Performance-based contracting in home-care work in The Netherlands: professionalism under pressure?

Health & Social Care in the Community
Rosanne OomkensTrudie Knijn

Abstract

Our aim was to improve the understanding of the relationships between performance-based contracting, management supportiveness and professionalism in home care. Using path analysis, this article explores the relationships between home-care workers' perceptions of management support, implementation of performance-based contracting (i.e. use of strict time registration rules and cost-efficiency measures) and autonomy and intrinsic job satisfaction. We hypothesised that: use of strict time registration rules and cost-efficiency measures relates to lower levels of autonomy and intrinsic job satisfaction (H1); there is an indirect relationship between use of strict time registration rules and use of cost-efficiency measures and intrinsic job satisfaction via autonomy (H2); higher levels of management support relate to the use of looser time registration rules and less use of cost-efficiency measures (H3); and higher levels of management support relate to higher levels of autonomy and intrinsic job satisfaction (H4). We used data from a cross-sectional survey conducted in 2010 of a sample of Dutch home-care workers (N = 156, response rate = 34%). Overall, our study suggests that the consequences of performance-based contracting for p...Continue Reading

References

Jun 16, 2001·BMJ : British Medical Journal·K McKenzie
Sep 19, 2001·Health & Social Care in the Community·Lisa Curtice, Fiona Fraser
Mar 30, 2004·Health Affairs·Alain C Enthoven
Feb 4, 2005·The International Journal of Health Planning and Management·Hugh R WatersLaurel Hatt
Jun 10, 2005·Journal of Health Politics, Policy and Law·Jan-Kees HeldermanWynand P M M van de Ven
Apr 25, 2006·International Journal of Nursing Studies·Billie Coomber, K Louise Barriball
May 3, 2006·Health & Social Care in the Community·Susan Duncan, Linda Reutter
May 20, 2006·International Journal of Nursing Studies·Annick WillemIves De Jonghe
May 1, 2004·Health & Social Care in the Community·Ruth McDonald, Stephen Harrison
Apr 21, 2010·Health Services Research·Linda DelpCarles Muntaner
Jan 21, 2012·Health & Social Care in the Community·Barbara Da Roit
Feb 24, 2012·Health & Social Care in the Community·Mia Vabø
Mar 1, 2012·Health & Social Care in the Community·Caroline Glendinning
Apr 20, 2012·Health & Social Care in the Community·Tine Rostgaard

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Citations

Sep 12, 2019·Health & Social Care in the Community·Rebecka Strandell
Feb 1, 2020·Health & Social Care in the Community·Annie CarrierMélanie Levasseur
Sep 25, 2017·BMC Health Services Research·Solrun G HolmBerit S Brinchmann

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