Incentives for dentists in public service: evidence from a natural experiment

Martin Chalkley, Colin Tilley, Linda Young, Debbie Bonetti, Jan Clarkson

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    17 Citations (Scopus)

    Abstract

    How can independent physician contractors be motivated to contribute to public service health care? We consider evidence, derived from a natural experiment in the UK publicly funded dental care system, concerning the efficacy of using a contractual mechanism that provides explicit rewards for increased service provision against the alternative of offering an employment-like relationship. We find that dentists who were moved from quasi-employment to an activity-based incentive contract increased their activity in the publicly funded service by 26%. We also find and quantify evidence of considerable variation between suppliers, which suggests that factors such as an individual's intrinsic motivation, professional standards, and preferences are important moderators of financial incentives.

    Original languageEnglish
    Pages (from-to)I207-I223
    Number of pages17
    JournalJournal of Public Administration Research and Theory
    Volume20
    DOIs
    Publication statusPublished - Jul 2010

    Keywords

    • NATIONAL-HEALTH-SERVICE
    • DENTAL-CARE
    • CHILDREN
    • ACCESS
    • MOTIVATION
    • MEDICAID
    • BEHAVIOR
    • QUALITY
    • PRIVATE
    • KNIGHTS

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