The Experts below are selected from a list of 201 Experts worldwide ranked by ideXlab platform
Willemijn Schäfer - One of the best experts on this subject based on the ideXlab platform.
-
Patient-perceived responsiveness of primary care Systems across Europe and the relationship with the health expenditure and Remuneration Systems of primary care doctors.
Social science & medicine (1982), 2017Co-Authors: Anna Maria Murante, Chiara Seghieri, Milena Vainieri, Willemijn SchäferAbstract:Abstract Background Health Systems are expected to be responsive, that is to provide services that are user-oriented and respectful of people. Several surveys have tried to measure all or some of the dimensions of the responsiveness (e.g. autonomy, choice, clarity of communication, confidentiality, dignity, prompt attention, quality of basic amenities, and access to family and community support), however there is little evidence regarding the level of responsiveness of primary care (PC) Systems. Methods This work analyses the capacity of primary care Systems to be responsive. Data collected from 32 PC Systems were used to investigate whether a relationship exists between the responsiveness of PC Systems and the PC doctor Remuneration Systems and domestic health expenditure. Results There appears to be a higher responsiveness of PC when doctors are paid via capitation than when they only receive a fee for services or a mixed payment method. In addition, countries that spend more on health services are associated with higher levels of dignity and autonomy. Conclusion Quality, as measured from the patient's perspective, does not necessarily overlap with PC performance based on structure and process indicators. The results could also stimulate a new debate on the role of economic resources and PC workforce payment mechanisms in the achievement of quality goals, in this case related to the capacity of PC Systems to be responsive.
Michal Igielski - One of the best experts on this subject based on the ideXlab platform.
-
training and Remuneration Systems as motivational incentives based on the example of company x case study
Workshop on Graph-Theoretic Concepts in Computer Science, 2019Co-Authors: Michal IgielskiAbstract:In the 21st century management boards of enterprises are looking for newer incentives that stimulate employees to work even better. They are now the main driver of success, and the process of motivating has become an integral part of a well-functioning company. All this in connection with the behaviour of contemporary employees, who are often not satisfied with the working conditions and who change their place of employment, has led to formulating the purpose of this study, i.e. to evaluate training Systems and salaries in the surveyed construction company. The study should be treated as a pilot - a field of experience, because in the future, this experience will be translated into a study with a representative group of companies. By defining and analyzing the validity of the criteria, the author specified two methods that meet the above criteria - the audit questionnaire method and the direct questionnaire. The analysis showed that the training and Remuneration Systems in the surveyed company X are properly designed - they have a positive impact on the employees' motivation. It also turned out that effective motivation with non-wage elements is possible only if the staff is satisfied with the level of their Remuneration.
David I Conway - One of the best experts on this subject based on the ideXlab platform.
-
Payment methods may influence behaviour of primary care dentists
Evidence-Based Dentistry, 2015Co-Authors: Ailsa Malone, David I ConwayAbstract:Data sourcesThe Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, EconLit the NHS Economic Evaluation Database (EED) and the Health Economic Evaluations Database (HEED).Study selectionRandomised controlled trials (RCTs), non-randomised controlled clinical trials (NRCTs), controlled before-after (CBA) studies and interrupted time series (ITS) studies were considered. Study selection was undertaken independently by three reviewers. Fee-for-service payments, fixed salary payments, capitation payments of combinations thereof included.Data extraction and synthesisStandard Cochrane methodological procedures were followed.ResultsTwo cluster-RCTs, with data from 503 dental practices, representing 821 dentists and 4771 patients, met the selection criteria. The risk of bias for the two studies was considered to be high and the overall quality of evidence for the outcomes was low/very low for all outcomes, as assessed using the GRADE approach. One study conducted in the four most deprived areas of Scotland used a factorial design to investigate the impact of fee-for-service and an educational intervention on the placement of fissure sealants. The authors reported a statistically significant increase in clinical activity in the arm that was incentivised with a fee-for-service payment. Measures of health service utilisation or patient outcomes were not reported. The second study used a parallel group design undertaken over a three-year period to compare the impact of capitation payments with fee-for-service payments on primary care dentists' clinical activity. The study reported on measures of clinical activity, patient outcomes and healthcare costs. Teeth were restored at a later stage in the disease process in the capitation system and the clinicians tended to see their patients less frequently and tended to carry out fewer fillings and extractions, but also tended to give more preventive advice. There was insufficient information regarding the cost-effectiveness of the different Remuneration methods.ConclusionsFinancial incentives within Remuneration Systems may produce changes to clinical activity undertaken by primary care dentists. However, the number of included studies is limited and the quality of the evidence from the two included studies was low/very low for all outcomes. Further experimental research in this area is highly recommended given the potential impact of financial incentives on clinical activity, and particular attention should be paid to the impact this has on patient outcomes.
Anna Maria Murante - One of the best experts on this subject based on the ideXlab platform.
-
Patient-perceived responsiveness of primary care Systems across Europe and the relationship with the health expenditure and Remuneration Systems of primary care doctors.
Social science & medicine (1982), 2017Co-Authors: Anna Maria Murante, Chiara Seghieri, Milena Vainieri, Willemijn SchäferAbstract:Abstract Background Health Systems are expected to be responsive, that is to provide services that are user-oriented and respectful of people. Several surveys have tried to measure all or some of the dimensions of the responsiveness (e.g. autonomy, choice, clarity of communication, confidentiality, dignity, prompt attention, quality of basic amenities, and access to family and community support), however there is little evidence regarding the level of responsiveness of primary care (PC) Systems. Methods This work analyses the capacity of primary care Systems to be responsive. Data collected from 32 PC Systems were used to investigate whether a relationship exists between the responsiveness of PC Systems and the PC doctor Remuneration Systems and domestic health expenditure. Results There appears to be a higher responsiveness of PC when doctors are paid via capitation than when they only receive a fee for services or a mixed payment method. In addition, countries that spend more on health services are associated with higher levels of dignity and autonomy. Conclusion Quality, as measured from the patient's perspective, does not necessarily overlap with PC performance based on structure and process indicators. The results could also stimulate a new debate on the role of economic resources and PC workforce payment mechanisms in the achievement of quality goals, in this case related to the capacity of PC Systems to be responsive.
Francesc Maynou - One of the best experts on this subject based on the ideXlab platform.
-
Remuneration Systems used in the fishing sector and their consequences on crew wages and labor rent creation
Maritime Studies, 2017Co-Authors: Jordi Guillen, Jean Boncoeur, Natacha Carvalho, Katia Frangoudes, Olivier Guyader, Claire Macher, Francesc MaynouAbstract:In most fisheries worldwide, crew are paid through different shared Remuneration Systems rather than a fixed wage. In shared Remuneration Systems, wages can significantly increase when the economic performance of vessels improve, and consequently provide incentives to workers. However, in recent years, mainly due to high overexploitation levels that lead to reduced productivity and consequently lower salaries shared Remuneration Systems have lost their attractiveness. Different Remuneration Systems applied in fisheries world-wide are described and analyzed comparatively. Results explain how crew wages and rent distribution outcomes vary between the different Remuneration Systems depending on the state of exploitation of the resource.