Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/17321
Managerial autonomy in primary care: Position of health professionals in Mallorca
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Document typeresearch article
CitationTamborero 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.
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.
Primary Health Care
Persona de Mediana Edad
Personal de Salud
Atención Primaria de Salud
This item appears in following Docusalut collectionsAtención Primaria de Mallorca - APMALL > Comunicación científica
Instituto de Investigación Sanitaria Islas Baleares - IDISBA > Comunicación científica