Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20097
Título
Managerial autonomy in primary care: Position of health professionals in Mallorca
Autor(es)
Fecha de publicación
2015-02
Cita
Tamborero G, Esteva M, March S, Guillen M. Managerial autonomy in primary care: Position of health professionals in Mallorca. Aten Prim. 2015 Feb;47(2):99-107. Epub 2014 Jun 19.
Idioma
Español
Tipo de documento
research article
Resumen
Objectives: To assess the knowledge, perceptions, expectations and attitudes of Primary Care (PC) professionals in Mallorca on managerial autonomy. Design: Cross-sectional study based on an ad hoc, anonymous questionnaire, distributed online, from June-July 2013. Location: PC Mallorca. Participants: PC healthcare professionals (n = 1,097). Measurements: 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.
Palabras clave
MESH
Male | Self Report | Health Personnel | Young Adult | Spain | Adult | Female | Humans | Professional Autonomy | Primary Health Care | Middle Aged | Cross-Sectional Studies
DECS
Estudios Transversales | Autonomía Profesional | Humanos | Persona de Mediana Edad | Adulto Joven | Femenino | Personal de Salud | Atención Primaria de Salud | Adulto | Autoinforme | España | Masculino
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DOI
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