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Table 1 Financial incentives as the major driving force

From: Primary healthcare in transition – a qualitative study of how managers perceived a system change

Perception Sub-categories
Positive experiences - Move towards effectiveness in processes, time management and costs
- Assignment, tasks and organisational structure became clearer
- Employees became more result-oriented
- Easier to follow up and compare financial results
Negative experiences - Difficult to foresee the future financial position
- Difficult to achieve a financial balance
- Increased administrative workload
- Strict rules lead to less freedom to develop your own ideas
- Stressful if rules are unclear
- Reducing the number of staff is stressful
- Own research activities neglected
Positive and negative experiences - New competitors
- Extensive changes took place promptly