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Article

Sofie Vengberg, Mio Fredriksson, Bo Burström, Kristina Burström and Ulrika Winblad

Payments to healthcare providers create incentives that can influence provider behaviour. Research on unit-level incentives in primary care is, however, scarce. This paper…

Abstract

Purpose

Payments to healthcare providers create incentives that can influence provider behaviour. Research on unit-level incentives in primary care is, however, scarce. This paper examines how managers and salaried physicians at Swedish primary healthcare centres perceive that payment incentives directed towards the healthcare centre affect their work.

Design/methodology/approach

An interview study was conducted with 24 respondents at 13 primary healthcare centres in two cities, located in regions with different payment systems. One had a mixed system comprised of fee-for-service and risk-adjusted capitation payments, and the other a mainly risk-adjusted capitation system.

Findings

Findings suggested that both managers and salaried physicians were aware of and adapted to unit-level payment incentives, albeit the latter sometimes to a lesser extent. Respondents perceived fee-for-service payments to stimulate production of shorter visits, up-coding of visits and skimming of healthier patients. Results also suggested that differentiated rates for patient visits affected horizontal prioritisations between physician and nurse visits. Respondents perceived that risk-adjustments for diagnoses led to a focus on registering diagnosis codes, and to some extent, also up-coding of secondary diagnoses.

Practical implications

Policymakers and responsible authorities need to design payment systems carefully, balancing different incentives and considering how and from where data used to calculate payments are retrieved, not relying too heavily on data supplied by providers.

Originality/value

This study contributes evidence on unit-level payment incentives in primary care, a scarcely researched topic, especially using qualitative methods.

Details

Journal of Health Organization and Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1477-7266

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Article

Biman Das, Alberto Garcia‐Diaz and Clarence L. Hough

For machine‐paced operations a two‐factor monetary incentive planis developed by employing production quantity output and productionwaste as criteria for incentive

Abstract

For machine‐paced operations a two‐factor monetary incentive plan is developed by employing production quantity output and production waste as criteria for incentive earnings. The plan takes into account machine time allowance and increased operator work pace for manual work for establishing standards in a machine‐paced operation. The two incentive earning factors are given proper weights in terms of their relative economic importance. The weights are determined by comparing possible labour and material costs savings when the operators perform at incentive pace level. To demonstrate the working of the proposed monetary incentive plan an illustrative example is presented.

Details

International Journal of Operations & Production Management, vol. 9 no. 7
Type: Research Article
ISSN: 0144-3577

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Article

Miriam Dornstein

It is widely agreed that employees’ attitudestowards pay incentives are an importantdeterminant of their effectiveness. The perceivedfairness of pay incentives and their…

Abstract

It is widely agreed that employees’ attitudes towards pay incentives are an important determinant of their effectiveness. The perceived fairness of pay incentives and their determinants are examined. Based on theories dealing with the fairness evaluation of rewards, a number of hypotheses are formulated proposing that employees’ judgements of the fairness of pay incentives will be partly determined by their attitudes towards work and certain situational and personal background factors. The findings generally support these hypotheses. They indicate that the fairness judgements of pay incentive schemes and the considerations underlying such judgements are determined, among other things, by work motivation and by personal background characteristics such as age, education, number of dependants, organisational tenure and country of origin.

Details

Personnel Review, vol. 19 no. 2
Type: Research Article
ISSN: 0048-3486

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Article

Peter Mühlemeyer

Based on an empirical study, proposes requirements for and measuresof the formation of internal incentive systems as instruments forinternal innovation management. Uses…

Abstract

Based on an empirical study, proposes requirements for and measures of the formation of internal incentive systems as instruments for internal innovation management. Uses the knowledge of experience of individuals taking an active part in innovation for the formulation of such proposals. The necessity for the implementation of integrated incentive systems, which allow for material fundamental demands beyond those peculiar to individual career expectations, becomes obvious.

Details

Personnel Review, vol. 21 no. 4
Type: Research Article
ISSN: 0048-3486

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Article

Scott A. Jeffrey, Alyce M. Dickinson and Yngvi F. Einarsson

The authors aim to analyze actual practice in industry with respect to the use, choice, and effectiveness of four types of incentives, cash, prepaid cards, travel, and merchandise.

Abstract

Purpose

The authors aim to analyze actual practice in industry with respect to the use, choice, and effectiveness of four types of incentives, cash, prepaid cards, travel, and merchandise.

Design/methodology/approach

The paper uses a survey of 170 practicing incentive design managers.

Findings

Usage of cash and cards continue to increase but travel and merchandise are still frequently used.

Originality/value

This will provide useful information to practitioners who design incentive programs.

Details

International Journal of Productivity and Performance Management, vol. 62 no. 6
Type: Research Article
ISSN: 1741-0401

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Article

San-dang Guo, Sifeng Liu, Zhigeng Fang and Lingling Wang

The purpose of this paper is to put forward a multi-stage information aggregation method based on grey inspiriting control lines to evaluate the objects dynamically and…

Abstract

Purpose

The purpose of this paper is to put forward a multi-stage information aggregation method based on grey inspiriting control lines to evaluate the objects dynamically and comprehensively.

Design/methodology/approach

According to the evaluation value of the objects, the positive and negative incentive lines were set up and the predicted values were solved based on the grey GM(1, 1) model, so the value with expected information could be evaluated. In the evaluation, the part above the positive incentive line should be “rewarded” and that below the negative incentive line should be “punished” appropriately. Thereby the double incentive effects of “the current development situation and future development trend” to objects could be implemented on the basis of control.

Findings

This method can primarily describe the decision maker's expectancy of the development of evaluation objects and make the evaluation results have better practical application value.

Research limitations/implications

Many comprehensive evaluations were always based on the past information. However, the future development trend of the evaluated object is also very important. This study can be used in the evaluation for future application and development.

Originality/value

The paper succeeds in providing not only a method of multi-phase information aggregation with expectancy information, but also a simple and convenient method solving nonlinear inspiring lines objectively.

Details

Grey Systems: Theory and Application, vol. 4 no. 2
Type: Research Article
ISSN: 2043-9377

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Article

Joachim Deppe

Investigates the objectives of QCs in German companies from the point of view of the workforce as opposed to that of the management, i.e. the workforce‐oriented potential…

Abstract

Investigates the objectives of QCs in German companies from the point of view of the workforce as opposed to that of the management, i.e. the workforce‐oriented potential of QCs. Aims to identify a possible fit or misfit between the objectives of the management and those of the employees by analysing voluntary participation, the types of incentives and the potential incentive effects of various positions in the QC system. Concludes that acceptance by employees is of special importance; otherwise any QC system is bound to fail.

Details

International Journal of Quality & Reliability Management, vol. 10 no. 5
Type: Research Article
ISSN: 0265-671X

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Book part

Alex Bryson, John Forth and Minghai Zhou

CEO incentive contracts are commonplace in China but their incidence varies significantly across Chinese cities. We show that city and provincial policy experiments help…

Abstract

CEO incentive contracts are commonplace in China but their incidence varies significantly across Chinese cities. We show that city and provincial policy experiments help explain this variance. We examine the role of two policy experiments: the use of Special Economic Zones (SEZs) to attract Foreign Direct Investment (FDI), and the privatisation of State-Owned Enterprises (SOEs). The introduction of SEZs is found to be uncorrelated with the prevalence of CEO incentive contracts. However, firms are more likely to use such contracts in areas that saw rapid SOE privatisation, irrespective of the firm’s own current ownership status and irrespective of the size of the SOE sector in the late 1970s. The positive effect of privatisation is robust to various estimation techniques and model specifications. These findings suggest that domestic privatisation policies have been more influential than FDI in driving the expansion of incentive contracts in China.

Details

International Perspectives on Participation
Type: Book
ISBN: 978-1-78441-169-5

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Book part

Eduardo Schiehll

Following the optimal contracting hypothesis, this study investigates the issue of whether the board of director's ex ante choice to incorporate individual performance…

Abstract

Following the optimal contracting hypothesis, this study investigates the issue of whether the board of director's ex ante choice to incorporate individual performance evaluation (IPE) measures into the CEO bonus plan rewards managerial decisions not reflected in measures of the firm's current financial performance. Empirical results provide evidence that the use of IPE in the CEO bonus plan is an increasing function of the proportion of outsider directors on the board and a decreasing function of the informativeness of financial performance measures. This study also demonstrates how the use of IPE in incentive contracting can explain CEO cash compensation that is not explained by the firm's current performance and governance variables. Finally, the CEO incentive cash compensation not explained by observable performance measures or governance structure is positively associated with firm future performance one year after its award. Overall, results support the optimal contracting hypothesis. IPE appears to be used to increase the informativeness of CEO actions and determine the level of current CEO cash incentive compensation.

Details

Performance Measurement and Management Control: Measuring and Rewarding Performance
Type: Book
ISBN: 978-1-84950-571-0

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Book part

Alena Kireyeva and Irina Loukianova

Fiscal policy is one of the weighty instruments of state regulation and is intended to ensure the creation of an institutional environment to reach the strategic…

Abstract

Fiscal policy is one of the weighty instruments of state regulation and is intended to ensure the creation of an institutional environment to reach the strategic objectives of sustainable development. This chapter is devoted to the study of the implementation of tax reform in Belarus. It analyzes the place of tax instruments in economic growth and investigates the strategic direction of tax reforms. The actual tax policy in Belarus is determined by the requirements of the national strategy of sustainable development which aims to ensure a stable financial basis for the development of society, economy, and environmental management. The historical and economic conditions of Belarus require an assessment of the local peculiarities of the use of tax instruments, which are now in force in leading countries. Therefore the study of foreign experience is complemented by an analysis of local conditions. Tax policy must ensure and support changes in national economies related to globalization, informatization and digitalization of the modern world, while maintaining the ideas of social justice. As a theoretical and practical tool for improving the quality of the tax system through the modernization of the incentives system, the concept of tax expenditures as a part of the budget process was investigated.

Details

Modeling Economic Growth in Contemporary Belarus
Type: Book
ISBN: 978-1-83867-695-7

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