为NHS顾问支付与绩效相关的薪酬:在英格兰的一家NHS信托机构中探索观点和感知影响
Mark Exworthy1, Julia Gauly2, Jo Parsons2
1University of Birmingham Health Services Management Centre, Birmingham, UK M.Exworthy@bham.ac.uk.
BMJ leader
|May 11, 2025
概括
高级医生对临床卓越奖 (CEA),一种与绩效相关的报酬形式有不同的看法. 虽然许多人认为CEA是一种认可,但申请时间和养老金问题等问题使参与这些奖项变得复杂.
科学领域:
- 医学经济学 医学经济学
- 医疗保健管理的管理
- 医生补偿 医生补偿 医生补偿
背景情况:
- 临床卓越奖 (CEA) 是高级医生的一种与绩效相关的报酬 (PRP).
- 了解CEA的顾问观点对于有效实施至关重要.
研究的目的:
- 在理论和实践中调查高级医生 (顾问) 对当地临床卓越奖 (CEA) 的看法.
- 探索影响顾问与CEA接触的因素.
主要方法:
- 一项在线调查分发给英格兰国家卫生服务信托机构的顾问.
- 该调查实现了31%的响应率,数据使用描述性统计和内容分析进行了分析.
- 参与者包括当地CEA的申请者和非申请者.
主要成果:
- 57%的顾问在理论和实践中支持CEA;21%的人不支持,22%是中立的.
- 不申请的原因包括缺乏成功 (30%),反对,时间限制或冷漠.
- 三分之二的受访者 (67%) 认为CEA获得了认可,尤其是女性顾问和那些不全职工作的人.
结论:
- 高级医生中对CEA的支持是混合的,受养老金/税收影响和时间限制等实际问题的影响.
- CEA为一些顾问提供认可,但公平问题和申请障碍需要解决.
- 这些发现为医生提供了对PRP的细微见解,扩展了理论观点.
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