The Effects of Monetary Incentives on Physicians’ Effort and Patient Satisfaction: Understanding the Links between Monetary Incentives and Physicians’ Effort

Yu, Chenhao; Li, Xiaoyan; Liang, Huigang; Zhang, Zhiruo; Dong, Fang

doi:10.3390/ijerph192013075

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…En uno de los estudios consultados, Yu et al, (2022) exponen cómo los incentivos monetarios promueven el desempeño laboral debatiendo si estos últimos reducen la motivación intrínseca que puedan conducir a un riesgo moral. Los resultados empíricos de la investigación mostraron que, aunque no se introdujeran medidas con relación a los incentivos monetarios, el objeto de estudio mejoraría de forma proactiva por la experiencia y con ello permitiendo que el empleado se sintiera motivado por su trabajo.…”

Section: Resultsunclassified

El salario emocional. Una revisión sistemática a la literatura

Valero

Jiménez

2023

Innovaciones de Negocios

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El objetivo de este estudio es el de presentar una revisión literaria sobre las aportaciones a la definición del salario emocional, así como el de brindar un fundamento a la base teórica a través de los estudios aplicados a este concepto, las aportaciones que impactan en las organizaciones y las personas que la integran. Se realizó la investigación con un diseño no experimental, descriptivo y con un enfoque cualitativo sustentado en fuentes documentales y bibliográficas. Los resultados demuestran que las organizaciones no solo deben contemplar las compensaciones monetarias de modo que al complementarlas con las retribuciones no económicas conllevan a ser más competitivas al retener y atraer el capital humano. Por último, podemos concluir que el salario emocional es aquella retribución no económica compuesta por factores extrínsecos e intrínsecos que satisfacen las expectativas y necesidades de las personas que inciden en su bienestar emocional adquirida por una relación laboral.

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Section: Resultsunclassified

El salario emocional. Una revisión sistemática a la literatura

Valero

Jiménez

2023

Innovaciones de Negocios

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“…To solve this, in the short term, the savings of expenses from PCC can be used to expand welfare and job resources for physicians. This can be done through incentive plans that reward physicians for promoting communication and hard work ( 53 ). Moreover, in the long term, forming a patient-centered organizational culture ( 54 ) and providing psychological safety and perceived organizational support ( 55 ) can also be effective methods to promote PCC in practice.…”

Section: Discussionmentioning

confidence: 99%

More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients

Yu,

Xian,

Jing

et al. 2023

Front. Public Health

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ObjectiveThe objective of this study is to explore the association between patient-centered care (PCC) and inpatient healthcare outcomes, including self-reported physical and mental health status, subjective necessity of hospitalization, and physician-induced demand behaviors.MethodsA cross-sectional survey was conducted to assess patient-centered care among inpatients in comprehensive hospitals through QR codes after discharge from September 2021 to December 2021 and had 5,222 respondents in Jiayuguan, Gansu. The questionnaire included a translated 6-item version of the PCC questionnaire, physician-induced behaviors, and patients' sociodemographic characteristics including gender, household registration, age, and income. Logistic regression analyses were conducted to assess whether PCC promoted self-reported health, the subjective necessity of hospitalization, and decreased physician-induced demand. The interactions between PCC and household registration were implemented to assess the effect of the difference between adequate and inadequate healthcare resources.ResultsPCC promoted the patient's self-reported physical (OR = 4.154, p < 0.001) and mental health (OR = 5.642, p < 0.001) and subjective necessity of hospitalization (OR = 6.160, p < 0.001). Meanwhile, PCC reduced physician-induced demand in advising to buy medicines outside (OR = 0.415, p < 0.001), paying at the outpatient clinic (OR =0.349, p < 0.001), issuing unnecessary or repeated prescriptions and medical tests (OR = 0.320, p < 0.001), and requiring discharge and readmitting (OR = 0.389, p < 0.001).ConclusionBy improving health outcomes for inpatients and reducing the risk of physician-induced demand, PCC can benefit both patients and health insurance systems. Therefore, PCC should be implemented in healthcare settings.

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“…22,47 It was found that nearly 70% of the PCPs regarded income as the most important motivating factor, which was consistent with previous study. 44,45 The absolute income level of the PCPs is generally low especially compared with the income level of other health sectors and professionals, 46,47 so earning more monetary income still being their dominant need. In addition, it is also found that the PCPs who regarded income as the most important motivating factor had lower scores on all three dimensions of job performance, which implies that income not satisfying the need of PCPs had direct destructive effect on their work performance.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Financial Incentives and Job Performance Among Primary Care Providers in Six Provinces of China

Wang¹,

Zhao²,

Liu³

et al. 2022

RMHP

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Objective This study aims to explore the association between financial incentives and job performance of primary care providers (PCPs) from a nationally representative survey in China. Methods This is a cross-sectional study conducted in six provinces of China in 2019. A sample of 1388 PCPs participated in the survey was selected using a stratified cluster sampling method. A self-administered questionnaire composed of socio-demographic, work-related characteristics, financial incentives received by PCPs and their job performance was used. The association between financial incentives and job performance are analyzed using logistic regression model. The significance level for statistics is set at P < 0.05. Results The PCPs with higher real income level have lower contextual performance (OR = 0.67, p < 0.01) and learning performance (OR = 0.63, p < 0.01) than those with lower real income level. The PCPs with the expectation of income rising above 50% have lower contextual performance (OR = 0.66, p < 0.05) than those with the expectation of income rising above 20%. The PCPs with preference for monetary income have lower task performance (OR = 0.62, p < 0.01), contextual performance (OR = 0.55, p < 0.01) and learning performance (OR = 0.57, p < 0.01) than those without lower preference for monetary income. The percent of performance-based income has no significant effect on all the three dimensions of job performance. Conclusion Financial incentive was regarded as the most important motivating factor of PCPs in China, but existing financial incentives received by PCPs could not improve their job performance. The findings can be attributed to the unsatisfying total income level, “intrinsic motivation crowding out” effect, and the poorly designed performance-based salary system for PCPs. Policy attention is called for to continuing efforts and system reform to increase the total income level for PCPs in China, and improve the performance-based salary system to better motivate PCPs and improve their job performance.

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The Effects of Monetary Incentives on Physicians’ Effort and Patient Satisfaction: Understanding the Links between Monetary Incentives and Physicians’ Effort

Cited by 4 publications

References 28 publications

El salario emocional. Una revisión sistemática a la literatura

El salario emocional. Una revisión sistemática a la literatura

More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients

The Association Between Financial Incentives and Job Performance Among Primary Care Providers in Six Provinces of China

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