Ballart Xavier, Ferraioli Francisco, Iruela Antoni
Departamento de Ciencia Política, Facultad de Ciencias Políticas y Sociología, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, España.
Departamento de Ciencia Política, Facultad de Ciencias Políticas y Sociología, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, España.
Gac Sanit. 2023 May 30;37:102306. doi: 10.1016/j.gaceta.2023.102306. eCollection 2023.
To analyze the relationship between administrative burden and intrinsic motivation and between administrative burden and professional well-being among family and community medicine physicians. To analyze the extent to which attention to three basic needs (autonomy, sense of competence and relationship capacity) that one of the main motivation theories identifies as a generator of intrinsic motivation compensates for the negative effect of the administrative burden. To compare management models.
Data from a survey (542 valid questionnaires) carried out through the Catalan Society of Family and Community Medicine are used. Data analysis is based on multiple regression and ANOVA techniques.
The perception of administrative burden and "red tape" are clearly demotivating and reduce job satisfaction. On the contrary, individual autonomy, networking opportunities between professionals and performance feedback are motivating and feed the perception of professional well-being. The EBA (Association Based Entity) model presents results above the ICS (Catalan Health Institute) and OSI (Integrated Health Organizations) models both in controlling the negative effect of administrative burden and in the management of basic psychological needs.
The motivation and professional well-being of primary care physicians would benefit from reforms that limit the administrative burden of some procedures and red tape. At the primary health center level, greater attention to individual autonomy, improving relatedness between professionals and the sense of competence based on better information on individual performance can offset the negative effects of the administrative burden.
分析家庭与社区医学医生的行政负担与内在动机之间的关系，以及行政负担与职业幸福感之间的关系。分析关注主要动机理论之一所确定的作为内在动机产生因素的三种基本需求（自主性、胜任感和关系能力）在多大程度上能够弥补行政负担的负面影响。比较管理模式。
使用通过加泰罗尼亚家庭与社区医学协会进行的一项调查（542份有效问卷）所获得的数据。数据分析基于多元回归和方差分析技术。
行政负担和“繁文缛节”的认知明显会降低积极性并减少工作满意度。相反，个人自主性、专业人员之间的交流机会和绩效反馈则具有激励作用，并能提升职业幸福感。在控制行政负担的负面影响以及基本心理需求的管理方面，基于协会的实体（EBA）模式的结果优于加泰罗尼亚卫生研究所（ICS）模式和综合卫生组织（OSI）模式。
限制某些程序的行政负担和繁文缛节的改革将有利于基层医疗医生的积极性和职业幸福感。在初级卫生保健中心层面，更多地关注个人自主性、改善专业人员之间的关系以及基于更好的个人绩效信息提升胜任感，可以抵消行政负担的负面影响。
