title: [Remunerations, benefits and labor incentives perceived by health care workers in Peru: an analysis comparing the Ministry of Health and the Social Insurance, 2009].
abstract: OBJECTIVE
  To describe the main characteristics of the general salaries situation and the incentive policies of health care workers of Peru, comparing them by their origin institution and type of contract.
  
  
  METHODS
  A mixed design study was done including both quantitative and qualitative components during 2008 and 2009 with both professional and technical personnel of the Ministry of Health (MINSA) and the Social Insurance (EsSalud) in Peru. The salary structure was primarily evaluated considering incentives, bonuses and other remunerations according to position, type of contract and work place.
  
  
  RESULTS
  Remuneration and bonus policies at the national level are determined by the responsibilities and amount of time served. The type of contract is determined by the programs of the public system (DL 276) and the private system (DL 728), also by the Special Program of Contract Services Administration (CAS) and exclusively in MINSA contracting is determined by local health administration Committees (CLAS). The salary structure differs between both types of institutions, especially with respect to incentives and benefits. An special economic incentive for assistance (AETA) is unique to MINSA, but the proportion of assistance varies by region. The professionals of MINSA have lower salaries than those of EsSalud, in all types of contracts. A professional contracted through CAS generally has a lower salary than staff peers in MINSA, though this situation is reversed in EsSalud. The lowest salaries are found in contracts made through CLAS.
  
  
  CONCLUSIONS
  The structure and salary amounts differ between MINSA and EsSalud, just as they differ by existing contracting types.
authors.affiliation: Dirección General de Gestión del Desarrollo de los Recursos Humanos, Ministerio de Salud, Lima, Perú. karimpardo@gmail.com
authors.forename: Karim
authors.initials: K
authors.lastname: Pardo
authors.forename: Marcelino
authors.initials: M
authors.lastname: Andia
authors.forename: Amado
authors.initials: A
authors.lastname: Rodriguez
authors.forename: Walter
authors.initials: W
authors.lastname: Pérez
authors.forename: Betsy
authors.initials: B
authors.lastname: Moscoso
mesh_terms: D001291:Attitude of Health Personnel; D006076:Government; D006801:Humans; D010568:Peru; D012052:Reimbursement, Incentive; D012456:Salaries and Fringe Benefits; D012943:Social Security