Department of Management, International Humanitarian University, Odessa, Ukraine.
Faculty of Management, University of Social Sciences, Lodz, Poland.
Int J Health Plann Manage. 2020 Nov;35(6):1314-1334. doi: 10.1002/hpm.3037. Epub 2020 Aug 3.
This article examines different motivators for medical staff in countries with a high gap in healthcare efficiency by comparing them in two healthcare systems-Polish (ie efficient) and Ukrainian (ie inefficient).
This survey-based study applies a six-stage conceptual framework to two Polish and two Ukrainian hospitals as well as medical faculties of one university from each country. Following ethical approval, data were collected in the first quarter of 2019, using the 'Evaluation of motivators questionnaire for medical staff'.
Medical staff perceived their working conditions in the inefficient healthcare system much worse than in the efficient system; however, they generally had a more optimistic outlook. Medical staff in efficient and inefficient healthcare systems has different motivational targets, including sizable differences from profession, gender, and age. These factors play an important role in developing a high-performance healthcare system. Results are illustrated in terms of motivators for medical staff.
Optimising a healthcare system requires useful reform of enablers, especially in countries with inefficient systems, including policymaking and regulatory action. Best practices must incorporate all stakeholders interested in high healthcare performance-usage of suitable practices from abroad can act as an important resource.
本文通过比较波兰（即高效）和乌克兰（即低效）这两种医疗体系，研究了医疗效率差距较大的国家中医疗人员的不同激励因素。
本研究采用基于调查的方法，将六个阶段的概念框架应用于波兰的两家医院和乌克兰的两家医院，以及两国的一所大学的医学院。在获得伦理批准后，于 2019 年第一季度使用“医务人员激励因素评估问卷”收集数据。
医疗人员认为低效医疗体系中的工作条件比高效医疗体系差得多；但他们的总体前景更加乐观。在高效和低效医疗体系中的医疗人员有不同的激励目标，包括职业、性别和年龄方面的巨大差异。这些因素在建立高绩效医疗体系中发挥着重要作用。结果以医疗人员的激励因素为例进行了说明。
优化医疗体系需要对促成因素进行有益的改革，尤其是在低效体系的国家，包括政策制定和监管行动。最佳实践必须纳入所有对高医疗绩效感兴趣的利益相关者——使用国外的适当实践可以作为一个重要资源。
