Show simple item record

Multitasking and Heterogeneous Treatment Effects in Pay-for-Performance in Health Care: Evidence from Rwanda

dc.contributor.author Sherry, TB
dc.contributor.author Bauhoff, S
dc.contributor.author Mohanan, M
dc.date.accessioned 2016-12-02T14:47:40Z
dc.date.issued 2015-08-01
dc.identifier.uri https://hdl.handle.net/10161/13111
dc.description.abstract Performance-based contracting is particularly challenging in health care, where multiple agents, information asymmetries and other market failures compound the critical contracting concern of multitasking. As performance-based contracting grows in developing countries, it is critical to better understand not only intended program impacts on rewarded outcomes, but also unintended program impacts such as multitasking and heterogeneous program effects in order to guide program design and scale-up. We use two waves of data from the Rwanda Demographic and Health Surveys collected before and after the quasi-randomized roll-out of Rwanda’s national pay-for-performance (P4P) program to analyze impacts on utilization of healthcare services, health outcomes and unintended consequences of P4P. We find that P4P improved some rewarded services, as well as some services that were not directly rewarded, but had no statistically significant impact on health outcomes. We do not find evidence that clearly suggests multitasking. We find that program effects vary by baseline levels of facility quality, with most improvements seen in the medium quality tier.
dc.publisher University of Chicago Press
dc.relation.ispartof Economic Research Initiatives at Duke (ERID) Working Paper
dc.subject Pay for Performance
dc.subject Evaluation
dc.subject Multitasking
dc.subject Heterogeneity
dc.subject Contract
dc.title Multitasking and Heterogeneous Treatment Effects in Pay-for-Performance in Health Care: Evidence from Rwanda
dc.type Journal article
duke.contributor.id Mohanan, M|0513333
pubs.issue 136
pubs.notes Source info: Economic Research Initiatives at Duke (ERID) Working Paper No. 136
pubs.organisational-group Duke
pubs.organisational-group Duke Population Research Center
pubs.organisational-group Duke Population Research Institute
pubs.organisational-group Economics
pubs.organisational-group Global Health Institute
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group Trinity College of Arts & Sciences
pubs.organisational-group University Institutes and Centers


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record