Performance related pay for hospital doctors.

Author ' s response to reviews The Effect of Performance - Related Pay of Hospital Doctors on Hospital Behaviour : A Case - Study

The effect of performance-related pay of hospital doctors on hospital behaviour: a case study from Shandong, China

BACKGROUND With the recognition that public hospitals are often productively inefficient, reforms have taken place worldwide to increase their administrative autonomy and financial responsibility. Reforms in China have been some of the most radical: the government budget for public hospitals was fixed, and hospitals had to rely on charges to fill their financing gap. Accompanying these changes ...

Why pay for performance may be incompatible with quality improvement.

In a linked article (doi:10.1136/bmj.e5047), Glasziou and colleagues highlight the tenuous nature of the evidence that financial reward systems work in healthcare settings. They propose that before pay for performance schemes are implemented the potential benefits and harms should be assessed. Such schemes, which aim to improve the quality and efficiency of healthcare by the use of financial in...

Hospital Bed Utilization: Perceptions of Healthcare Practitioners from Northern India

 Background and Objectives: Hospital bed utilization is influenced by various factors, which may be categorized into patient-related, physician-related, and administration-related issues. It could be argued that the causes of inappropriate hospital bed utilization would be perceived differently by the clinicians and the patients. Given the unique role of clinical practitioners in quality of car...

Service Performance Improvement Model: The Case of Teklehaymanot General Hospital

In service sector, there are challenges in keeping an optimum balance between customers' demand and availability of resources. This problem is going to be more intense in the health sector due to the fact that both arrival and service times are random. Therefore, designing the service environment by keeping the optimum balance between customers’ demand and available resources is becoming a seri...