Incentive system for medical staff engaged in contracted family doctor services from providers' perspective

  Objective  To analyze motivation preferences for and satisfaction to current incentive measures among medical staff engaged in contracted family doctor services and to propose suggestions for improving the incentive system.

  Methods  We recruited 600 medical staff engaged in contracted family doctor services using stratified multistage random sampling in three municipalities with different economic development in Shandong province and conducted a questionnaire survey on motivation preferences for and satisfaction to incentive measures among the staff during 2017. Chi-square test and rank sum ratio (RSR) were adopted in data analyses.

  Results  The top three motivation preferences among the staff were increasing income, promoting self-development, and improving job security, with the grading scores of 2 617.50, 2 610.50, and 2 524.86. The consistent matches between motivation preferences and satisfaction to incentive measures were poor among the staff. The overall satisfaction to current incentive measures differed significantly by region of work, gender, and income level among the staff (all P < 0.05); the RSR scores for overall satisfaction to incentive measures for the staff in Heze, Weifang, and Ji'nan municipality were 0.906 3, 0.645 8, and 0.447 9, respectively.

  Conclusion  Economic factor is the most concerned incentive factors and low income could weaken effects other incentive measures among medical staff engaged in contracted family doctor services in Shandong province.