INCENTIVES FOR MEDICAL STAFF IN PRIMARY MEDICAL CARE CENTERS
DOI:
https://doi.org/10.31713/ve4202028Keywords:
medical staff, quality of primary health care, staff incentives, staff bonuses, key performance indicators.Abstract
Based on the analysis of collective agreements of primary health care centers, the main characteristics of the system of bonuses for medical staff are established. The most common main indicators of incentives for doctors and nurses who make declarations with patients (income from declarations and the bonus of a doctor working in a team) are objective, as they are quantitative and based on data from accounting systems, but are calculated based on results and activities of employees that are mandatory and paid within the permanent (tariff) part of the salary, and do not meet the current tasks facing the Centers and their staff - improving the quality of primary health care. Along with them, abstract areas of incentives are used, there are many of them, some of them are not due to labor or performance, and the "technology" of determining on the basis of their remuneration is uncertain. Despite the high and progressive morbidity of the population, medical staff is very rarely rewarded (depressed) for the performance indicators of the primary health care quality.To eliminate these shortcomings of the medical staff bonus systems, itis proposed to transform them: 1) to reclassify the bonuses for theconcluded declarations of doctors and nurses who work with them into a salary increase; 2) implement indicators of the quality of primary healthcare provided in the bonus system: the level of vaccine prevention; level of breastfeeding; proactive contact with certain groups of patients; maintaining the "Risk Factors" tab in the patient’s card; conducting group classes for the patient (school of patients).It is proposed to use the technology of "key performance indicators", which list and weight are determined by interviewing the medical staff of primary care centers and are consistent with the strategic goals of primary medicine. A mathematical model of distribution of premiums among medical staff is presented, the introduction of which will allow directing the development of the primary health care system to improving its quality.References
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