Dokument: Physicians’ incentives, patients’ characteristics, and quality of care: a systematic experimental comparison of performance-pay systems
| Titel: | Physicians’ incentives, patients’ characteristics, and quality of care: a systematic experimental comparison of performance-pay systems | |||||||
| URL für Lesezeichen: | https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=71128 | |||||||
| URN (NBN): | urn:nbn:de:hbz:061-20251027-125645-7 | |||||||
| Kollektion: | Publikationen | |||||||
| Sprache: | Englisch | |||||||
| Dokumententyp: | Wissenschaftliche Texte » Artikel, Aufsatz | |||||||
| Medientyp: | Text | |||||||
| Autoren: | Kairies-Schwarz, Nadja [Autor] Brosig-Koch, Jeannette [Autor] Groß, Mona [Autor] Hennig-Schmidt, Heike [Autor] Wiesen, Daniel [Autor] | |||||||
| Dateien: |
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| Stichwörter: | Heterogeneous patients , Fee-for-service , Treatment quality , Capitation , Pay for performance , Laboratory experiment | |||||||
| Beschreibung: | How performance pay affects physicians’ medical service provision and the quality of care is relevant for researchers and policy-makers alike. This paper systematically studies how performance pay, complementing either fee-for-service or capitation, affects physicians’ medical service provision and the quality of care for heterogeneous patients. Using a series of controlled behavioral experiments with physicians and students, we test the incentive effect of performance pay at a within-subject level. We consider a performance pay scheme which grants a discrete bonus if a quality threshold is reached, which varies with the patients’ severity of illness. We find that performance pay significantly reduces non-optimal service provision and enhances the quality of care. Effect sizes depend on the patients’ severity of illness and whether performance pay is blended with fee-for-service or capitation. Health policy implications, including a cost benefit analysis of introducing performance pay, are discussed. | |||||||
| Rechtliche Vermerke: | Originalveröffentlichung:
Brosig-Koch, J., Groß, M., Hennig-Schmidt, H., Kairies-Schwarz, N., & Wiesen, D. (2025). Physicians’ incentives, patients’ characteristics, and quality of care: a systematic experimental comparison of performance-pay systems. International Journal of Health Economics and Management , 25(2), 217–243. https://doi.org/10.1007/s10754-025-09390-x | |||||||
| Lizenz: |  Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz | |||||||
| Fachbereich / Einrichtung: | Medizinische Fakultät | |||||||
| Dokument erstellt am: | 27.10.2025 | |||||||
| Dateien geändert am: | 27.10.2025 |
