Moller Arlen C, Olafsen Anja H, Jager Andrew J, Kao Audiey C, Williams Geoffrey C
Illinois Institute of Technology, Chicago, IL, USA.
University of South-Eastern Norway, Kongsberg, Norway.
Med Care Res Rev. 2022 Apr;79(2):255-266. doi: 10.1177/10775587211007748. Epub 2021 Apr 28.
Numerous studies have documented deteriorating occupational health among practicing physicians. This trend poses a serious risk not only for physicians but also for the many patients under their care. Past research finds that one protective factor involves the quality of physicians' motivation. When physicians are more autonomously motivated, they tend to experience better occupational health. However, few studies have identified antecedent factors that support physicians' autonomous work motivation. To identify and model potential root causes of physicians' autonomous work motivation and occupational health, the current study assessed physicians' intrinsic aspirations and need satisfaction at work. Hypotheses were tested in a sample of 2,116 U.S. practicing physicians. Structural equation modeling showed that physicians who endorsed intrinsic aspirations more strongly reported better occupational health, and that this association was mediated by physicians' need satisfaction and autonomous work motivation. Implications for designing more effective individual- and system-level interventions to improve physician occupational health are discussed.
众多研究记录了执业医师职业健康状况的恶化。这一趋势不仅给医师带来严重风险，也给他们所照料的众多患者带来严重风险。过去的研究发现，一个保护因素涉及医师动机的质量。当医师更具自主动机时，他们往往会有更好的职业健康状况。然而，很少有研究确定支持医师自主工作动机的先行因素。为了识别并构建医师自主工作动机和职业健康潜在根本原因的模型，本研究评估了医师的内在抱负和工作中的需求满足情况。在2116名美国执业医师的样本中对假设进行了检验。结构方程模型表明，更强烈认同内在抱负的医师报告的职业健康状况更好，并且这种关联是由医师的需求满足和自主工作动机介导的。文中讨论了设计更有效的个人层面和系统层面干预措施以改善医师职业健康的意义。
