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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