Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda
Can extrinsic incentives motivate faith-based healthcare providers? This paper challenges the finding that religious providers are intrinsically motivated to serve (poor) patients, and that extrinsic incentives may crowd-out such motivation. We use a unique panel of output and expenditure data from...
| Main Authors: | , |
|---|---|
| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Elsevier
2019
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/146786 |
| _version_ | 1855539754607575040 |
|---|---|
| author | Duchoslav, Jan Cecchi, Francesco |
| author_browse | Cecchi, Francesco Duchoslav, Jan |
| author_facet | Duchoslav, Jan Cecchi, Francesco |
| author_sort | Duchoslav, Jan |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Can extrinsic incentives motivate faith-based healthcare providers? This paper challenges the finding that religious providers are intrinsically motivated to serve (poor) patients, and that extrinsic incentives may crowd-out such motivation. We use a unique panel of output and expenditure data from small faith-based nonprofit healthcare facilities in Uganda to estimate the effect of introducing performance-based financing. The output of the observed facilities is less than 50% of their potential. Performance-based financing increases output and efficiency robustly by at least 27%, with no apparent reduction in the perceived quality of services. Religious nonprofit healthcare providers may well be intrinsically motivated, but respond positively to extrinsic incentives. Whether working for god or not, incentives matter. |
| format | Journal Article |
| id | CGSpace146786 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Elsevier |
| publisherStr | Elsevier |
| record_format | dspace |
| spelling | CGSpace1467862024-10-25T08:05:23Z Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda Duchoslav, Jan Cecchi, Francesco extrinsic incentives incentives non-governmental organizations financing health care religious groups Can extrinsic incentives motivate faith-based healthcare providers? This paper challenges the finding that religious providers are intrinsically motivated to serve (poor) patients, and that extrinsic incentives may crowd-out such motivation. We use a unique panel of output and expenditure data from small faith-based nonprofit healthcare facilities in Uganda to estimate the effect of introducing performance-based financing. The output of the observed facilities is less than 50% of their potential. Performance-based financing increases output and efficiency robustly by at least 27%, with no apparent reduction in the perceived quality of services. Religious nonprofit healthcare providers may well be intrinsically motivated, but respond positively to extrinsic incentives. Whether working for god or not, incentives matter. 2019-01 2024-06-21T09:08:44Z 2024-06-21T09:08:44Z Journal Article https://hdl.handle.net/10568/146786 en Open Access Elsevier Duchoslav, Jan; and Cecchi, Francesco. 2019. Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda. World Development 113(January 2019): 309-319. https://doi.org/10.1016/j.worlddev.2018.09.011 |
| spellingShingle | extrinsic incentives incentives non-governmental organizations financing health care religious groups Duchoslav, Jan Cecchi, Francesco Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda |
| title | Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda |
| title_full | Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda |
| title_fullStr | Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda |
| title_full_unstemmed | Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda |
| title_short | Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda |
| title_sort | do incentives matter when working for god the impact of performance based financing on faith based healthcare in uganda |
| topic | extrinsic incentives incentives non-governmental organizations financing health care religious groups |
| url | https://hdl.handle.net/10568/146786 |
| work_keys_str_mv | AT duchoslavjan doincentivesmatterwhenworkingforgodtheimpactofperformancebasedfinancingonfaithbasedhealthcareinuganda AT cecchifrancesco doincentivesmatterwhenworkingforgodtheimpactofperformancebasedfinancingonfaithbasedhealthcareinuganda |