Document Detail

The impact of hospital management reforms on absenteeism in Costa Rica.
MedLine Citation:
PMID:  16415337     Owner:  NLM     Status:  MEDLINE    
The reduction of high levels of absenteeism among health care workers was one the objectives of the reforms undertaken to improve public hospital performance during the 1990s in Costa Rica. This paper attempts to assess the impact of changes in reimbursement methods and organizational reform on absence rates among health care personnel in Costa Rican public hospitals for the period 1995-2001. Our results show the reforms to have had a negative impact on absenteeism, which increased throughout the considered period. Results further indicate that the policy of not substituting absentee workers, which was introduced through the reforms, did not work as expected in a permissive environment in which peer pressure mechanisms were lacking. In addition, the explicit incentives for workers included in the reforms were retained and used at facility level. There is a pressing need in the future for control and disciplinary mechanisms for health care personnel and for the introduction of absence rates as an explicit goal to be monitored and evaluated.
Ariadna García-Prado; Mukesh Chawla
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-01-16
Journal Detail:
Title:  Health policy and planning     Volume:  21     ISSN:  0268-1080     ISO Abbreviation:  Health Policy Plan     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-03     Completed Date:  2006-03-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8610614     Medline TA:  Health Policy Plan     Country:  England    
Other Details:
Languages:  eng     Pagination:  91-100     Citation Subset:  H    
Department of Economics, Universidad Pública de Navarra, Campus de Arrosadia, 31006 Pamplona, Spain.
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MeSH Terms
Costa Rica
Hospital Administration*
Organizational Innovation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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