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执业安排对医生满意度的影响。

Impact of practice arrangements on physicians' satisfaction.

作者信息

Nixon Robert L, Jaramillo Fernando

机构信息

University of South Florida, College of Business Administration, Department of Management and Organization, USA.

出版信息

Hosp Top. 2003 Fall;81(4):19-25. doi: 10.1080/00185860309598030.

Abstract

This research examines the effect of practice arrangements on five dimensions of physicians' satisfaction (i.e., personal factors, resources, peer review, profession, and state regulations) and the moderating effect of job autonomy and decision making on this relationship. This research finds that physicians who work for HMOs and hospitals are more satisfied with job resources, regulatory climate, and their professions, compared with physicians who are self-employed (solo and group practices). Physicians who work for HMOs and hospitals have less autonomy and decision-making power, compared with self-employed physicians. Also, job autonomy partially moderates the relationship between organizational arrangement and physicians' satisfaction with job resources and satisfaction with the profession. Decision making does not moderate the organizational arrangement and physicians' satisfaction relationship.

摘要

本研究考察了实践安排对医生满意度五个维度(即个人因素、资源、同行评审、职业和国家法规)的影响,以及工作自主性和决策对这种关系的调节作用。本研究发现,与个体执业(单人执业和团体执业)的医生相比,在健康维护组织(HMO)和医院工作的医生对工作资源、监管环境和职业更满意。与个体执业医生相比,在HMO和医院工作的医生自主性和决策权较小。此外,工作自主性部分调节了组织安排与医生对工作资源的满意度以及职业满意度之间的关系。决策并未调节组织安排与医生满意度之间的关系。

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