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Measuring motivation and how PbF may affect health workers motivation

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Gaute torvisk

Publié dans : Santé
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Measuring motivation and how PbF may affect health workers motivation

  1. 1. Measuring motivation and how PBF may affect health workers motivation Gaute Torvisk
  2. 2. Motivation – to move – the psychological force that enables action. Health worker motivation – what drives health workers to do their best at work Should expect health worker motivation to be a central focus of PBF studies It is not Measuring motivation
  3. 3. PBF More motivation & capacity Changed behavior Better service del. Better health outcomes Measuring motivation System improvment
  4. 4. PBF More motivation Changed behavior Better service del. Better health outcomes Measuring motivation
  5. 5. PBF More motivation Changed behavior Better service del. Better health outcomes Three reasons for examining PBF and health worker motivation (all based on the fact that there is a multitude of motivations that drive work behavior): • understand heterogeneity in the impact of PBF on service delivery • check if PBF interacts with other work motivations (short term – long term) • help us design better PBF Measuring motivation
  6. 6. A Fact: research in psychology and behavioral economics has documented that we are driven by many desires, many motivations. Measuring motivation Intrinsic (rewarding in itself; process) Extrinsic (for a reward; goal oriented) enjoy an activity or see it as an opportunity to explore, learn, and actualize our potentials • Financial (performance pay, promotion) • Non-Financial - self-regarding: respect, avoid guilt, self esteem - other-regarding: helping patients, altruism Motivations at work:
  7. 7. e0 H Power of financial incentives e0 L Work effort Financial and non-financial incentives Non-financial incentives drive effort to e0 Observation 1: The impact of financial incentives depend on the level of non- financial motivation
  8. 8. e0 Power of financial incentives e0 Work effort Financial and non-financial incentives Observation 2: Financial-incentives may crowd out or in (not shown) non-financial motivation Observation 3: The degree of crowding out or in depends on how incentives are designed Supply curve if (counterfactually) non-financial motivation was unaltered
  9. 9. Measuring motivation is important to understand the impact of PBF and to design well functioning financial incentives Measuring motivation • Indirectly o experiments (dictator games) o psychological tests: (memory tests: goal-related concepts are accessible in memory; Implicit Association Tests Question: How do we measure motivation (and how PBF affect motivation)? • Directly o survey health workers about their financial and non-financial motivation (before and after PBF) - (social desirability bias)

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