Putting a Band-Aid on a Corpse: Incentives for Nurses in the Indian Public Health Care System
报告一项在印度公共卫生体系中对护士出勤的监控实验，初期效果显著，但随后因行政漏洞导致激励失效，揭示了制度执行中的深层问题。
The public Indian health care system is plagued by high staff absence, low effort by providers, and limited use by potential beneficiaries who prefer private alternatives. This artice reports the results of an experiment carried out with a district administration and a nongovernmental organization (NGO). The presence of government nurses in government public health facilities (subcenters and aid-posts) was recorded by the NGO, and the government took steps to punish the worst delinquents. Initially, the monitoring system was extremely effective. This shows that nurses are responsive to financial incentives. But after a few months, the local health administration appears to have undermined the scheme from the inside by letting the nurses claim an increasing number of "exempt days." Eighteen months after its inception, the program had become completely ineffective.