Incentives and remuneration systems in dental services

Grytten, Jostein; Holst, Dor­the; Skau, Irene

doi:10.1007/s10754-008-9050-2

Cited by 40 publications

(39 citation statements)

References 40 publications

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“…Estudo na Noruega aponta que um sistema de incentivos baseado na remuneração por captação levou a um aumento do número de indivíduos sob vigilância na atenção primária, sem reduzir a qualidade 3 . No caso da atenção secundária, um sistema de remuneração fixa pode estar desencorajando os profissionais a cumprirem metas mínimas de oferta de serviços.…”

Section: Discussionunclassified

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Avaliação da oferta e utilização de especialidades odontológicas em serviços públicos de atenção secundária na Bahia, Brasil

et al. 2011

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O estudo visou avaliar a taxa de utilização dos serviços odontológicos especializados de quatro CEOs da Bahia, Brasil, identificando fatores relacionados. Trata-se de uma pesquisa avaliativa onde a etapa quantitativa foi conduzida através de um estudo transversal utilizando dados secundários do Sistema de Informações Ambulatoriais do Sistema Único de Saúde (SIA-SUS) e a qualitativa foi a partir de vinte entrevistas semi-estruturadas junto aos coordenadores e executores, além de observação in loco do serviço. O estudo revelou bons resultados na oferta desse serviço na percepção dos profissionais, mas há uma baixa taxa de utilização. A baixa taxa de utilização revela barreiras de acesso do próprio serviço de saúde, como a ausência de padrões e metas de desempenho por especialidade, a falta dos pacientes, que não são substituídos, além das diferentes tecnologias utilizadas por cada especialista. Sugerem-se estudos que analisem diferentes formas de organização do serviço que tenham possibilitado maior utilização da oferta disponível, como diferenças de remuneração, articulação com atenção primária e adequação da oferta às necessidades de saúde populacionais.

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Section: Discussionunclassified

“…No entanto, em modelos de atenção à saúde públicos ou mistos, como na Noruega ou Reino Unido tal argumento não é suficiente para explicar maior produtividade, aqui entendida como sinônimo de maior utilização de serviços 2,3 .…”

Section: Introductionunclassified

Avaliação da oferta e utilização de especialidades odontológicas em serviços públicos de atenção secundária na Bahia, Brasil

et al. 2011

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“…Jumlah operasi terus meningkat setiap tahun, baik sebelum maupun setelah diterapkan sistem remunerasi. Hal ini selaras dengan studi Norway, 8 bahwa penerapan sistem remunerasi menyebabkan peningkatan jumlah individu dalam pengawasan dokter gigi serta menurunkan biaya per pasien atau dengan kata lain, dokter dengan sistem remunerasi memiliki produktivitas lebih tinggi dibandingkan dengan dokter yang digaji tetap.…”

Section: Pembahasanunclassified

Penerapan Sistem Remunerasi dan Kinerja Pelayanan

Soetisna

Ayuningtyas

Misnaniarti

2015

Kesmas: National Public Health Journal

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AbstrakRemunerasi dapat memengaruhi motivasi pegawai sekaligus meningkatkan kinerjanya. Demikian halnya di rumah sakit sebagai institusi pelayanan kesehatan yang padat modal, sumber daya manusia serta padat ilmu dan teknologi. Penelitian ini bertujuan untuk menganalisis persepsi pegawai terhadap implementasi sistem remunerasi dan kinerja unit pelayanan bedah jantung dewasa (UPBJD) di rumah sakit. Penelitian ini menggunakan pendekatan mixed methods (kuantitatif dan kualitatif). Desain penelitian kuantitatif adalah potong lintang menggunakan instrumen kuesioner self-assessment. Sedangkan desain penelitian kualitatif adalah deskriptif, dilakukan melalui focus group discussion dan telaah dokumen pada data berupa buku jadwal, buku registrasi, catatan keperawatan, dan rekam medis. Pengambilan data dilakukan pada tahun 2013 di salah satu rumah sakit di Jakarta. Responden/informan adalah staf medis fungsional, perawat, dan petugas administrasi berjumlah 29 orang. Data dianalisis secara univariat (metode kuantitatif), dan content analysis (metode kualitatif). Hasil penelitian menunjukkan bahwa sebagian besar staf medik fungsional dan perawat tidak puas (71,2%) dengan beberapa hal dalam penerapan sistem remunerasi, seperti pada sistem penggajian dan penentuan grading. Terlihat kinerja unit pelayanan bedah jantung dewasa mengalami kenaikan setiap tahun sebelum dan setelah penerapan sistem remunerasi. Diharapkan agar rumah sakit ini dapat memperbaiki sistem remunerasi yang sesuai ketentuan kebijakan dan menyusun formulasi insentif dan bonus yang lebih sesuai dengan kondisi saat ini serta perlu dilakukan sosialisasi yang tepat dan evaluasi secara berkala. Penerapan Sistem Remunerasi dan Kinerja Pelayanan Implementation of Remuneration System and Service PerformanceTri Wisesa Soetisna*, Dumilah Ayuningtyas**, Misnaniarti*** system implementation and adult cardiac surgery services unit's performance at hospital. This study used a mixed method approach (quantitative and qualitative). Quantitative study design was cross-sectional using questionnaire for self-assesment. Meanwhile, qualitative study design was descriptive conducted through focus group discussion and document review on data in forms of schedule book, registration book, nursing notes and medical records. Data collection was conducted in 2013 at one hospital in Jakarta. Respondents/informants were functional medical staff, nurses, and administration staff amounted to 29 people. Data was analyzed using univariate and content analysis techniques. Results showed most functional medical staff dan nurse were unsatisfied (71.2%) with several things in remuneration system implementation, such as in payroll system and grading determination. However, adult cardiac surgery services unit's performance is increasing every year before and after the implementation of remuneration system. This hospital is expected to improve the remuneration system in accordance with policy and arrange incentive formulation that is more appropriate with current condition as well as followed with p...

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“…The impact of changing how dentists are remunerated has been the focus of much previous research [1][2][3][4]. Most of this research describes how incentive-based contracts (such as fee-for-item [FFI] arrangements) are associated with a higher supply of services (or numbers of outputs e.g.…”

Section: Introductionmentioning

confidence: 99%

“…procedures) than fixed-salary contracts (ranging from purely salary-based contracts to mixed salary and per capita remuneration contracts). Most of these studies are concerned with the response of individual clinicians to changes in remuneration with surprisingly few studies, even within the wider context of medical care, concerned with how contracts with group practices influence dentists' (or physician) behaviour [1].…”

Section: Introductionmentioning

confidence: 99%