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KMID : 1011120160090030161
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Bioethics Policy Studies
2016 Volume.9 No. 3 p.161 ~ p.183
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Financial Incentives and Intrinsic Motivation in the Incentive Program for Prescribers in Korea
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Bae Green
Lee Soo-OK
Kang Min-Ah
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Abstract
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The Financial Incentive Program, in South Korea, to improve quality and cost appropriateness is gradually expanding its efforts toward the goal of increasing effective health insurance administration and providing proper health services in Korea. But, there is no clear evidence of the effectiveness of these financial incentives. In particular, the effectiveness of financial incentives among health professionals has not been identified, nor do we know conclusively what best motivates improved professional behavior. In addition, there is no clear evidence of causality between changing behavior and cost of health utilization. Uncertain policy may cause precariousness of health system.
An investigation into the knowledge bases, policy assumptions, and practices, of the Financial Incentive Program in South Korea, to improve prescribing behavior, is necessary for an enhancement of policy acceptance and the effectiveness of the Financial Incentive Program. Through this study, we suggest some policy implications, and implementations, for the Incentive Program to improve prescribing behavior. External rewards, such as monetary incentives, should be compatible with intrinsic motivation. If policies do not harmonize with intrinsic motivations, which are a function of autonomy among health professionals, external rewards will fail. Future policy to improve prescribing behavior and contain the drug cost should consider experts’ needs, values, personality traits, and environments.
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KEYWORD
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financial incentive program for prescriber, monetary incentive, precariousness, intrinsic motivation, autonomy, policy effectiveness
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