Vardy Daniel A, Kayam Refael, Kitai Eliezer
Leumit Health Fund Central Management, Tel Aviv, Israel.
Harefuah. 2008 Dec;147(12):999-1003, 1027.
Physicians are the backbone of every medical system. Physician function and behavior have a major impact on the function and outcomes of medical systems. Physician behavior is influenced by sets of incentives that are an inherent part of the medical system. Incentives may be divided into three groups: 1) moral incentives, i.e. professionalism, empathy, sense of mission; 2) social incentives, i.e. reputation, laws, administrative restrictions and work environment; 3) financial incentives, i.e. payments, salaries and bonuses. Physician behavior is influenced by a combination of all three types of incentives and not by a single incentive. The material incentive has more influence on recruitment while the social incentive has a stronger influence on retainment and attrition reduction. This article discusses the modern physician's environment in view of incentive sets and its impact on the medical system.
医生是每个医疗系统的支柱。医生的职能和行为对医疗系统的功能和结果有重大影响。医生的行为受到作为医疗系统固有组成部分的一系列激励措施的影响。激励措施可分为三类：1）道德激励，即专业精神、同理心、使命感；2）社会激励，即声誉、法律、行政限制和工作环境；3）经济激励，即报酬、薪水和奖金。医生的行为受到这三种激励措施的综合影响，而不是单一激励措施的影响。物质激励对招聘的影响更大，而社会激励对留用和减少人员流失的影响更强。本文从激励措施的角度探讨现代医生的环境及其对医疗系统的影响。
