A new look at physicians’ responses to financial incentives: Quality of care, practice characteristics, and motivations

Brosig-Koch, Jeannette; Hennig-Schmidt, Heike; Kairies-Schwarz, Nadja; Kokot, Johanna; Wiesen, Daniel

doi:10.1016/j.jhealeco.2024.102862

Cited by 7 publications

(3 citation statements)

References 94 publications

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“…Previous study showed that the implementation of a nancial incentives could increase the motivations and attitudes of physicians [7] or improve medical service behavior [21]. These ndings con rmed this conclusion.…”

Section: Discussionsupporting

confidence: 57%

“…The incentive factors of the urban-rural medical consortium included the following: (1) economic returns, (2) position promotion, (3) professional title promotion, (4) reward, (5) expanding fame, (6) obtaining respect, (7) improving professional status, and (8) improving professional skills from participating in the urban-rural medical consortium. The participants indicated their perception level from "low," "medium" and "high.…”

Section: Data Measuresmentioning

confidence: 99%

“…A literature review revealed that over half of the studies reported positive impacts of performance-based incentives on improving physicians performance [5]. However, a recent study showed that nancial incentives did not signi cantly affect the quality of health care but did affect the motivations and attitudes of physicians [7]. The research thought that nancial incentives may only play a limited role in improving health care quality and should not be the only solution [8].…”

Section: Introductionmentioning

confidence: 99%

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Incentive affects physicians’ willingness to participate in urban-rural medical consortia: A comparative study of county and provincial hospitals in Central China

Zhang,

Ma,

et al. 2024

Preprint

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Objectives This study had three aims: (a) to examine the incentive measures that effectively affect physicians’ willingness to participate in urban-rural medical consortia. (b) to analyze the differences in the level of incentives implemented by county and provincial hospitals. (c) to identify the differences in incentive effects on county-level and provincial-level physicians’ willingness to participate in projects. Methods An online survey in Henan Province, Central China, was conducted among 1,837 physicians, comprising 1,088 respondents from county hospitals and 749 respondents from provincial hospitals. Participants reported their demographic characteristics, altruism, collaborative projects, incentive levels and willingness to participate. Chi-square and cumulative logistic regressions were used to determine the incentive factors of participants’ willingness. Results (a) For all participants, the level of economic returns and rewards were positively associated with willingness to participate in urban-rural medical consortia, while the level of professional title and status promotion were negatively associated with physicians’ willingness to participate. (b) County-level hospitals had lower level of various incentives for urban-rural medical consortium projects than provincial hospitals. (c) County-level physicians who had a high level of position promotion and professional skills improvement and provincial physicians who had a high level of economic returns and rewards had a high level of willingness to participate in urban-rural medical consortia. Conclusion This result reveals the effectiveness of the financial incentive mechanism and the issue of inadequate implementation of non-financial incentive measures. Comprehensive incentive mechanisms should be established to increase county-level doctors’ perceptions of the benefits of incentives. The rules of financial incentives should be dominated by value-based incentives rather than volume, and non-financial incentives should be standardized implemented for provincial hospitals.

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Section: Discussionsupporting

confidence: 57%

Section: Data Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incentive affects physicians’ willingness to participate in urban-rural medical consortia: A comparative study of county and provincial hospitals in Central China

Zhang,

Ma,

et al. 2024

Preprint

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show abstract

Strategic behaviour and decision making in competitive hospital markets: an experimental investigation

Han,

Kairies-Schwarz,

Vomhof

2024

Int J Health Econ Manag.

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We investigate quality provision and the occurrence of strategic behaviour in competitive hospital markets where providers are assumed to be semi-altruistic towards patients. For this, we employ a laboratory experiment with a hospital market framing. Subjects decide on the quality levels for one of three competing hospitals respectively. We vary the organizational aspect of whether quality decisions within hospitals are made by individuals or teams. Realized monetary patient benefits go to real patients outside the lab. In both settings, we find that degrees of cooperation quickly converge towards negative values, implying absence of collusion and patient centred or competitive quality choices. Moreover, hospitals treat quality as a strategic complement and adjust their quality choice in the same direction as their competitors. The response magnitude for team markets is weaker; this is driven by non-cooperative or altruistic teams, which tend to set levels of quality that are strategically independent.

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Which factors influence the decision of hospitals to provide procedures on an outpatient basis? –Mixed-methods evidence from Germany

Messerle,

Hoogestraat,

Wild

2024

Health Policy

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A new look at physicians’ responses to financial incentives: Quality of care, practice characteristics, and motivations

Cited by 7 publications

References 94 publications

Incentive affects physicians’ willingness to participate in urban-rural medical consortia: A comparative study of county and provincial hospitals in Central China

Incentive affects physicians’ willingness to participate in urban-rural medical consortia: A comparative study of county and provincial hospitals in Central China

Strategic behaviour and decision making in competitive hospital markets: an experimental investigation

Which factors influence the decision of hospitals to provide procedures on an outpatient basis? –Mixed-methods evidence from Germany

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