We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Bonus Scheme, Motivation Crowding-out and Quality of the Doctor-Patient Encounters in Chinese Public Hospitals.
- Authors
Qian, Jiwei; He, Alex Jingwei
- Abstract
Methods of paying health providers have been extensively studied in health economics. Bonus as a powerful incentive has been widely used to boost staff morale and improve productivity in hospitals. This may, however, also create unintended consequences. This study analyzes primary data collected from a physician survey in China and demonstrates that the extensive use of quantity-based bonuses has not only led to the provision of unnecessary care but also crowded out physician’s intrinsic motivations, resulting in a decline in the quality of services. More appropriate physician remuneration mechanisms must be introduced in China’s ongoing health reform.
- Subjects
CHINA; MEDICAL economics; EMPLOYEE bonuses; MEDICAL care; HEALTH care reform; PHYSICIAN salaries
- Publication
Public Organization Review, 2018, Vol 18, Issue 2, p143
- ISSN
1566-7170
- Publication type
Article
- DOI
10.1007/s11115-016-0366-y