Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 545611
Title Do incentives matter when working for god? The impact of performance-based financing on faith-based healthcare in Uganda
Author(s) Duchoslav, Jan; Cecchi, Francesco
Source World Development 113 (2019). - ISSN 0305-750X - p. 309 - 319.
DOI https://doi.org/10.1016/j.worlddev.2018.09.011
Department(s) Development Economics
WASS
Publication type Refereed Article in a scientific journal
Publication year 2019
Keyword(s) Efficiency of healthcare delivery - Extrinsic incentives - Performance-based financing - Religious nonprofit organizations - Uganda
Abstract

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.

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