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[Pay for performance in public directly managed healthcare centers. Part 1: General framework. SESPAS Report 2024]. / Evaluación del rendimiento y compensación en centros sanitarios de gestión directa. Parte 1: marco general. Informe SESPAS 2024.
Repullo Labrador, José Ramón; Freire Campo, José Manuel.
Afiliación
  • Repullo Labrador JR; Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, España. Electronic address: jrepullo@isciii.es.
  • Freire Campo JM; Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Madrid, España.
Gac Sanit ; 38(S1): 102367, 2024.
Article en Es | MEDLINE | ID: mdl-38413323
ABSTRACT
Assessing and compensating performance in professional organizations is extremely difficult in direct public management settings of health services. Performance assessment is technically complex and, more so, with multiplicity of principals influencing goal setting. Incentives are a lever to generate directionality and motivation, both structural (for attracting and retaining workers) and specific ones (rewarding performance and directing behavior towards institutional goals). Incentives influence the behavior of workers in various ways, and their effectiveness seams weak and controversial in publicly run health services. To overcome the problems of deciding and evaluating performance, both good governance models and the revitalization of contractual management are required. To improve the effectiveness of incentive models, it is convenient to 1) widen the conceptual framework of incentives, to incorporate the structural aspects of employment contract and payment; 2) improve the designs from a greater understanding of the determinants of motivation; and 3) broaden the lens to survey the extra-mural factors that alter the behavior of workers, trying to counter them.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reembolso de Incentivo / Motivación Límite: Humans Idioma: Es Revista: Gac Sanit Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reembolso de Incentivo / Motivación Límite: Humans Idioma: Es Revista: Gac Sanit Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article Pais de publicación: España