Pay and Non-pay Incentives, Performance and Motivation ‡
2003; Linguagem: Inglês
Autores Tópico(s)
Global Maternal and Child Health
ResumoThe World Health Report 2000, Health Systems: Improving Performance, defines incentives as “all the rewards and punishments that providers face as a consequence of the organisations in which they work, the institutions under which they operate and the specific interventions they provide” This definition suggests that the organisation, the work that is done and the setting in which work takes place will determine the incentive used and its resulting impact. Buchan et al add another dimension by defining an incentive in terms of its objective: “An incentive refers to one particular form of payment that is intended to achieve some specific change in behaviour” (2). This review is intended to provide an overview of the current evidence on the effect of pay and non-pay incentives on health workers’ performance and motivation. The literature on incentives is primarily focused on the impact of specific incentives on provider behaviour, especially physicians. There is much less work on the structural and organisational aspects of incentives. This paper primarily uses as its base two papers recently completed for WHO and in publication (2, 3). The first paper is based on a search of English language publications, using library and CD-ROM facilities. The review as reported by Buchan et al covered the following databases: Social Science Citation Index (SSCI), BIDS, CHNAHL, Psyc Lit, FirstSearch, Medline and Health Management Information Consortium (HMIC). A total of 352 articles and papers were identified. The paper by Hicks and Adams is based on ten country case studies using a common framework for analysis developed by WHO. The countries in the study (Bahrain, Bangladesh, Cote d’Ivoire, Estonia, Ghana, Islamic Republic of Iran, Kyrgyzstan, Mongolia, Nepal and New Zealand)
Referência(s)