Fernandes Alexandre, Santinha Gonçalo, Forte Teresa
Governance, Competitiveness and Public Policies (GOVCOPP), Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.
Behav Sci (Basel). 2022 Mar 29;12(4):95. doi: 10.3390/bs12040095.
(1) Background: The motivational determinants of health professionals to choose and remain in the public sector have been increasingly addressed, including the customized approach of Public Service Motivation (PSM). However, to date, no systematic research overview has been performed in this domain, leaving the body of literature unstructured. This article fills this gap by assessing the motivational factors of choice for the public sector in the health field, and the conceptual and methodological trends of this research stream. (2) Methods: This study follows the PRISMA protocol to ascertain patterns in past research and inform researchers, practitioners, and policymakers. Eighty-nine documents published between 1998 and 2021 were retained after selecting them according to their theme and outlined goals. (3) Results: Common motivational determinants are remuneration, available resources, work conditions, and frequency of contact and interaction with patients. The PSM construct and scale are often employed as main frameworks, but there is also a concern in assessing motivation drawing on psychological constructs that reflect the challenging line of work and environment that is health care, such as presenteeism, stress, and perception of hindrances. (4) Conclusions: By focusing on health professionals' motivation, this study contributes to a timely systematization in challenging times for health institutions and their human resources.
(1) 背景：卫生专业人员选择并留在公共部门的动机决定因素已得到越来越多的关注，包括公共服务动机（PSM）的定制方法。然而，迄今为止，该领域尚未进行系统的研究综述，导致文献体系缺乏条理。本文通过评估卫生领域公共部门选择的动机因素以及该研究领域的概念和方法趋势来填补这一空白。(2) 方法：本研究遵循PRISMA协议，以确定以往研究中的模式，并为研究人员、从业者和政策制定者提供参考。根据主题和既定目标筛选后，保留了1998年至2021年间发表的89份文献。(3) 结果：常见的动机决定因素包括薪酬、可用资源、工作条件以及与患者接触和互动的频率。PSM结构和量表经常被用作主要框架，但在评估动机时，也有人关注借鉴反映医疗保健具有挑战性的工作性质和环境的心理结构，如出勤主义、压力和对障碍的认知。(4) 结论：通过关注卫生专业人员的动机，本研究有助于在卫生机构及其人力资源面临挑战的时期及时进行系统化梳理。
