title: [Financial incentives for employees as part of a policy to upgrade care in a public hospital in Volta Redonda, Rio de Janeiro State, Brazil].
abstract: The authors present and analyze six years of regular and steady application of an institutional evaluation policy based on financial incentives in a public hospital in Volta Redonda, Rio de Janeiro State, Brazil, as a part of the hospital's administrative modernization policy. This type of policy is considered implicitly capable of developing a sequence of strategic wagers: (1) release of financial resources for payment of bonuses; (2) creation of an operationally feasible and sensitive evaluation instrument; (3) creation of adequate management mechanisms to improve evaluation policy; (4) employee adherence to the hospital upgrading policy based on the bonus system; and (5) maintenance of the effects of evaluation policy over time. The article discusses the "degree of success" of each of these wagers in an attempt to portray possible gains throughout the process, while also identifying inherent difficulties in such a policy.
authors.affiliation: Departamento de Medicina Preventiva e Social, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP 13083-970, Brasil. cecilioluiz@uol.com.br
authors.forename: Luiz Carlos de Oliveira
authors.initials: LC
authors.lastname: Cecilio
authors.forename: Maria de Fátima Brito
authors.initials: Mde F
authors.lastname: de Rezende
authors.forename: Marta Gama
authors.initials: MG
authors.lastname: de Magalhaes
authors.forename: Suely Alves
authors.initials: SA
authors.lastname: Pinto
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000592:standards*; D004650:Employee Performance Appraisal / Q000592:standards; D006291:Health Policy; D006754:Hospital Restructuring; D006779:Hospitals, Public / Q000458:organization & administration*; D006801:Humans; D009042:Motivation; D011050:Policy Making; D011787:Quality of Health Care; D012052:Reimbursement, Incentive