Effects of assessing the productivity of faculty in academic medical centres: a systematic review

被引：65

作者：

Akl, Elie A. ^{[1
,2
,3
]}

Meerpohl, Joerg J. ^{[10
,11
]}

Raad, Dany ^{[1
]}

Piaggio, Giulia ^{[8
]}

Mattioni, Manlio ^{[7
]}

Paggi, Marco G. ^{[6
]}

Gurtner, Aymone ^{[8
]}

Mattarocci, Stefano ^{[6
]}

Tahir, Rizwan ^{[1
]}

Muti, Paola ^{[5
,9
]}

Schuenemann, Holger J. ^{[3
,4
]}

机构：

[1] SUNY Buffalo, Dept Med, Buffalo, NY 14260 USA

[2] SUNY Buffalo, Dept Family Med, Buffalo, NY 14260 USA

[3] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada

[4] McMaster Univ, Dept Med, Hamilton, ON, Canada

[5] McMaster Univ, Dept Oncol, Hamilton, ON, Canada

[6] Regina Elena Inst Canc Res, Dept Dev Therapeut Programs, Rome, Italy

[7] Regina Elena Inst Canc Res, Expt Res Ctr, Rome, Italy

[8] Regina Elena Inst Canc Res, Dept Expt Oncol, Rome, Italy

[9] Regina Elena Inst Canc Res, Sci Directorate, Rome, Italy

[10] Univ Med Ctr Freiburg, German Cochrane Ctr, Inst Biostat & Med Informat, Freiburg, Germany

[11] Univ Med Ctr Freiburg, Pediat Hematol & Oncol Clin, Ctr Pediat & Adolescent Med, Freiburg, Germany

来源：

CANADIAN MEDICAL ASSOCIATION JOURNAL | 2012年 / 184卷 / 11期

关键词：

RELATIVE-VALUE; COMPENSATION; UNIVERSITY; TEACHERS; MISSION; MODEL;

D O I：

10.1503/cmaj.111123

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Many academic medical centres have introduced strategies to assess the productivity of faculty as part of compensation schemes. We conducted a systematic review of the effects of such strategies on faculty productivity. Methods: We searched the MEDLINE, Healthstar, Embase and PsycInfo databases from their date of inception up to October 2011. We included studies that assessed academic productivity in clinical, research, teaching and administrative activities, as well as compensation, promotion processes and satisfaction. Results: Of 531 full-text articles assessed for eligibility, we in cluded 9 articles reporting on eight studies. The introduction of strategies for assessing academic productivity as part of compensation schemes resulted in increases in clinical productivity (in six of six studies) in terms of clinical revenue, the work component of relative-value units (these units are nonmonetary standard units of measure used to indicate the value of services provided), patient satisfaction and other departmentally used standards. Increases in research productivity were noted (in five of six studies) in terms of funding and publications. There was no change in teaching productivity (in two of five studies) in terms of educational output. Such strategies also resulted in increases in compensation at both individual and group levels (in three studies), with two studies reporting a change in distribution of compensation in favour of junior faculty. None of the studies assessed effects on administrative productivity or promotion processes. The overall quality of evidence was low. Interpretation: Strategies introduced to assess productivity as part of a compensation scheme appeared to improve productivity in research activities and possibly improved clinical productivity, but they had no effect in the area of teaching. Compensation increased at both group and individual levels, particularly among junior faculty. Higher quality evidence about the benefits and harms of such assessment strategies is needed.

引用

页码：E602 / E612

页数：11

共 19 条

[1] Productivity-Based Compensations Versus Incentive Plans [J].