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Table 3 Basic health unit personnel reasons for characterizing the contracting mechanism as advantageous or disadvantageous

From: Contracting private sector providers for public sector health services in Jalisco, Mexico: perspectives of system actors

Category

Reasons

Somewhat advantageous

1. Salary and benefits drawbacks

 

2. Cannot accumulate seniority

 

3. Renewing contracts is dependent on productivity

 

4. Untimely salary payments

 

5. Short contract period (three months)

 

6. Job insecurity

 

7. Few benefits

 

8. No medical insurance

 

9. No refresher or continuing education courses

 

10. Greater workload than those with permanent position

 

11. Can combine this job with other activities

 

12. Opportunity to work

Disadvantageous or very disadvantageous

1. Fewer rights than permanent personnel

 

2. Cannot accumulate seniority

 

3. Short contract period

 

4. Salary and benefits drawback

 

5. Greater workload than those with permanent position

 

6. Job insecurity

 

7. Undefined job activities

 

8. No social security benefits

 

9. Untimely salary payments

Advantageous or very advantageous

1. Productivity payments

 

2. Recent provision of health insurance

 

3. Ability to work in their community

 

4. Opportunity to work

  1. Source: Authors, with data from the health services providers' questionnaire. Research project on public-private interactions in the Mexican health sector.