title: [Managerial autonomy in primary care: position of health professionals in Mallorca].
abstract: OBJECTIVE
  To assess the knowledge, perceptions, expectations and attitudes of Primary Care (PC) professionals in Mallorca on managerial autonomy.
  
  
  METHODS
  Cross-sectional study based on an ad hoc, anonymous questionnaire, distributed online, from June-July 2013.
  
  
  METHODS
  PC Mallorca.
  
  
  METHODS
  PC healthcare professionals (n=1,097).
  
  
  METHODS
  Knowledge of self-management skills, requirements, and future scenarios of the centers with management autonomy (CMA); impact of self-management, commitment and willingness to take risks, and to become a CMA.
  
  
  RESULTS
  Response rate: 49.8% (546/1097), with 10.9% showing a high level of knowledge of self-management. The core competencies of a CMA were internal organizational capacity (87.5%) and selection of staff (81.1%). The CMA future was envisaged with motivated and involved professionals (72.6%), efficient results (66%), better quality of care (59.4%), and better training (52.8%). The benefits of self-management were considered important, for individual practitioners and for the improvement of PC in Mallorca (46.8%). The main requirements of the CMA were to have: trained managers (92.6%), budget allocation systems (87.5%), and appropriate management contracts (86.1%). They preferred that the CMA should depend on the Administration (62.7%), and had a personal interest in becoming a CMA (56.9%), but without taking on excessive commitments (waiving statutory regime, financial risk).
  
  
  CONCLUSIONS
  These data provide hitherto unknown information of great importance, which could contribute to a more rational planning and participatory implementation of CMA in our midst.
authors: Centro de Salud del Coll d'en Rabassa, Gerencia de Atención Primaria de Mallorca, Ibsalut, Palma de Mallorca, España. Electronic address: gtamborero@ibsalut.caib.es.
authors: Gaspar
authors: G
authors: Tamborero
authors: Gabinete Técnico, Gerencia de Atención Primaria de Mallorca, Ibsalut, Palma de Mallorca, España.
authors: Magdalena
authors: M
authors: Esteva
authors: Gabinete Técnico, Gerencia de Atención Primaria de Mallorca, Ibsalut, Palma de Mallorca, España.
authors: Sebastià
authors: S
authors: March
authors: Gabinete Técnico, Gerencia de Atención Primaria de Mallorca, Ibsalut, Palma de Mallorca, España.
authors: Mireia
authors: M
authors: Guillén
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000458:organization & administration*; D017009:Professional Autonomy; D057566:Self Report; D013030:Spain; D055815:Young Adult
keywords: Atención Primaria; Autonomous management; Autonomía de gestión; Centros de salud; Cuestionarios; Health centers; Primary Care; Questionnaires