When staff is underpaid: dealing with the individual coping strategies of health personnel

Health sector workers respond to inadequate salaries and working conditions by developing various individual "coping strategies" - some, but not all, of which are of a predatory nature. The paper reviews what is known about these practices and their potential consequences (competition for...

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Main Authors: Van Lerberghe Wim, Conceição Claudia, Van Damme Wim, Ferrinho Paulo
Format: Article
Language:English
Published: The World Health Organization 2002-01-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000700011
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author Van Lerberghe Wim
Conceição Claudia
Van Damme Wim
Ferrinho Paulo
author_facet Van Lerberghe Wim
Conceição Claudia
Van Damme Wim
Ferrinho Paulo
author_sort Van Lerberghe Wim
collection DOAJ
description Health sector workers respond to inadequate salaries and working conditions by developing various individual "coping strategies" - some, but not all, of which are of a predatory nature. The paper reviews what is known about these practices and their potential consequences (competition for time, brain drain and conflicts of interest). By and large, governments have rarely been proactive in dealing with such problems, mainly because of their reluctance to address the issue openly. The effectiveness of many of these piecemeal reactions, particularly attempts to prohibit personnel from developing individual coping strategies, has been disappointing. The paper argues that a more proactive approach is required. Governments will need to recognize the dimension of the phenomenon and systematically assess the consequences of policy initiatives on the situation and behaviour of the individuals that make up their workforce.
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spelling doaj.art-7c5bf0f16de64135bd1171c15e5480f42024-03-02T01:17:48ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862002-01-01807581584When staff is underpaid: dealing with the individual coping strategies of health personnelVan Lerberghe WimConceição ClaudiaVan Damme WimFerrinho PauloHealth sector workers respond to inadequate salaries and working conditions by developing various individual "coping strategies" - some, but not all, of which are of a predatory nature. The paper reviews what is known about these practices and their potential consequences (competition for time, brain drain and conflicts of interest). By and large, governments have rarely been proactive in dealing with such problems, mainly because of their reluctance to address the issue openly. The effectiveness of many of these piecemeal reactions, particularly attempts to prohibit personnel from developing individual coping strategies, has been disappointing. The paper argues that a more proactive approach is required. Governments will need to recognize the dimension of the phenomenon and systematically assess the consequences of policy initiatives on the situation and behaviour of the individuals that make up their workforce.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000700011Health personnel/economicsPublic sectorSalaries and fringe benefitsEthicsJob satisfactionAdaptation, PsychologicalEmigration and immigrationCareer mobilityMotivationEmployee incentive plansSocioeconomic factors
spellingShingle Van Lerberghe Wim
Conceição Claudia
Van Damme Wim
Ferrinho Paulo
When staff is underpaid: dealing with the individual coping strategies of health personnel
Bulletin of the World Health Organization
Health personnel/economics
Public sector
Salaries and fringe benefits
Ethics
Job satisfaction
Adaptation, Psychological
Emigration and immigration
Career mobility
Motivation
Employee incentive plans
Socioeconomic factors
title When staff is underpaid: dealing with the individual coping strategies of health personnel
title_full When staff is underpaid: dealing with the individual coping strategies of health personnel
title_fullStr When staff is underpaid: dealing with the individual coping strategies of health personnel
title_full_unstemmed When staff is underpaid: dealing with the individual coping strategies of health personnel
title_short When staff is underpaid: dealing with the individual coping strategies of health personnel
title_sort when staff is underpaid dealing with the individual coping strategies of health personnel
topic Health personnel/economics
Public sector
Salaries and fringe benefits
Ethics
Job satisfaction
Adaptation, Psychological
Emigration and immigration
Career mobility
Motivation
Employee incentive plans
Socioeconomic factors
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000700011
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