Investigating the impact of payment mechanisms on clinicians' behaviour

July 2013
Duane Blaauw, Mylene Largarde, Prudence Ditlopo

Economic behaviour suggests that the way healthcare providers are paid (e.g. monthly salary, fee-for-service, capitation), can influence their behaviour which in turn can affect both the quality and efficiency of care. However, evidence on these effects is mixed and limited by a number of methodological challenges. 

The overall aim of the research is to investigate the impact of different provider payment mechanisms on individual decision making. This initial phase of research will be conducted under laboratory conditions, using hypothetical clinical scenarios. In subsequent phases of research, a more realistic evaluation of changes introduced under South African National Health Insurance policy will be undertaken. 

Health workforce Doctors incentives South Africa