Outcome Versus Service Based Payment in Health Care: Lessons from African Traditional Healers

Kenneth Leonard () and Joshua Graff Zivin

No 9797, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: We compare the more common physician compensation method of fee-for-service to the less common payment-for-outcomes method. This paper combines an investigation of the theoretical properties of both of these payment regimes with a unique data set from rural Cameroon in which patients can choose between outcome and service based payments. We show that consideration of the role of patient effort in the production of health leads to important differences in the performance of these contracts. Theory and empirical evidence show that when illnesses require (or are responsive to) large amounts of both patient and practitioner effort, outcome based payment schemes are superior to effort based schemes. The traditional healer -- a practitioner who offers health services on an outcome-contingent basis -- is advanced as an important example of how patient effort can be better understood and tapped in health care.

JEL-codes: D8 I1 (search for similar items in EconPapers)
Date: 2003-06
New Economics Papers: this item is included in nep-hea
Note: EH
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Citations: View citations in EconPapers (1)

Published as Kenneth L. Leonard & Joshua Graff Zivin, 2005. "Outcome versus service based payments in health care: lessons from African traditional healers," Health Economics, John Wiley & Sons, Ltd., vol. 14(6), pages 575-593.

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