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医生的专业自主权及其对医院的组织认同。

Physicians' professional autonomy and their organizational identification with their hospital.

机构信息

University "Parthenope" of Naples, Via Generale Parisi 13, 80132, Naples, Italy.

Charles University, U Kříže 8/661, Praha 5 - Jinonice, Prague, Czech Republic.

出版信息

BMC Health Serv Res. 2018 Oct 12;18(1):775. doi: 10.1186/s12913-018-3582-z.

DOI:10.1186/s12913-018-3582-z
PMID:30314481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6186093/
Abstract

BACKGROUND

Managing medical professionals is challenging because professionals tend to adhere to a set of professional norms and enjoy autonomy from supervision. The aim of this paper is to study the interplay of physicians' professional identity, their organizational identity, and the role of professional autonomy in these processes of social identification.

METHODS

We test hypotheses generated according to social identity theory using a survey of physicians working in public hospitals in Italy in 2013.

RESULTS

Higher degrees of organizational and economic professional autonomy are correlated with higher organizational identification. Identification with the profession is positively correlated with identification with the organization.

CONCLUSIONS

Although the generalizability of our results is limited, this study suggests that organizations should support the organizational and economic autonomy of their physicians to project an organizational identity that preserves the continuity of a doctor's self-concept and that is evaluated as positive by doctors. As a result, organizations will be able to foster organizational identification, which is potentially capable of inducing pro-social organizational behavior.

摘要

背景

管理医疗专业人员具有挑战性,因为专业人员倾向于遵守一套专业规范,并享有免受监督的自主权。本文的目的是研究医生的职业认同、组织认同,以及专业自主权在这些社会认同过程中的作用。

方法

我们根据社会认同理论,利用 2013 年意大利公立医院医生的调查数据来检验假设。

结果

较高程度的组织和经济专业自主权与较高的组织认同相关。对职业的认同与对组织的认同呈正相关。

结论

尽管我们研究结果的普遍性有限,但本研究表明,组织应该支持医生的组织和经济自主权,以树立一种组织认同,这种认同能够保持医生自我概念的连续性,并被医生评价为积极的。因此,组织将能够培养组织认同,这可能会促使产生有利于组织的行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efa1/6186093/2d63bb3cc3eb/12913_2018_3582_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efa1/6186093/e967f23fbc8c/12913_2018_3582_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efa1/6186093/2d63bb3cc3eb/12913_2018_3582_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efa1/6186093/e967f23fbc8c/12913_2018_3582_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efa1/6186093/2d63bb3cc3eb/12913_2018_3582_Fig2_HTML.jpg

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