Yet other studies found obstacles to developing collaboration such as the remuneration system, differences in medical practice and service delivery and lack of knowledge concerning existing services [ 11, 16].
Questions on remuneration reveal substantial differences between doctors and the rest of the staff, with salaries of doctors more than four times that of registered nurses (a differential which increases when other sources are added).
In addition to disease prevalence in the population, patterns of hospitalization data including clinical diagnoses may be affected by other factors that were not analysed, such as changes in the number of hospital beds available, changes in hospital remuneration policies, and differences in clinical indications for hospital treatment.
Another reason, says the reinsurer's spokesperson: "It is highly unlikely that any investor would make a decision to invest dependent on whether there are differences in remuneration among the individual members of the board.
This may partly be due to small differences in remuneration between senior and junior doctors.
There is usually no difference in the descriptions of job responsibilities between contract-based nurses and 'bianzhi' nurses, but differences in remuneration exist [ 7].
Some participants related the lack of remuneration to the underlying differences in the priorities and values of healthcare professionals and management in the health system.
More specifically, these issues include large differences in remuneration and living conditions for work in the low-income countries, juxtaposed with a demand for skilled workers in the high-income countries.
The factor remuneration revealed statistically significant differences according to gender, and hospital sector, with female doctors and nurses and accident and emergency (A+E) outpatient doctors reporting greater mean scores (p < 0.005).
Respondents noted that they could understand "reasonable" differences in remuneration between national and expatriate staff "up to a degree but not to a level where one is tempted to think that nationality matters".
