Provider′s constraints and difficulties in primary health care system

Background: The contractualization of human resource in recent years has resulted into various human resource management issues. Objective: To explore the administrative and management issues of contractual model of human resource under primary health care system in Delhi. Materials and Methods: Com...

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Main Authors: Pawan Kumar, Abdul Majeed Khan, Deep Inder, Anu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2014;volume=3;issue=2;spage=102;epage=106;aulast=Kumar
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author Pawan Kumar
Abdul Majeed Khan
Deep Inder
Anu
author_facet Pawan Kumar
Abdul Majeed Khan
Deep Inder
Anu
author_sort Pawan Kumar
collection DOAJ
description Background: The contractualization of human resource in recent years has resulted into various human resource management issues. Objective: To explore the administrative and management issues of contractual model of human resource under primary health care system in Delhi. Materials and Methods: Comparative study was conducted on randomly selected sample of 333, comprised of Medical Officers, ANMs, Pharmacist and Laboratory Assistants and Technicians, both regular and contractual cadre. The data was collected using the semi-structured interview schedule and thematic content analysis was done. Results: The five major themes emerged in the analysis; these are (i) physical infrastructure, (ii) organization′s working environment, (iii) privileges of staff, (iv) discontentment, (v) human resource development. Comparative analysis of themes between regular and contractual staff revealed significant differences in factors which are embedded into the organization′s culture. Element of discontentment is high amongst contractual staff particularly for discrimination in job, undermining of authority, patient care relationship and privileges provided to regular staff. This reflects the area of dissatisfaction which varies between regular and contractual staff in the organization. Conclusion: If primary health care system fails to address genuine constraints of human resources of both regular and contractual cadre and perception of discrimination persists, it is bound to result into poor motivation for good performance in the system of health care. So, adopting good practices in human resource management keeping regular and contractual employees grievances at forefront are urgently needed to ensure the availability of adequately trained and motivated personnel′s in health facilities.
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spelling doaj.art-6a4bd6fda634400288baab83bc90e0052022-12-21T23:48:03ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632014-01-013210210610.4103/2249-4863.137610Provider′s constraints and difficulties in primary health care systemPawan KumarAbdul Majeed KhanDeep InderAnuBackground: The contractualization of human resource in recent years has resulted into various human resource management issues. Objective: To explore the administrative and management issues of contractual model of human resource under primary health care system in Delhi. Materials and Methods: Comparative study was conducted on randomly selected sample of 333, comprised of Medical Officers, ANMs, Pharmacist and Laboratory Assistants and Technicians, both regular and contractual cadre. The data was collected using the semi-structured interview schedule and thematic content analysis was done. Results: The five major themes emerged in the analysis; these are (i) physical infrastructure, (ii) organization′s working environment, (iii) privileges of staff, (iv) discontentment, (v) human resource development. Comparative analysis of themes between regular and contractual staff revealed significant differences in factors which are embedded into the organization′s culture. Element of discontentment is high amongst contractual staff particularly for discrimination in job, undermining of authority, patient care relationship and privileges provided to regular staff. This reflects the area of dissatisfaction which varies between regular and contractual staff in the organization. Conclusion: If primary health care system fails to address genuine constraints of human resources of both regular and contractual cadre and perception of discrimination persists, it is bound to result into poor motivation for good performance in the system of health care. So, adopting good practices in human resource management keeping regular and contractual employees grievances at forefront are urgently needed to ensure the availability of adequately trained and motivated personnel′s in health facilities.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2014;volume=3;issue=2;spage=102;epage=106;aulast=KumarConflictcontractual staffhuman resourcemotivationprivileges
spellingShingle Pawan Kumar
Abdul Majeed Khan
Deep Inder
Anu
Provider′s constraints and difficulties in primary health care system
Journal of Family Medicine and Primary Care
Conflict
contractual staff
human resource
motivation
privileges
title Provider′s constraints and difficulties in primary health care system
title_full Provider′s constraints and difficulties in primary health care system
title_fullStr Provider′s constraints and difficulties in primary health care system
title_full_unstemmed Provider′s constraints and difficulties in primary health care system
title_short Provider′s constraints and difficulties in primary health care system
title_sort provider s constraints and difficulties in primary health care system
topic Conflict
contractual staff
human resource
motivation
privileges
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2014;volume=3;issue=2;spage=102;epage=106;aulast=Kumar
work_keys_str_mv AT pawankumar providersconstraintsanddifficultiesinprimaryhealthcaresystem
AT abdulmajeedkhan providersconstraintsanddifficultiesinprimaryhealthcaresystem
AT deepinder providersconstraintsanddifficultiesinprimaryhealthcaresystem
AT anu providersconstraintsanddifficultiesinprimaryhealthcaresystem