Performance-based reimbursement in health care. Consequences for physicians' cost awareness and work environment
| Autor: | Bengt B. Arnetz, Ewa Forsberg, Runo Axelsson |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Attitude of Health Personnel media_common.quotation_subject Decision Making Workload Job Satisfaction Nursing Physicians Surveys and Questionnaires Health care Medicine Humans Reimbursement Incentive health care economics and organizations Reimbursement media_common Cost awareness Sweden business.industry Public Health Environmental and Occupational Health Health Care Costs Awareness Middle Aged Work environment Cross-Sectional Studies Work (electrical) County council Job satisfaction Female business Delivery of Health Care Autonomy |
| Zdroj: | European journal of public health. 12(1) |
| ISSN: | 1101-1262 |
| Popis: | Background: The funding and structure of health care is currently undergoing major changes. The impact of such changes on professional behaviour and working conditions have not been widely studied in Europe. The two aims of this study were to prospectively assess the impact of performance-based reimbursement on physicians’ attitudes and self-assessed professional behaviour, related to cost awareness, as well as their working conditions. Method: Physicians in Stockholm County Council (with a performance-based reimbursement system) and physicians in eleven Swedish councils without performance-based reimbursement were examined simultaneously in 1994. This was a cross-sectional questionnaire study. Result: The results show a heightened cost awareness among physicians in Stockholm but also greater discontent with working condition factors such as decision latitude, job satisfaction and personal well-being. Conclusion: These results suggest that in order to counteract physicians discontent as a result of altered structure and increased focus on performance-based reimbursement, the autonomy and influence of physicians over the work processes need to be considered. |
| Databáze: | OpenAIRE |
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