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Healthcare Pay Systems Affect Quality of Care

Christian Hirt & Josef Scheff

Compensation & Benefits Review2025https://doi.org/10.1177/08863687251367837article
ABDC C
Weight
0.50

What the paper says

Remuneration in health care is a contested topic, with various pay systems rewarding equal services unequally. This study investigates the motives of 17 panel doctors in Austria and identifies dysfunctionalities in remuneration systems that do not guarantee optimal, outcome-oriented treatment. Using Vroom’s expectancy theory of motivation (1964), we analyse the behavioural motivation of doctors, considering both individual and environmental factors. We identify four types of panel doctors – profit maximisers, prestige seekers, altruists and system-compliant types – and explore how remuneration impacts their choices and outcome expectations. Our findings show that doctors’ motivations, shaped by their goals (e.g., quality assurance or leisure time), affect their performance. Regional context factors further inform the design of an outcome-oriented pay system. The study concludes with practical implications for health service providers and highlights future research directions.

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https://doi.org/https://doi.org/10.1177/08863687251367837

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@article{christian2025,
  title        = {{Healthcare Pay Systems Affect Quality of Care}},
  author       = {Christian Hirt & Josef Scheff},
  journal      = {Compensation & Benefits Review},
  year         = {2025},
  doi          = {https://doi.org/https://doi.org/10.1177/08863687251367837},
}

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Healthcare Pay Systems Affect Quality of Care

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Evidence weight

0.50

Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40

F · citation impact0.50 × 0.4 = 0.20
M · momentum0.50 × 0.15 = 0.07
V · venue signal0.50 × 0.05 = 0.03
R · text relevance †0.50 × 0.4 = 0.20

† Text relevance is estimated at 0.50 on the detail page — for your query’s actual relevance score, open this paper from a search result.