What is a disadvantage of salary and bonus systems?

A disadvantage of salary and bonus systems is that they can be difficult to manage and are subject to manipulation. This is largely due to the complexities involved in setting benchmarks for performance and the potential for subjective interpretation of performance metrics. In a salary and bonus structure, individuals might prioritize meeting certain criteria or targets that lead to a bonus, which can result in skewed decision-making or behaviors that focus solely on those metrics rather than overall patient care or team effectiveness.

Additionally, because these systems depend on defined performance measures, there is room for manipulation. For instance, an employee might find ways to game the system or highlight favorable results while downplaying areas of underperformance. This can lead to inequities within the team and ultimately detracts from the overall effectiveness of the practice.