To provide an incentive, one must answer the provider's question: "What's in it for me?" For some, it's financial gain. For others, it may be more time, more job satisfaction, better working environment, more prestige, or a genuine sense of improved patient care. Both in the US and abroad, I have encountered different motivators for behavior change. These motivators may be cultural, financial, or personal. The ability to provide an incentive may be heavily influenced by local economic factors, national and institutional culture, and other resources. Although a vigorous discussion of incentive schemes is critical, it is equally important to assess what the provider(s) want. If you give someone more money when what they really wanted was more time with their family, the outcome will be unsatisfactory. In-depth assessment of local dissatisfiers must precede any incentive scheme. Assume nothing. I would suggest development of a tool to analyze local working conditions so that the proper incentive could be developed and applied.