Ben-Sira Z
Hebrew University of Jerusalem, School of Social Work, Israel.
Soc Sci Med. 1988;27(12):1401-9. doi: 10.1016/0277-9536(88)90206-7.
A multivariate paradigm, aimed at furthering the understanding of the factors underlying the devotion to practice of salaried primary care practitioners, has been developed and subjected to empirical verification. A study among a sample of Israeli primary care practitioners (N = 134) revealed an empirical structure of "Practice Compatibility', suggesting that the devotion to practice is conditioned by the clinical and professional role compatibility. Compatibility in turn is contingent on the practitioners' conviction in the sincerity of manifest health care oriented goals of the care-providing-framework. The herein developed notion of "Practice Compatibility' facilitated the distinction between types of employing frameworks according to the factors predicting the salaried primary care practitioners' devotion to practice. In this respect the contribution of the present study is in identifying the factors underlying the salaried practitioners' motivation to practice. However, contrary to the expected, practice compatibility does not predict the primary care practitioners' likelihood to demonstrate affective behavior. Thus the data were unable to repudiate earlier evidence regarding the significance of the private fee-for-service framework in predicting affective behavior.
一种多元范式已被开发出来，并经过实证验证，旨在进一步理解影响受薪基层医疗从业者执业投入的潜在因素。一项针对以色列基层医疗从业者样本（N = 134）的研究揭示了一种“执业兼容性”的实证结构，表明执业投入受临床和专业角色兼容性的制约。而兼容性又取决于从业者对提供医疗服务框架中明显以医疗保健为导向的目标的真诚度的信念。本文所提出的“执业兼容性”概念有助于根据预测受薪基层医疗从业者执业投入的因素，区分不同类型的雇佣框架。在这方面，本研究的贡献在于确定了受薪从业者执业动机的潜在因素。然而，与预期相反，执业兼容性并不能预测基层医疗从业者表现出情感行为的可能性。因此，这些数据无法反驳早期有关私人按服务收费框架在预测情感行为方面的重要性的证据。
