SciELO - Scientific Electronic Library Online

vol.85 issue6Influence of chronic health problems in dimensions of EQ-5D: study of institutionalized and non-institutionalized elderlyThe reporting of observational studies: analysis using the STROBE statement author indexsubject indexarticles search
Home Page  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727


TAMBORERO CAO, Gaspar et al. Clinical and managerial autonomy: perception of the coordinators of the health centers in Mallorca, Spain. Rev. Esp. Salud Publica [online]. 2011, vol.85, n.6, pp.569-581. ISSN 2173-9110.

Background: The self-management has been linked with increased efficiency and job satisfaction. Before any changes aimed at a more autonomous management is important to know the position of professionals and managers. Objective: To assess the importance attached by the coordinators of the health centers (HC) to the clinical and managerial autonomy, knowing their decision making capacity and their expectations about the feasibility of implementing a project of self-management. Methods: Design: cross-sectional study, application questionnaire. Location: Primary Care, 2009. Participants: All the coordinators of the HC of Mallorca (N = 47). Interventions and Measurements: 27 questions that explore the coordinator's opinion about the importance of the components of the self-management, its ability to present intervention, the propensity / aversion to risk, leadership, and the feasibility of a self-management. Results: response rate: 42/47 (89,4%). 42 (100%) attaches the highest importance to the management of human resources, 41 (97,6%) to demand management and 40 (95,2%) to the management of waiting lists. 15 (35,7%) would take a financial risk, 14 (33,3%) were considered trained and 18 (42,9%) were willing to lead a process of self-management. 14 (33,3%) thought that the professionals in your team would not be interested in a process of self-management and 29 (69%) believed that others could develop HC of Mallorca. Conclusions: The respondents were coordinators have a limited ability to decide on the components of the self-management, being risk averse and make a little leadership ability and willingness to self-management projects.

Keywords : Professional autonomy; primary health care; health centers; questionnaires.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )