Acoustic pattern recognition has shown itself to be a powerful inspection aid.
This article seeks to examine the experiences of the recent introduction of performance‐related pay (PRP) in German public services. From an industrial relations…
This article seeks to examine the experiences of the recent introduction of performance‐related pay (PRP) in German public services. From an industrial relations perspective, it addresses the question of how different designs of PRP schemes and the circumstances under which PRP is implemented influence its functionality and its acceptance by employees.
The paper uses an analysis of 215 works and establishment agreements, 17 case studies in municipalities of the federal state of North Rhine‐Westphalia (including employee attitude surveys in three cases), and interviews with experts from the employers' federation and the trade union.
It is shown that – in accordance with the literature – enhancing employee motivation is not the only objective pursued by the collective actors in the introduction of PRP. Different PRP schemes have differing effects: highly selective PRP schemes tend to fail; schemes resembling conventional appraisal systems have little positive effect on motivation and performance, whereas participative systems focusing on the inclusion of employees can offer an opportunity to renegotiate performance objectives in the public services.
Factors such as balancing material interest and social recognition, and strengthening participative elements could be crucial for improving the acceptance and functionality of PRP schemes.
This paper provides first findings on the recent introduction of PRP in the German public sector and contributes to the discussion on the functionality of PRP in public services.
Many autistic people do not have any access to healthcare services or they experience significant barriers to navigating the healthcare system. The purpose of this paper is to represent a significant concern in almost every healthcare setting, including specialized doctors and psychotherapists, outpatient medical care, access to preventive treatments (e.g. information on health and hygiene, vaccinations and early diagnostic screenings) and treatments in hospitals for emergency medical care. Therefore, it is necessary to provide professionals with guidelines and knowledge and to establish concepts for the participation of autistic people also with respect to adequate healthcare.
As a doctor and autistic person, the author’s training and personal experiences have provided the author with a unique perspective on this topic. It has also given the author an important opportunity to provide recommendations on ways to improve access to appropriate medical services for autistic individuals, improve communication between healthcare providers and autistic individuals and improve overall experiences within the healthcare and medical setting.
The paper provides information about the shortcoming of the healthcare system for autistic people, problems and barriers to access the healthcare system and for assessment and treatment and offers various suggestions to overcome these restrictions.
This paper is of special value as it is written by a medical doctor who has the diagnosis of ASD herself since she is 27. This combination of professional background on one side and person with ASD on the other side is of special value to permeate the topic.