SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.

Introduction: It is important to note that incentive systems and its contradictions, need to be analyzed,  with particular attention to the practice of health in order to mediate the possible effects on the system. Objective: To analyze existing remuneration sta n...

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Autores principales: Gomez, Patricia Fabiana, Enders, Julio
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2016
Materias:
incentive
personal care
nursing
incentivo
personal de salud
enfermería
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/13871
Aporte de:
Revista de Salud Pública de Universidad Nacional de Córdoba
id I10-R360-article-13871
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic incentive
personal care
nursing
incentivo
personal de salud
enfermería
spellingShingle incentive
personal care
nursing
incentivo
personal de salud
enfermería
Gomez, Patricia Fabiana
Enders, Julio
SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.
topic_facet incentive
personal care
nursing
incentivo
personal de salud
enfermería
author Gomez, Patricia Fabiana
Enders, Julio
author_facet Gomez, Patricia Fabiana
Enders, Julio
author_sort Gomez, Patricia Fabiana
title SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.
title_short SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.
title_full SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.
title_fullStr SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.
title_full_unstemmed SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE.
title_sort system of compensation and incen-tives in health as an instrument for improving quality of care.
description Introduction: It is important to note that incentive systems and its contradictions, need to be analyzed,  with particular attention to the practice of health in order to mediate the possible effects on the system. Objective: To analyze existing remuneration sta ndards and incentives in health institutions and their relationship to the quality of service delivery, in Córdoba, Argentina. Method: Observational, analytic and correlationa. Universe mul-tipurpose health institutions, public and private. Two-stage random sample. Instrument, documentary analysis, two self-administered survey, and standardized quality indices. Primary and secondary source. Results: A higher proportion of nursing and medicine with respect to psychology and social work. Women prevail 2-1 , young people between 20 and 39 years , age 5-15 years. The  permanent public plant is greater than private (p =0.002) , whereas the reverse situation is employed the (p = 0.0001 ) arises, however the ratio is similar in the interior and in capital. In the composition of the remuneration the three items were recognize: basic amount, age and title of degree. The public sector has a salary greater than the private (p < 0.0001). The incentives they receive, concentrate on training and awards. A correlation between the IACC , and IMRA Iaçu variables regar-ding the antiquity (p < 0.01) , the amount of wages ( p < 0.0001 ), economic incentives (p< 0.0001 ) , nature legal (p < 0.05 ) and the status of magazine (p < 0.01).
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2016
url https://revistas.unc.edu.ar/index.php/RSD/article/view/13871
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spelling I10-R360-article-138712025-04-03T12:06:40Z SYSTEM OF COMPENSATION AND INCEN-TIVES IN HEALTH AS AN INSTRUMENT FOR IMPROVING QUALITY OF CARE. El Sistema de remuneración e incentivos en la salud, como un instrumento para la mejora de la calidad de atención. O SISTEMA DE COMPENSAÇÃO E INCENTI-VOS NA SAÚDE COMO INSTRUMENTO PARA A MELHORIA DA QUALIDADE ASSISTENCIAL Gomez, Patricia Fabiana Enders, Julio incentive personal care nursing incentivo personal de salud enfermería Introduction: It is important to note that incentive systems and its contradictions, need to be analyzed,  with particular attention to the practice of health in order to mediate the possible effects on the system. Objective: To analyze existing remuneration sta ndards and incentives in health institutions and their relationship to the quality of service delivery, in Córdoba, Argentina. Method: Observational, analytic and correlationa. Universe mul-tipurpose health institutions, public and private. Two-stage random sample. Instrument, documentary analysis, two self-administered survey, and standardized quality indices. Primary and secondary source. Results: A higher proportion of nursing and medicine with respect to psychology and social work. Women prevail 2-1 , young people between 20 and 39 years , age 5-15 years. The  permanent public plant is greater than private (p =0.002) , whereas the reverse situation is employed the (p = 0.0001 ) arises, however the ratio is similar in the interior and in capital. In the composition of the remuneration the three items were recognize: basic amount, age and title of degree. The public sector has a salary greater than the private (p < 0.0001). The incentives they receive, concentrate on training and awards. A correlation between the IACC , and IMRA Iaçu variables regar-ding the antiquity (p < 0.01) , the amount of wages ( p < 0.0001 ), economic incentives (p< 0.0001 ) , nature legal (p < 0.05 ) and the status of magazine (p < 0.01). Es importante señalar que los sistemas de incentivos y sus contradicciones, requieren ser analizados, con especial atención a los de la práctica en salud a fi n de poder mediar los efectos posibles en el sistema. Objetivo: Analizar las normas de remuneración e incentivos existentes en las instituciones de salud y su relación con la calidad de la prestación de los servicios, en Córdoba, Argentina. Método: Observacional, analítico y correlacional. Universo instituciones polivalentes de salud, público y privado. Muestra bietápico aleatorio. Instrumento, análisis documental, dos encuestas auto administradas, e índices estandarizados de calidad. Fuente primaria y secundaria. Resultados: Mayor proporción de personal de enfermería y medicina con respecto a psicología y trabajo social. Predominan mujeres 2 a 1, población joven entre los 20 y 39 años, la antigüedad 5 a 15 años. La planta permanente en las públicas es mayor que en las privadas (p=0,002), mientras que en los contratados la situación se presenta inversa (p=0,0001), en cambio la proporción se muestran similares en el interior y en capital. En la composición de la remuneración los tres ítems más reconocidos fueron: monto básico, antigüedad y título de grado. El sector público tiene un salario mayor que el privado (p<0,0001). Los incentivos que reciben, se concentran en la capacitación y los premios. Existe correlación entre las variables IACC, IACU y IARM con respecto a, la Antigüedad (p<0,01), al monto del salario (p<0,0001), el incentivo económico (p<0,0001), a la naturaleza jurídica (p<0,05) y a la situación de revista (p<0,01). É importante notar que os sistemas de incentivos e suas contradições, precisam ser ana-lisados, com especial atenção para a prática da saúde, a fi m de ter condições de mediarnos possíveis efeitos sobre o sistema. Objetivo: Analisar normas de compensação exis-tentes e incentivos nas instituições de saúde e sua relação com a qualidadeda prestação de serviços, em Córdoba, Argentina. Método: observacional, analítico e correlacional.. Universo: instituições de saúde polivalentes, públicas e privativas. Amostra: bietápica-aleatória. Instrumento: análise documental das enquetes, auto-administradas e índices de qualidade padronizados. Fonte primária e secundária. Resultados: Aumento da proporção do pessoal de enfermagem e medicina em relação com o de psicologia e serviço social. As mulheres predominam 2-a 1, população jovem entre 20 e 39 anos, antiguidade de 5 a 15 anos. A quantidade de cargos permanentes públicos é maior do que a privativa (p= 0,002), enquanto que com os contratados apresenta-se a situação oposta (p = 0,0001)apresenta, no entanto, a proporção é semelhante no interior e na capital. Na composição dos salários, os três itens mais reconhecidos foram: o básico, antiguidade e titulação de grau. O salário do setor público é maior do que o privativo (p <0,0001). Os incentivos recebidos focam-se em treinamento e prêmios. Existe uma correlação entre as variáveis IACC, IACU e IARM em relação à Antiguidade (p <0,01), o montante correspondente ao salário (p <0,0001), o incentivo econômico (p <0,0001), a natureza jurídica (p <0,05) e a situação de revista (p <0,01). Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2016-04-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/msword https://revistas.unc.edu.ar/index.php/RSD/article/view/13871 10.31052/1853.1180.v20.n1.13871 Revista de Salud Pública; Vol. 20 Núm. 1 (2016); 38-51 1852-9429 1853-1180 10.31052/1853.1180.v20.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/13871/14461 https://revistas.unc.edu.ar/index.php/RSD/article/view/13871/25934 Derechos de autor 2016 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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