2021
DOI: 10.1007/s40881-021-00100-0
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Effects of incentive framing on performance and effort: evidence from a medically framed experiment

Abstract: We study the effects on performance of incentives framed as gains or losses, as well as the effort channels through which individuals increase performance. We also explore potential spill-over effects on a non-incentivised activity. Subjects participated in a medically framed real-effort task under one of the three contracts, varying the type of performance incentive received: (1) no incentive; (2) incentive framed as a gain; or (3) incentive framed as a loss. We find that performance improved similarly with i… Show more

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Cited by 16 publications
(6 citation statements)
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“…Real effort tasks have been used widely to test the effect of loss and gain framing in contract literature. Studies here focus on personal financial consequences of task performance, namely the effect of different compensation framing (deduction from endowment as loss frame; bonus over and above the initial endowment as gain frame), finding support for loss framing effects (Lagarde & Blaauw, 2021; von Bieberstein et al, 2020), though not universally so (Buckley et al, 2021). Using real effort tasks to examine framing effects on non-financial outcomes appears to be less common.…”
Section: Methodsmentioning
confidence: 99%
“…Real effort tasks have been used widely to test the effect of loss and gain framing in contract literature. Studies here focus on personal financial consequences of task performance, namely the effect of different compensation framing (deduction from endowment as loss frame; bonus over and above the initial endowment as gain frame), finding support for loss framing effects (Lagarde & Blaauw, 2021; von Bieberstein et al, 2020), though not universally so (Buckley et al, 2021). Using real effort tasks to examine framing effects on non-financial outcomes appears to be less common.…”
Section: Methodsmentioning
confidence: 99%
“…Finally, the results of her experiments reveal that when physicians receive either a salary or a CAP they provide a higher overall quality of service. This potential quality/quantity trade-off is analyzed by Lagarde and Blauuw (2021) in a real-effort experiment that replicates situations of multitasking environments where some of the outputs achieved are rewarded while others are not. More precisely, they design a health economics' laboratory experiment where they test the impact of physicians' financial incentives on quality and quantity outcomes according to the remuneration scheme used.…”
Section: Healthcare Providers and Incentive Schemesmentioning
confidence: 99%
“…Evidence from high-income contexts, including the United Kingdom and the United States , suggests that remunerating health workers for their performance can lead to improvements in the quantity and quality of primary care provided. Further, recent lab-in-the-field evidence from Nigeria and South Africa (Lagarde and Blaauw 2021) suggests that pay-for-performance interventions may succeed in improving the quality of care in primary health care settings in LMICs. Thus, at least in concept, performance pay may be a viable and attractive approach for improving effective coverage in LMICs.…”
Section: Introductionmentioning
confidence: 99%