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[The evaluation of an incentive system for the primary care professionals of Mallorca]
G Tamborero1, J M Pomar, A Pareja
1Gerencia de Atención Primaria de Mallorca, INSALUD, Baleares.
Objective:
To describe the assessment made by Mallorca's primary care professionals of the economic incentives system set up in 1994 and find their opinions of financial incentives and other motivating mechanisms.
Design:
A descriptive, crossover study.
Setting:
Primary care in Mallorca (INSALUD of the Balearics).
Participants:
All the health professionals and ancillary workers (554) of Mallorca's 24 Health Centres.
Measurements And Main Results:
A self-filled questionnaire was used as a measuring instrument. There was a 74% reply rate. Their assessment of the incentives system used was that the distribution of the incentives was unjust and a cause of tension. However, expectations as to the amount received had been met to a reasonable extent. Self-management was a stronger motivating force than incentives (48.4% vs 13.6%).
Conclusions:
The incentives system used displayed certain faults (in distribution and the work atmosphere generated). However, decentralization was shown to be a powerful motivating force. Monitoring professionals' expectations and the fulfillment of them should be integrated into management habits.