جستجوی مقالات مرتبط با کلیدواژه « طرح پرداخت مبتنی بر عملکرد » در نشریات گروه « پزشکی »

Due to the legal requirement of performance-based payment instruction and the necessity of improving the quantity and quality of services in the health sector affecting the national economic system, this study investigates the effectiveness of the performance-based payment plan. This research is applied in terms of purpose, and it is descriptive-analytic in terms of data with an ex post facto approach. The statistical population consisted of Sistan and Baluchestan Universities of Medical Sciences from 2010 to 2017 including the last five years ago and three years after the implementation of performance-based payment plan). Service evaluation form, text analysis, management reports, and financial statements data were used to collect data and then multivariate regression was used to analyze data. The results indicate that there is a positive and significant relationship between the implementation of the performance-based payment plan and the income of the hospitals, the active presence of non-executive staff and the quality of service provision, while there is no significant relationship between the implementation of this plan and active beds occupancy rate. Considering the effectiveness of the implementation of performance-based payment plan on hospitals’ income it can be stated this plan has affected the hospitals staff performance positively. It has also resulted in increasing staff’s activities in hospitals, providing better services, and improving effectiveness as a whole.  Therefore, the providers of performance-based payment plan in the Ministry of Health and Medical Education are suggested to implement this plan in other provinces broadly.

Satisfaction is one of the health dimensions and in lack of attention to patient's satisfaction, health system has acted contrary to its mission. The patient's satisfaction is apparent and doing measures to increase job satisfaction in nurses can improve the quality of care and patient's satisfaction. The aim of this study was to evaluate the role of law enforcement of productivity improvement and performance based pay plan in patient's satisfaction.
In this descriptive study, in two stages within 4 years, 500 patients’ satisfaction was measured by Patient Satisfaction Instrument (PSI) before and after the law enforcement of productivity improvement and performance based pay plan and the impact of this legislation on patient's satisfaction was evaluated. Independent t-test was used to evaluate the overall average of patient's satisfaction before and after implementing the rules.
The study findings showed that the average of overall patient's satisfaction of nursing care before (3.19±0.41) and after (3.57±0.16) the law enforcement of productivity improvement and performance based pay plan had not increased significantly (P=0.721).
Probably law enforcement of productivity improvement and performance based pay plan does not have significant impact on patient's satisfaction of nursing care while in explaining the principles of these laws, one of the intended purposes is increasing the efficiency and effectiveness of health measures. It seems that implementation of such rules could not create an incentive for nursing staff to enhance their effectiveness and thereby increase patient's satisfaction.

Enforcement productivity law and performance-based payment are important because of its impact on health interventions, nurses’ job satisfaction and their quality of work life. But, action plans of them always confront with challenge. The aim of this study was assessing implementation of enforcement productivity law and performance-based payment and nurses' job satisfaction. In this cross-sectional and descriptive study in two stages within 4 years (2012-2016), 500 nurses’ satisfaction was measured who are worked in (17) health care organization in Sistan & Baluchestan and (14) health care organization in Kerman proveniences. They selected as a quota- sampling. Data gathered by the standard questionnaires of Herzberg Job Satisfaction Theory before and after the law improving productivity and pay for performance plan and the impact of this legislations on nurses' job satisfaction was evaluated. Its reliability was measured by Alpha-Chronbach (0.89). Data analyzed by t-test and ANOVA with SPSS17. Finding showed that the mean of overall nurses' job satisfaction before (2.85±0.4) and after (2.99±0.7) the law enforcement of improving productivity and performance-based payment plan hadn't been increased significantly (P>0.05). Of course, in salary & benefit and recognition domains of job satisfaction increased significantly and in supervision & management domains significantly decreased(P<0.05). It is recommended that for attaining human resource productivity change action plan of law enforcement of improving productivity and performance-pased plan accompapayment nied with staff participation.

Enforcement productivity law and performance-based payment are important because of its impact on health interventions, nurses’ job satisfaction and their quality of work life. But, action plans of them always confront with challenge.
Aim: The aim of this study was assessing implementation of enforcement productivity law and performance-based payment and nurse's job satisfaction.
In this cross-sectional and descriptive study in two stages within 4 years (2012-2016), 500 nurses’ satisfaction was measured who are worked in (17) health care organization in Sistan & Baluchestan and (14) health care organization in Kerman proveniences. They selected as a quota- sampling. Data gathered by the standard questionnaires of Herzberg Job Satisfaction Theory before and after the law improving productivity and pay for performance plan and the impact of this legislations on nurse's job satisfaction was evaluated. Its reliability was measured by Alpha-Chronbach (0.89). Data analyzed by t-test and ANOVA with SPSS17.
Finding showed that the mean of overall nurse's job satisfaction before (2.85±0.4) and after (2.99±0.7) the law enforcement of improving productivity and performance-based payment plan hadnt been increased significantly (P>0.05). Of course, in salary & benefit and recognition domains of job satisfaction increased significantly and in supervision & management domains significantly decreased(P It is recommended that for attaining human resource productivity change action plan of law enforcement of improving productivity and performance-pased plan accompapayment nied with staff participation.