Abstract

RAPOSO, Hélder. The implications of the contracted performance indicators in the clinical work of general practice: a professional model in mutation?. Sociologia [online]. 2018, vol.35, pp.63-83. ISSN 0872-3419.  https://doi.org/10.21747/08723419/soc35a2.

Considering the organizational innovations introduced by the reform of the Primary Health Care in Portugal, we intend to analyze the implications of the contractualisation of performance indicators in the clinical work of General Practice and in the foundations of its professional model. Based on a case study developed in two different organizational contexts, it was possible to verify the emergence of some perverse effects of managerialism in the professional world of this medical specialty, such as an increased volume of more bureaucratic workload, a restrictive evaluation of professional performance or the constraints to develop a patient-centered medicine

Keywords : performance indicators; professional model; General Practice.

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