The relative importance of leadership and payment system. Effects on quality of care and work environment.

摘要: The key question addressed in this study is whether the introduction of stronger financial incentives health care give rise to such a restrictive context that leadership has only minor influence? Or good leadership, on contrary, important achievement both and other goals, regardless contextual factors? Physicians one Swedish County Council with performance-based reimbursement 10 councils without system were studied cross-sectional questionnaire study. result indicates although factors substantial importance there scope for leaders act, their actions make considerable difference, experience work process outcome terms environment quality care. A may be able shield organisation from unwanted side effects increased pressure.