Improving the quality of health care when health workers are in short supply

This paper studies how health workers’ choices of labour supply and work effort impact on the quality of health services when health workers are in short supply. The authors analyse how policy measures such as monetary incentives, monitoring, provisions of quality-enhancing inputs, and the building of professionalism and organisational identity can improve the quality of health care in the presence
of a health worker shortage.

The authors find that to pay health workers based on the number of patients may have a positive impact on the quality of health care even if quality does not affect demand. Furthermore, provision of quality-enhancing drugs and equipment may reduce health workers’ effort in delivering quality care, thus diminishing the positive impact of such interventions. The authors state that their most surprising result is that if the actual quality of health care is far below a professional standard, measures to build a professional mindset among health workers may reduce the quality of care.