Variable compensation in Primary Healthcare: a report on the experience in Curitiba, Rio de Janeiro, Brazil, and Lisbon, Portugal

How professionals are compensated may affect how they perform their tasks. Fixed compensation may take the form of wages, payment for productivity or capitation. In addition to fixed compensation, there are numerous mechanisms for variable compensation. This article describes the experience of Curit...

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Published in:Ciência & saude coletiva 2016-05, Vol.21 (5), p.1377-1388
Main Authors: Poli Neto, Paulo, Faoro, Nilza Teresinha, Prado Júnior, José Carlos do, Pisco, Luís Augusto Coelho
Format: Article
Language:eng ; spa
Subjects:
Brazil
Comparative studies
Health Personnel - economics
Humans
Medical personnel
Patient Care Team - economics
Patient Care Team - organization & administration
Portugal
Primary care
Primary Health Care - economics
Primary Health Care - organization & administration
Quality of care
Salaries and Fringe Benefits - statistics & numerical data
Wages & salaries
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container_issue 5
container_start_page 1377
container_title Ciência & saude coletiva
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creator Poli Neto, Paulo
Faoro, Nilza Teresinha
Prado Júnior, José Carlos do
Pisco, Luís Augusto Coelho
description How professionals are compensated may affect how they perform their tasks. Fixed compensation may take the form of wages, payment for productivity or capitation. In addition to fixed compensation, there are numerous mechanisms for variable compensation. This article describes the experience of Curitiba and Rio de Janeiro in Brazil, and Lisbon in Portugal, using different models of performance-based compensation. In all three of these examples, management felt the need to offer monetary reward to achieve certain goals. The indicators analyzed the structure, processes and outcomes, and assessed professionals individual and as part of healthcare teams. In Lisbon, variable compensation can be as high as 40% of the base wage, while in Curitiba and Rio de Janeiro it is limited to 10%. Despite the growing use of this management tool in Brazil and the world, further studies are required to analyze the effectiveness of variable compensation.
doi_str_mv 10.1590/1413-81232015215.02212016
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subjects Brazil
Comparative studies
Health Personnel - economics
Humans
Medical personnel
Patient Care Team - economics
Patient Care Team - organization & administration
Portugal
Primary care
Primary Health Care - economics
Primary Health Care - organization & administration
Quality of care
Salaries and Fringe Benefits - statistics & numerical data
Wages & salaries
title Variable compensation in Primary Healthcare: a report on the experience in Curitiba, Rio de Janeiro, Brazil, and Lisbon, Portugal
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