Performance pay, productivity, and strategic opt-out: Evidence from a community health center

• 成果类型: Article
• 署名作者: Cadena, Brian C.; Smith, Austin C.
• 署名单位: University of Colorado System; University of Colorado Boulder; IZA Institute Labor Economics; University System of Ohio; Miami University
• 刊物名称: JOURNAL OF PUBLIC ECONOMICS
• ISSN/ISSBN: 0047-2727
• DOI: 10.1016/j.jpubeco.2021.104580
• 发表日期: 2022
• 关键词: piece rates; Incentive pay; Medical providers

摘要

We use data from a health center serving primarily low-income patients to examine medical providers' output responses to a change from a salary-based compensation plan to one that rewards providers for seeing more patients each month. Providers working for piece rates produce 18 percent more patient encounters, but only a small portion of this increase was due to individual responses to the incentives. The remainder resulted from changes in workforce composition and from providers' strategic choices about when to join the piece-rate plan. The small incentive effect is consistent with experimental evi-dence that effort is less sensitive to financial incentives when individuals work for an organization whose mission is aligned with their values. (c) 2021 Elsevier B.V. All rights reserved.