Gerard Nathan
Health Care Administration, College of Health and Human Services, California State University Long Beach , Long Beach, California, USA.
Leadersh Health Serv (Bradf Engl). 2019 Jun 28;32(3):364-386. doi: 10.1108/LHS-01-2018-0004. Epub 2018 Jun 5.
While considerable scholarly attention has been given to "millennials" (those born between 1981 and 1997), little is known of this generation's ability to influence healthcare organizations and managerial roles in particular. This paper aims to clarify why millennials enter the healthcare management field and how their motivations correlate with preferences for working in various healthcare sectors and with various patient populations.
DESIGN/METHODOLOGY/APPROACH: Survey data were collected from 107 millennials pursuing bachelor degrees in healthcare management by using a modified version of the multidimensional work motivation scale. Further data were collected on millennials' preferences for working in various healthcare sectors and with various patient populations. Correlational analyses were conducted to examine the relationship between types of motivation and workplace preferences. Cross-cultural differences were also examined within this generational set.
Results indicate a significant positive relationship between intrinsic motivation and preferences for working on the payer side of the industry and within finance and IT functions. Findings also reveal a significant positive relationship between prosocial motivation and preferences for working with more vulnerable patient populations. Variance in work motivation among cultural sub-sets of millennials suggests different upbringings, or alternatively, cultural relativity of the motivational constructs themselves.
RESEARCH LIMITATIONS/IMPLICATIONS: Despite offering key insights into the next generation of healthcare managers, this study is limited by a sample of millennials from one large, metropolitan university in the USA and thus may not represent the views of all millennials.
To select, retain and develop the next generation of healthcare managers, it is incumbent upon organizations to better understanding millennials' motivations and preferences.
ORIGINALITY/VALUE: This study is the first of its kind to illuminate the motivations and preferences that underpin a key and growing segment of the healthcare workforce. Millennials, now the largest and most diverse generation on the planet, are poised to change the landscape of health care.
尽管学术界对“千禧一代”(出生于1981年至1997年之间的人)给予了相当多的关注,但对于这一代人影响医疗保健组织尤其是管理角色的能力却知之甚少。本文旨在阐明千禧一代进入医疗保健管理领域的原因,以及他们的动机如何与在不同医疗保健部门和面对不同患者群体工作的偏好相关联。
设计/方法/途径:通过使用多维工作动机量表的修改版,从107名攻读医疗保健管理学士学位的千禧一代中收集了调查数据。还收集了关于千禧一代在不同医疗保健部门和面对不同患者群体工作的偏好的进一步数据。进行了相关性分析,以检验动机类型与工作场所偏好之间的关系。在这一代人中也考察了跨文化差异。
结果表明,内在动机与在行业支付方以及金融和信息技术职能部门工作的偏好之间存在显著的正相关关系。研究结果还揭示,亲社会动机与为更脆弱的患者群体工作的偏好之间存在显著的正相关关系。千禧一代文化子群体之间工作动机的差异表明了不同的成长经历,或者说动机结构本身的文化相对性。
研究局限性/启示:尽管本研究为下一代医疗保健管理者提供了关键见解,但它受到来自美国一所大型都市大学的千禧一代样本的限制,因此可能无法代表所有千禧一代的观点。
为了选拔、留住和培养下一代医疗保健管理者,各组织有责任更好地了解千禧一代的动机和偏好。
原创性/价值:本研究首次阐明了支撑医疗保健劳动力中一个关键且不断增长的部分的动机和偏好。千禧一代如今是地球上规模最大、最多样化的一代,他们有望改变医疗保健的格局。