Using Performance Incentives to Improve Health Outcomes

41 Pages Posted: 20 Apr 2016  

Paul J. Gertler

University of California, Berkeley - Haas School of Business; National Bureau of Economic Research (NBER)

Christel Vermeersch

World Bank

Date Written: June 1, 2012

Abstract

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.

Keywords: Health Monitoring & Evaluation, Population Policies, Health Systems Development & Reform, Disease Control & Prevention, Adolescent Health

Suggested Citation

Gertler, Paul J. and Vermeersch, Christel, Using Performance Incentives to Improve Health Outcomes (June 1, 2012). World Bank Policy Research Working Paper No. 6100. Available at SSRN: https://ssrn.com/abstract=2089240

Paul J. Gertler (Contact Author)

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

University of California, Berkeley - Haas School of Business ( email )

545 Student Services Building, #1900
2220 Piedmont Avenue
Berkeley, CA 94720
United States
510-642-1418 (Phone)
510-642-4700 (Fax)

Christel Vermeersch

World Bank ( email )

Register to save articles to
your library

Register

Paper statistics

Downloads
200
rank
137,466
Abstract Views
1,034
PlumX