[Pay for performance in public directly managed healthcare centers. Part 2: The Spanish National Health System. SESPAS Report 2024]. / Evaluación del rendimiento y compensación en centros sanitarios de gestión directa. Parte 2: el Sistema Nacional de Salud. Informe SESPAS 2024.
Gac Sanit
; 38 Suppl 1: 102368, 2024.
Article
em Es
| MEDLINE
| ID: mdl-38413322
ABSTRACT
In Spain, the compensation model for statutory health personnel is complex, heterogeneous, and more oriented to rewarding complementary functions and activities, than to paying for the actual performance in the position of employee. The various attempts to incorporate incentives have been distorted by a civil service egalitarianist culture, and weak systemic governance. External attractors (private practice, etc.) for healthcare professionals are becoming more important and neutralize many intramural incentives. There are few prospects of relevant or general changes, since the main actors involved are reforms-averse; but some environmental factors can lead to incremental improvements in employment contracts, in the information available to improve benchmarking, and in the creation of islands of good clinical governance and management. The economic scenario, increasingly concerned about inflationary trends and sustainability risks, may have a revitalizing effect of some governance and management reforms.
Palavras-chave
Employee incentive plans; España; Fuerza laboral en salud; Grupos profesionales; Health personnel; Indemnización para trabajadores; Motivación; Motivation; Planes para motivación del personal; Profesionalismo; Professionalism; Rendimiento laboral; Spain; Work performance; Workers' compensation; Workforce
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reembolso de Incentivo
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
Es
Revista:
Gac Sanit
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2024
Tipo de documento:
Article