John Peabody|Riti Shimkhada|Stella Quimbo|Jhiedon Florentino|Marife Bacate|Charles E. McCulloch|Orville Solon
Financial Incentives And Measurement Improved Physicians’ Quality Of Care In The Philippines
University of California, Los Angeles|University of California, San Francisco|Los Angeles County Department of Health Services|University of California, Los Angeles|University of the Philippines System|United States Agency for International Development|Asian Development Bank Institute|University of California, San Francisco|University of the Philippines System
merits using financial incentives improve clinical quality much appeal yet studies rigorously assessed potential benefits uncertainty surrounding assessments quality lead poor policy decisions possibly resulting increased cost little quality improvement missed opportunities improve care conducted experiment involving physicians thirty philippine hospitals overcomes many limitations previous studies measured clinical performance examined whether modest bonuses equal 5 percent physicians salary well systemlevel incentives increased compensation hospitals across groups physicians led improvements quality care found bonus systemlevel incentives improved scores quality measurement system used study ten percentage points findings suggest careful measurement combined types incentives studied may larger impact quality previously recognized