Financial Incentives and Prosocial Motivation Among Physicians in a Faith-Based Society

How do healthcare professionals respond to financial incentive within mission-driven public hospitals in a faith-based society? This paper challenges previous research findings that healthcare professionals in mission-driven hospitals are prosocially motivated to serve the poor patients, and that pe...

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Veröffentlicht in:Public performance & management review Jg. 47; H. 5; S. 1302 - 1325
Hauptverfasser: Ahmad, Farooq, Meyer, Edgar, Higgs, Malcolm
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Philadelphia Routledge 02.09.2024
Taylor & Francis Ltd
Schlagworte:
extrinsic motivation
faith-based society
Financial incentives
Health care
Health services
healthcare professionals
Hospitals
Incentives
Medical personnel
Motivation
Patients
Performance related pay
performance-based financial incentives
Physicians
Professionals
Prosocial behavior
prosocial motivation
Public finance
Religious beliefs
Social environment
Teaching
Teaching hospitals
ISSN:1530-9576, 1557-9271
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Zusammenfassung:How do healthcare professionals respond to financial incentive within mission-driven public hospitals in a faith-based society? This paper challenges previous research findings that healthcare professionals in mission-driven hospitals are prosocially motivated to serve the poor patients, and that performance-based financial incentives tend to crowd out such motivation. We used data from fifty-six interviews with healthcare professionals from three tertiary public teaching hospitals in Peshawar, Pakistan, to investigate the effect of a performance-related pay scheme. We found that the high professional standards and strong religious beliefs of the physicians were key to maintaining their prosocial motivation to serve the poor patients in their communities. We conclude that financial incentive does not always erode prosocial motivation in public-sector organizations, and that prosocial motivation itself may be determined by professional and social context.
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ISSN:1530-9576
1557-9271
DOI:10.1080/15309576.2024.2369331