Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland.


Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
29 Jul 2020
Historique:
received: 02 12 2019
accepted: 23 07 2020
entrez: 31 7 2020
pubmed: 31 7 2020
medline: 15 12 2020
Statut: epublish

Résumé

This paper examines the relationship between selected motivation factors that affect the attitude to work among medical doctors at public hospitals and the organizational performance of hospitals. This study was based on World Health Organization questionnaires designed to estimate motivation factors according to Herzberg's motivation theory and to measure the level of organizational performance of hospitals by using the McKinsey model. A survey was conducted among physicians (n = 249) with either surgical (operative) or nonsurgical (conservative) specialty in 22 departments/units of general public hospitals in Warsaw, Poland. The relationship between the chosen job motivation factors and organizational effectiveness was determined using Spearman's rank correlation. Furthermore, 95% confidence intervals were calculated. The independent samples t-test was used to confirm statistically significant differences between the independent groups. Normality of the data was tested by the Kolmogorov-Smirnov test. The survey revealed that motivation factors related to "quality and style of supervision" have the highest effect on the organizational performance of hospitals (Spearman's rank correlation coefficient = 0.490; p < 0.001), whereas "performance feedback" has the lowest effect on organizational performance according to the surveyed healthcare professionals (54% of physicians). The principles of Individual Performance Review should be incorporated into strategies designed to improve the organizational performance of hospitals (with NHS serving as a potential role model) in order to establish specific rules on how to share performance feedback with individual physicians. The present study contributes to literature on human resource management in the healthcare sector and highlights the importance of nonfinancial aspects in improving the organizational performance of hospitals.

Sections du résumé

BACKGROUND BACKGROUND
This paper examines the relationship between selected motivation factors that affect the attitude to work among medical doctors at public hospitals and the organizational performance of hospitals.
METHODS METHODS
This study was based on World Health Organization questionnaires designed to estimate motivation factors according to Herzberg's motivation theory and to measure the level of organizational performance of hospitals by using the McKinsey model. A survey was conducted among physicians (n = 249) with either surgical (operative) or nonsurgical (conservative) specialty in 22 departments/units of general public hospitals in Warsaw, Poland. The relationship between the chosen job motivation factors and organizational effectiveness was determined using Spearman's rank correlation. Furthermore, 95% confidence intervals were calculated. The independent samples t-test was used to confirm statistically significant differences between the independent groups. Normality of the data was tested by the Kolmogorov-Smirnov test.
RESULTS RESULTS
The survey revealed that motivation factors related to "quality and style of supervision" have the highest effect on the organizational performance of hospitals (Spearman's rank correlation coefficient = 0.490; p < 0.001), whereas "performance feedback" has the lowest effect on organizational performance according to the surveyed healthcare professionals (54% of physicians).
CONCLUSION CONCLUSIONS
The principles of Individual Performance Review should be incorporated into strategies designed to improve the organizational performance of hospitals (with NHS serving as a potential role model) in order to establish specific rules on how to share performance feedback with individual physicians. The present study contributes to literature on human resource management in the healthcare sector and highlights the importance of nonfinancial aspects in improving the organizational performance of hospitals.

Identifiants

pubmed: 32727454
doi: 10.1186/s12913-020-05573-z
pii: 10.1186/s12913-020-05573-z
pmc: PMC7391589
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

701

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Auteurs

Malgorzata Chmielewska (M)

Department of Applied Toxicology, Division of Forensic Pharmacy, Pharmacy Division, Medical University of Warsaw, 81, Żwirki i Wigury Str, 02-091, Warsaw, Poland. malgorzata.chmielewska@wum.edu.pl.

Jakub Stokwiszewski (J)

National Institute of Public Health - National Institute of Hygiene, 24, Chocimska Str, 00-791, Warsaw, Poland.

Justyna Filip (J)

Department of Applied Toxicology, Division of Forensic Pharmacy, Pharmacy Division, Medical University of Warsaw, 81, Żwirki i Wigury Str, 02-091, Warsaw, Poland.

Tomasz Hermanowski (T)

Department of Applied Toxicology, Division of Forensic Pharmacy, Pharmacy Division, Medical University of Warsaw, 81, Żwirki i Wigury Str, 02-091, Warsaw, Poland.

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Classifications MeSH