Evaluación del rendimiento y compensación en centros sanitarios de gestión directa. Parte 2: el Sistema Nacional de Salud. Informe SESPAS 2024

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2024-01-01 DOI:10.1016/j.gaceta.2024.102368

José Ramón Repullo Labrador, José Manuel Freire Campo

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引用次数: 0

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.

查看原文本刊更多论文

[公共直接管理医疗中心的绩效薪酬。第二部分：西班牙国家医疗系统。SESPAS 报告 2024]。

在西班牙，法定卫生人员的薪酬模式复杂多样，更倾向于奖励补充职能和活动，而不是为雇员的实际表现支付报酬。公务员制度的平均主义文化和薄弱的系统管理扭曲了纳入激励机制的各种尝试。医疗保健专业人员的外部吸引因素（私人执业等）变得越来越重要，抵消了许多内部激励因素。由于相关的主要行动者都不愿意改革，因此相关的或普遍性的变革前景渺茫；但一些环境因素可以逐步改善雇用合同、改善基准信息以及建立良好临床治理和管理的孤岛。对通货膨胀趋势和可持续性风险日益关注的经济形势可能会对某些治理和管理改革产生振兴作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.