Crowding out or no crowding out? A Self-Determination Theory approach to health worker motivation in performance-based financing
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- 作者：Julia Lohmanna ; julia.lohmann@uni-heidelberg.de" class="auth_mail" title="E-mail the corresponding author ; Nathalie Houlfortb ; houlfort.nathalie@uqam.ca" class="auth_mail" title="E-mail the corresponding author ; Manuela De Allegria ; manuela.de.allegri@urz.uni-heidelberg.de" class="auth_mail" title="E-mail the corresponding author
- 关键词：Motivation ; Incentives ; Health workers ; Crowding out effect ; Performance-based financing ; Self-Determination Theory
- 刊名：Social Science & Medicine
- 出版年：2016
- 出版时间：November 2016
- 年：2016
- 卷：169
- 期：Complete
- 页码：1-8
- 全文大小：577 K
文摘
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Performance-based financing (PBF) might crowd out intrinsic work motivation (IM).
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Negative impact on performance is likely, even if positive motivational net effect.
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However, a well-designed PBF intervention also has potential to enhance IM.
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Self-determination theory offers insight into when, how, and why PBF affects IM.