El SISTEMA DE REMUNERACIÓN E INCENTIVOS EN LA SALUD, COMO UN INSTRUMENTO PARA LA MEJORA DE LA CALIDAD DE ATENCIÓN.

Abstract

Introduction: It is important to note that incentive systems and its contradictions, need to be analyzed, with particular attention to the practice of health in order to mediate the possible effects on the system. Objective: To analyze existing remuneration standards and incentives in health institutions and their relationship to the quality of service delivery, in Cordoba, Argentina. Method: Observational, analytic and correlationa. Universe multipurpose health institutions, public and private. Two-stage random sample. Instrument, documentary analysis, two self-administered survey, and standardized quality indices. Primary and secondary source. Results: A higher proportion of nursing and medicine with respect to psychology and social work. Women prevail 2-1, young people between 20 and 39 years, age 5-15 years. The permanent public plant is greater than private (p = 0.002), whereas the reverse situation is employed the (p = 0.0001) arises, however the ratio is similar in the interior and in capital. In the composition of the remuneration the three items were recognize: basic amount, age and title of degree. The public sector has a salary greater than the private (p < 0.0001). The incentives they receive, concentrate on training and awards. A correlation between the IACC, and IMRA Iacu variables regarding the antiquity (p < 0.01), the amount of wages (p < 0.0001), economic incentives (p < 0.0001), nature legal (p < 0.05) and the status of magazine (p < 0.01).