation of prenatal care in the first trimester of pregnancy. The rate of early initiation of prenatal care was 34 percent higher in the treatment group than in the control group while the incentives were being paid, and this effect persisted at least 15 months and likely 24 months or more after the incentives ended. These results are consistent with a model where the incentives enable providers to address the fixed costs of overcoming organizational inertia in innovation, and suggest that temporary incentives may be effective at motivating improvements in long-run provider performance at a substantially lower cost than permanent incentives.
- Subjects :
- SYMPTOMS
CHILDREN
HEALTH INSURANCE
CHILD HEALTH
DISEASE
MEASUREMENT
PHYSICIANS
WEIGHT LOSS
PRIMARY CARE
FINANCING
ADOLESCENTS
LOW BIRTH WEIGHT
IMPLEMENTATION
QUALITY OF HEALTH
PHYSICIAN
PREMATURE BIRTH
HEALTH CONDITIONS
POPULATION
HEALTH PROGRAMS
PERSONALITY
INCOME
MEDICAL OFFICER
WORKERS
INCENTIVES
PUBLIC HOSPITALS
PILL
HEALTH OUTCOMES
MEDICAID
HEALTH
SMOKING
MEDICAL RECORDS
INTERVENTION
HEALTH ORGANIZATION
CLINICAL TRIALS
REHABILITATION
CLINICAL PRACTICE
HOSPITAL PERSONNEL
HEALTH ECONOMICS
EXERCISE
PATIENT
EVALUATION
PATIENTS
COUNSELING
HEALTH FACILITIES
GENERAL PRACTITIONERS
RANDOMIZED CONTROLLED TRIALS
COMMUNITY HEALTH
BIRTH CONTROL
HYPERTENSION
MEDICINE
MORTALITY
MEDICAL EDUCATION
HEALTH PROFESSIONALS
HEALTH CLINICS
PREVENTION
SCREENING
RISKS
CLINICS
INTERVIEW
HOSPITALS
PHARMACISTS
HEALTH SECTOR
WORKPLACE
COSTS
MARKETING
PREGNANT WOMEN
PNEUMONIA
HIV TESTING
FEES
DEMAND
QUALITY OF HEALTH CARE
VACCINE
ANTENATAL CARE
PREVENTIVE MEDICINE
OLDER CHILDREN
EPIDEMIOLOGY
DIABETES
GENERAL PRACTICE
PHARMACY
MEDICAL PERSONNEL
HEALTH POLICY
PAIN
TREATMENT
CHOICE
CANCER
MEDICAL SCIENCE
HEALTH WORKERS
PROBABILITY
PUBLIC HEALTH CARE
ADDICTION
PREGNANCY
HEALTH CARE
INFECTIONS
OBESITY
EFFECTS
INSURANCE
PRENATAL CARE
NUTRITION
PUBLIC HEALTH
EQUITY
HYGIENE
MEDICAL SCHOOLS
SMOKERS
BIRTH
MEDICAL CARE
DOCTORS
HOSPITAL RECORDS
ILLNESS
FIXED COSTS
PSYCHOLOGY
NEWBORN HEALTH
MORBIDITY
SMOKING CESSATION
PEDIATRICS
KNOWLEDGE
CHILD HEALTH SERVICES
ANEMIA
PRIMARY HEALTH CARE
HEALTH RESULTS
SEROLOGY
WELLNESS
HIV
MEDICAL TREATMENT
CARE
SLEEP
DIARRHEA
MATERNAL AND CHILD HEALTH
LIFE
PREGNANT WOMAN
BIRTH WEIGHT
HEALTH SERVICES
OBSERVATION
HEALTH CARE FACILITIES
NURSES
WEIGHT
HEALTH TARGETS
ALL
TETANUS
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.od......2456..52fbfa22b707872c9a48f0199fcf76e1