Bolanowski Wojciech
Department of Social Medicine, Wrocław Medical University, Wrocław, Poland.
Int J Occup Med Environ Health. 2007;20(3):281-5. doi: 10.2478/v10001-007-0025-1.
Despite the profound structural reform of the health service in Poland, the present organizational system of health care is subject to severe criticism. It is described as unjust and enhancing malpractice as well as migration of young doctors abroad. The commonly expressed disapproval and own observations on the organization and functions of health care are expected to affect future performance of medical interns and suppress their motivation to pursue professional career. The purpose of the study was to evaluate the extent to which the interns approve the present healthcare system as a measure of their organizational attachment.
Questionnaire survey was conducted in 992 interns (mean age 26 years) in 2004 and responses were evaluated using a specially designed scale of approval.
The majority of interns expressed high disapproval of the healthcare system.
This disapproval can be regarded as an indirect measure of the lack of organizational attachment on the part of the interns. These findings may have negative consequences for the future functions of healthcare in Poland. Therefore, measures should be undertaken to promote positive attitudes among medical students and interns. The disapproval of the system is a personal attitude independent of the social and economic characteristics. One should note that the personnel mobility opportunities do not seem to be playing the role of an effective "safety valve" to diminish the disapproval of the system by medical interns.
尽管波兰的医疗服务进行了深刻的结构改革，但目前的医疗保健组织体系仍受到严厉批评。它被描述为不公平，助长医疗事故，还导致年轻医生移民到国外。人们对医疗保健组织和功能普遍表达的不满以及自身观察结果，预计会影响实习医生未来的表现，并抑制他们追求职业生涯的积极性。本研究的目的是评估实习医生对当前医疗保健系统的认可程度，以此作为衡量他们组织归属感的一个指标。
2004年对992名实习医生（平均年龄26岁）进行了问卷调查，并使用专门设计的认可量表对回答进行评估。
大多数实习医生对医疗保健系统表示高度不满。
这种不满可被视为实习医生缺乏组织归属感的一种间接衡量指标。这些发现可能会对波兰未来的医疗保健功能产生负面影响。因此，应采取措施促使医学生和实习医生形成积极态度。对该系统的不满是一种独立于社会和经济特征的个人态度。应该注意的是，人员流动机会似乎并未起到有效的“安全阀”作用，以减少实习医生对该系统的不满。
