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外科医生选择工作场所的动机。

Surgeons' motivation for choice of workplace.

作者信息

Kähler Lena, Kristiansen Maria, Rudkjøbing Andreas, Strandberg-Larsen Martin

机构信息

Department of Public Health, University of Copenhagen, 1014 Copenhagen K, Denmark.

出版信息

Dan Med J. 2012 Sep;59(9):A4508.

Abstract

INTRODUCTION

To ensure qualified health care professionals at public hospitals in the future, it is important to understand which factors attract health care professionals to certain positions. The aim of this study was to explore motives for choosing employment at either public or private hospitals in a group of Danish surgeons, as well as to examine if organizational characteristics had an effect on motivation.

MATERIAL AND METHODS

Eight qualitative interviews were conducted with surgeons from both public and private hospitals sampled using the snowball method. The interviews were based on a semi-structured interview guide and analyzed by means of phenomenological theory.

RESULTS

Motivational factors such as personal influence on the job, the opportunity to provide the best possible patient care, challenging work tasks colleagues, and ideological reasons were emphasized by the surgeons as important reasons for their choice of employment. Motivational factors appeared to be strongly connected to the structure of the organization; especially the size of the organization was perceived to be essential. It is worth noting that salary, in contrast to the general belief, was considered a secondary benefit rather than a primary motivational factor for employment.

CONCLUSION

The study revealed that motivational factors are multidimensional and rooted in organizational structure; i.e. organizational size rather than whether the organization is public or private is crucial. There is a need for further research on the topic, but it seems clear that future health care planning may benefit from taking into account the implications that large organizational structures have for the staff working within these organizations.

FUNDING

not relevant.

TRIAL REGISTRATION

not relevant.

摘要

引言

为确保未来公立医院有合格的医疗保健专业人员,了解哪些因素吸引医疗保健专业人员担任某些职位很重要。本研究的目的是探讨丹麦一组外科医生选择在公立医院或私立医院工作的动机,并研究组织特征是否对动机有影响。

材料与方法

采用雪球抽样法,对公立医院和私立医院的外科医生进行了8次定性访谈。访谈基于半结构化访谈指南,并运用现象学理论进行分析。

结果

外科医生强调,诸如个人对工作的影响、提供尽可能最佳患者护理的机会、具有挑战性的工作任务、同事以及意识形态方面的原因等动机因素是他们选择工作的重要原因。动机因素似乎与组织架构紧密相连;尤其是组织规模被认为至关重要。值得注意的是,与普遍看法相反,薪资被视为次要福利,而非就业的主要动机因素。

结论

该研究表明,动机因素是多维度的,且植根于组织结构;即组织规模而非组织是公立还是私立至关重要。对此主题需要进一步研究,但未来的医疗保健规划似乎显然可受益于考虑大型组织结构对在这些组织内工作的员工的影响。

资金

无关。

试验注册

无关。

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