The relationship between income and performance indicators in general practice: a cross-sectional study

2005 ◽  
Vol 18 (4) ◽  
pp. 258-264 ◽  
Author(s):  
M Ashworth ◽  
D Armstrong ◽  
J de Freitas ◽  
G Boullier ◽  
J Garforth ◽  
...  
Keyword(s):  
Performance Indicators ◽  
Clinical Care ◽  
Quality Care ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Practice Staff ◽  
Performance Targets ◽  
And Performance ◽  
The Relationship

Objective: To explore the relationship between the income of general practitioners (GPs) and the performance characteristics of their practices. Design: Cross-sectional survey. Setting: All practices ( n = 166) in an inner city health authority, two years before the introduction of the new GP contract in April 2004 were studied. Main outcome measures: True income per GP was unavailable to us. Instead, the proxy measure - superannuable pay - was calculated (gross eligible income per GP minus the national average sum for GP expenses). Practice staff funding figures were also obtained. These two financial indicators were compared with practice characteristics and performance indicators. Results: Data were available from 151 out of 166 practices. Based on regression analysis, larger list sizes and higher practice staff budgets predicted 31% of the variation in GP income (standardized β = 0.66, P < 0.001; β = 0.19, P = 0.02; respectively). Higher staff budgets were independently associated with better cervical smear and two-year-old vaccination rates (standardized β = 0.24, P < 0.01; β = 0.18, P = 0.03; respectively). No association was demonstrated between performance indicators and income. Conclusion: Under the previous contract, GPs were able to maximize their income by taking on more patients, whereas achievement of performance targets had very little impact on overall income. The opportunity costs of pursuing higher-quality care might have outweighed the modest financial rewards attached to performance targets. Provided rewards for good-quality care are sufficiently high, the new GP contract is likely to tip the balance in favour of generating earnings by improving the quality of clinical care. To deliver this care, as measured by available performance indicators, our findings imply that a greater investment in practice staff will be needed.

Matching Ethical Climate to Nurses’ Service Behaviors in Public and Private Hospitals: A Cross-Sectional Study

2020 ◽  
Author(s):  
Na Zhang ◽  
Jingjing Li ◽  
Xing Bu ◽  
Zhenxing Gong
Keyword(s):  
Ethical Climate ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
Service Behavior ◽  
Public And Private Hospitals ◽  
The Relationship

Abstract Background: Workplace climate is great significant element that has impact on nurses’ behavior and practice; moreover, nurses’ service behavior contributes to the patients’ satisfaction and subsequently to the long-term success of hospitals. Few studies explore how different types of organizational ethical climate encourage nurses to engage in both in-role and extra-role service behaviors, especially in comparing the influencing process between public and private hospitals. This study aimed to compare the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals.Methods: This study conducted a cross-sectional survey on 559 nurses from China. All participants were investigated using the Ethical Climate Scale and Service Behavior Questionnaire. SPSS 22.0 was used for correlation analysis, t-test and analysis of variance test, and Mplus 7.4 was used for group comparison.Results: The law and code climate has a much greater influence on nurses’ in-role service behavior in private hospitals than on that in public hospitals (β = -.277; CI 95% = [-.452, -.075]; p < .01), and the instrumental climate has a stronger influence on nurses’ extra-role service behavior private hospitals than on that in public hospitals (β = -.352; CI 95% = [-.651, -.056]; p < .05). Meanwhile, the rules climate has a greater effect on nurses’ extra-role service behavior in public hospitals than it does in private hospitals (β = .397; CI 95% = [.120, .651]; p < .01). Conclusions: As the relationship between the five types of ethical climate and nurses’ in-role and extra-role service behaviors in public and private hospitals were different, the strategies used to foster and enhance the types of ethical climate are various from public to private hospitals. The caring and instrumental climate are the key to promote extra-role service behavior for nurses in private hospitals. And independent climate has great effect on extra-role service behaviors for nurses in public hospitals.

scholarly journals A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Liselotte N. Dyrbye ◽  
Tait D. Shanafelt ◽  
Pamela O. Johnson ◽  
Le Ann Johnson ◽  
Daniel Satele ◽  
...  
Keyword(s):  
Work Performance ◽  
National Sample ◽  
Cross Sectional Study ◽  
Inpatient Setting ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Academic Degree ◽  
High Performer ◽  
High Prevalence ◽  
The Relationship

Abstract Background Studies suggest a high prevalence of burnout among nurses. The aim of this study was to evaluate the relationship between burnout among nurses and absenteeism and work performance. Methods A national sample of U.S. nurses was sent an anonymous, cross-sectional survey in 2016. The survey included items about demographics, fatigue, and validated instruments to measure burnout, absenteeism, and poor work performance in the last month. Results Of the 3098 nurses who received the survey, 812 (26.2%) responded. The mean age was 52.3 years (SD 12.5), nearly all were women (94.5%) and most were married (61.9%) and had a child (75.2%). Participating nurses had a mean of 25.7 (SD 13.9) years of experience working as nurse and most held a baccalaureate (38.2%) or masters of science (37.1%) degree in nursing. A quarter worked in the inpatient setting (25.5%) and the average hours worked per week was 41.3 (SD 14.1). Overall, 35.3% had symptoms of burnout, 30.7% had symptoms of depression, 8.3% had been absent 1 or more days in the last month due to personal health, and 43.8% had poor work performance in the last month. Nurses who had burnout were more likely to have been absent 1 or more days in the last month (OR 1.85, 95% CI 1.25–2.72) and have poor work performance (referent: high performer; medium performer, OR 2.68,95% CI 1.82–3.99; poor performer, OR 5.01, 95% CI 3.09–8.14). After adjusting for age, sex, relationship and parental status, highest academic degree, practice setting, burnout, depression, and satisfaction with work-life integration, nurses who were more fatigued (for each point worsening, OR 1.22, 95% CI 1.10–1.37) were more likely to have had absenteeism while those who worked more hours (for each additional hour OR 0.98, 95% CI 0.96–1.00) were less likely to have had absenteeism. Factors independently associated with poor work performance included burnout (OR 2.15, 95% CI 1.43–3.24) and fatigue (for each point of worsening, OR 1.22, 95% CI 1.12–1.33). Conclusions These findings suggest burnout is prevalent among nurses and likely impacts work performance.

scholarly journals Sex-Based Differences in the Association between Nutrition Label Awareness and the Prevalence of Atopic Dermatitis: A Cross-Sectional Survey

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 210
Author(s):  
Soo Jin Kwon ◽  
Yoonjung Kim
Keyword(s):  
Atopic Dermatitis ◽  
Food Selection ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Nutrition Label ◽  
Cross Sectional ◽  
Nutrition Labels ◽  
Men And Women ◽  
The Relationship

Atopic dermatitis is a chronic allergic disease with multifactorial causation. Although its association with diet has been demonstrated, it remains unclear whether the prevalence of atopic dermatitis among adults is associated with nutrition label awareness. Nutrition label awareness indicates knowledge of the existence of nutrition labels on processed food, and the use of them for food selection. In this cross-sectional study, we analyzed the relationship between nutrition label awareness and the prevalence of atopic dermatitis among men and women using data from the Korean National Health and Nutrition Examination Survey VI (2013–2015), including a nationally representative sample of 13,505 Korean adults (aged > 19 years). The relationship between the prevalence of atopic dermatitis and nutrition label awareness was evaluated using t-tests, χ2 tests and multivariate adjusted logistic regression analysis. Although univariate analysis showed that atopic dermatitis was associated with nutrition label awareness in both men and women, after adjustment for covariates, there was no significant association among men. The significant association between the prevalence of atopic dermatitis and nutrition label awareness among women reveals a sex-based difference in this relationship in adults, and atopic dermatitis may be managed and prevented among women by targeted education regarding nutrition labels and diet.

scholarly journals Association between quality management and performance indicators in Dutch diabetes care groups: a cross-sectional study

BMJ Open ◽  
2015 ◽  
Vol 5 (5) ◽  
pp. e007456-e007456 ◽  
Author(s):  
M. J. E. Campmans-Kuijpers ◽  
C. A. Baan ◽  
L. C. Lemmens ◽  
M. L. H. Klomp ◽  
A. C. M. Romeijnders ◽  
...  
Keyword(s):  
Quality Management ◽  
Diabetes Care ◽  
Performance Indicators ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Groups ◽  
And Performance

Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Satu Kajander-Unkuri ◽  
Riitta Meretoja ◽  
Jouko Katajisto ◽  
Helena Leino-Kilpi ◽  
Arja Suikkala
Keyword(s):  
Nursing Education ◽  
Clinical Practice ◽  
Nursing Students ◽  
Response Rate ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Competence Scale ◽  
The Relationship ◽  
Education Nursing

AbstractDuring nursing education, nursing students are required to develop their competence to be able to fulfill their duties safely as Registered Nurses. The aims of this study were to explore 1) nursing students’ self-assessed competence levels during education 2) the relationship with competence and frequency at which competencies are utilized in clinical practice, and 3) factors related to competence levels. 841 (response rate 67.6 %) nursing students responded to the Nurse Competence Scale in a cross-sectional study. The self-assessed overall competence levels were improving during the education continuum (VAS-means 1st 56.6; 2nd 58.3; 3rd 59.8 and 3.5th -year students 68.4). Every group revealed a significant positive correlation with competence and frequency at which competencies are utilized in clinical practice in clinical placement. Risk factors for low competence were also identified. Systematic multimethod competence evaluations with longitudinal designs are needed to monitor outcomes of nursing education.

Organizational Virtuousness and Work Engagement: Mediating Role of Happiness in India

2017 ◽  
Vol 20 (1) ◽  
pp. 88-102 ◽  
Author(s):  
Sharda Singh ◽  
Rajasekhar David ◽  
Sitamma Mikkilineni
Keyword(s):  
Human Resource Development ◽  
Work Engagement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological States ◽  
Mediating Role ◽  
And Performance ◽  
Hrd Professionals ◽  
Indian Industries ◽  
The Relationship

The Problem The positive psychology movement has led to an increased attention in organizational virtuousness, engagement, and happiness. Though attention has been devoted to studying the relationship between organizational virtuousness and performance, there is limited research that explores the relationship between employees’ perception of organizational virtuousness and work engagement. The Solution A cross-sectional survey was carried out on a sample of knowledge workers from diverse Indian industries. The findings of the study showed that the employees’ perception of organizational virtuousness predicts work engagement not only directly but also indirectly through happiness. The Stakeholders Managers can nurture organizational virtuousness in organizations to enhance employee happiness and promote a more engaged workforce. Considering the findings of the study, Human Resource Development (HRD) professionals should make the best use of their human capital by fostering positive psychological states such as work engagement.

scholarly journals Corporate Governance and Performance: An Empirical Investigation of Sugar Producing Companies in Kenya

2018 ◽  
Vol 14 (31) ◽  
pp. 240
Author(s):  
Machuki, V.N. ◽  
Rasowo, J.O.
Keyword(s):  
Corporate Governance ◽  
Policy And Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Good Corporate Governance ◽  
Governance Practices ◽  
Improved Performance ◽  
And Performance ◽  
Financial Transactions ◽  
The Relationship

Corporate governance is concerned with the running of an organization in a way that guarantees that its owners or stockholders receive a fair return on their investments while the expectations of other stakeholders are also met. The study sought to examine the relationship between corporate governance practices and performance of sugar producing companies in Kenya. The study intended to establish the corporate governance practices adopted by the companies and the influence of these practices on their performance. Through a cross-sectional survey of 11 companies, data were gathered using a structured questionnaire and analyzed using both descriptive and inferential statistics. The results indicate that all the studied companies practice some form of corporate governance although the degree of adoption differ across them. The study also revealed that board decisions are not influenced by founder members and that it was not common for board members to engage in financial transactions with the companies. The results of regression analysis show that overall, there is a positive and statistically significant influence of corporate governance practices on performance of the sugar producing companies. The study draws a conclusion that a combination of good corporate governance practices is responsible for a large percentage of good performance achieved by the sugar companies. Individual corporate governance practices acting on their own do not always lead to improved performance. The study offers support for theories that anchor performance implications of good corporate governance as well as findings of previous similar studies. Based on the findings of the study, recommendation for policy and practice are made as well as suggestions for further research.

ROLE OF ANAESTHETIST IN POST ANAESTHESIA VISIT - QUESTIONNAIRE STUDY AMONG ANAESTHESIOLOGISTS

2021 ◽  
pp. 26-28
Author(s):  
Manjula Devi S ◽  
Ravi Madhusudhana
Keyword(s):  
Online Survey ◽  
Care Pathway ◽  
Clinical Care ◽  
Quality Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Operative Care ◽  
Anaesthesia Service ◽  
Clinical Care Pathway

Background The role of anaesthetist has increased tremendously from just being in the operative team to the recovery of the patient in the post-operative period. The recovery without any complication requires multidisciplinary team which should be embedded in a clinical care pathway with focus on enhancing patient recovery. Objectives: To evaluate the need for post anaesthesia visit, among Anaesthesiologists to improve the post-operative and post anaesthesia quality care. Methodology: This was a cross sectional study conducted among 275 anaesthesiologists by an online survey using a validated pretested questionnaire Results: Majority of the study participants were males. 92.4 % had regular post-anaesthesia service available in their hospitals. More than 70% of the patients had post-operative visits. Majority of the post-operative visit was on the day of surgery and on the rst post-operative day. Conclusion: It is the responsibility of the anaesthesiologist to guarantee that patients have completely recovered from the given anaesthesia and to detect and treat any probable anaesthetic-related complications. Hence, a post-operative care team involving the surgeons and anaesthetist can alleviate the complications, shorten the duration of hospital stay and improved recovery.

The Role of Strategy Implementation in the Relationship Between Strategic Planning Systems and Performance

2020 ◽  
Vol 1 (1) ◽  
pp. 1-23
Author(s):  
Juliana Mulaa Namada
Keyword(s):  
Strategic Planning ◽  
Strategy Implementation ◽  
Planning Systems ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Investment Performance ◽  
And Performance ◽  
Internal Business Process ◽  
The Relationship

While substantial research has been done on strategic planning and performance, there is little research on the moderating role of strategy implementation. This study attempts to bridge this gap. The study adopted a descriptive cross-sectional survey with the firm as the unit of analysis. The findings indicate that strategy implementation moderates the relationship between strategic planning systems and market performance as well as internal business process performance but not on return on investment performance. In conclusion, the configuration of planning systems with its theoretical underpinning as resource bundles explain performance variations among firms. The study's implication for practice is that strategic planning systems should be emphasized by business firms as a configuration and not by its domains.

scholarly journals The moderating role of personal resources in the relationship between psychosocial job demands and health: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015710 ◽  
Author(s):  
Hannes Mayerl ◽  
Erwin Stolz ◽  
Franziska Großschädl ◽  
Éva Rásky ◽  
Wolfgang Freidl
Keyword(s):  
Job Demands ◽  
Cross Sectional Study ◽  
The Body ◽  
Personal Resources ◽  
Cross Sectional Survey ◽  
Mental Strain ◽  
Cross Sectional ◽  
Health Symptoms ◽  
The Impact ◽  
The Relationship

ObjectiveThe main objective of this research was to investigate the buffering effects of an individual’s physical, mental and social resources in the relationship between psychosocial job demands and (1) health symptoms, (2) mental strain and (3) the body mass index (BMI), respectively.MethodsWe performed moderated regression analysis to examine data from a large cross-sectional survey of an Austrian employee sample (n=9434).ResultsThe results revealed a robust association between psychosocial job demands and health symptoms as well as mental strain, but only a weak relationship between psychosocial job demands and BMI. Although the personal resources showed a positive effect on health symptoms and mental strain, only weak evidence was found for the hypothesised interaction with psychosocial job demands. Solely the physical fitness of a person was found to mitigate the impact of psychosocial job demands on health symptoms.ConclusionsIn conclusion, personal resources substantially accounted for the prediction of health. However, the interactions between psychosocial job demands and personal resources only slightly contributed to explaining the variation in health.

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