What are the effects of financial incentives for health, social care and their professionals?

Andersson Bäck, Monica,1969Gothenburg University,Göteborgs universitet,Institutionen för socialt arbete,Department of Social Work (author)

Financial incentives, such as managerial system for pay-for-performance, compensation system for reaching specific goals and bonuses, have become popular interventions to boost performance and quality in health and social care based on beliefs that they stimulate professionals to work hard and do the right things. Theories about professions, public service motivation, and economic incentives provide however different explanations for the behaviour and performance of health and care staff. Many debates concern professional duties in conflict with financial incentives and motivational scholars conclude a mismatch between what is done in practice and what research demonstrates effective. Based on a literature review, this paper seeks to discuss financial incentives and its intended as well as unintended effects. The multidisciplinary review embraces a forty studies and metastudies mainly from the US, the UK, Netherlands and Denmark combined with studies from the Nordic countries in general and Sweden in specific. The central focus is the state of art considering financial incentives and its relation to efficiency, quality, professionals’ behaviors, working conditions and environment.

In:The 7th Nordic Working Life Conference, Göteborg, Sweden, Stream: Nordic management and organization – now and in the future. .June 11-13 2014.

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