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
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Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/13871
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Sumario: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).