Danish Centre for Health Economics, University of Southern Denmark.
Danish Centre for Health Economics and Research Unit for General Practice, University of Southern Denmark, Odense.
Br J Gen Pract. 2023 Aug 31;73(734):e687-e693. doi: 10.3399/BJGP.2022.0563. Print 2023 Sep.
Understanding physicians' motivation may be essential for policymakers if they are to design policies that cater to physicians' wellbeing, job retention, and quality of care. However, physicians' motivation remains an understudied area.
To map GPs' work motivation.
A cross-sectional analysis using registry and survey data from Denmark.
Survey data were used to measure four types of motivation: extrinsic motivation, intrinsic motivation, user orientation, and public service motivation. These were combined with register data on the characteristics of the GP, practice, and area. Using latent profile analysis, the heterogeneity in GPs' motivation was explored; the associations between GPs' motivation and the GP, practice, and area characteristics were estimated using linear regression analyses.
There was substantial heterogeneity in GPs' motivations. Five classes of GPs were identified with different work motivations: class 1 'it is less about the money' - probability of class membership 53.2%; class 2 'it is about everything' - 26.5%; class 3 'it is about helping others' - 8.6%; class 4 'it is about the work' - 8.2%; and class 5 'it is about the money and the patient' - 3.5%. Linear regression analyses showed that motivation was associated with GP, practice, and area characteristics to a limited extent only.
GPs differ in their work motivations. The finding that, for many GPs, 'it is not all about the money' indicated that their different motivations should be considered when designing new policies and organisational structures to retain the workforce and ensure a high quality of care.
如果政策制定者要设计满足医生福祉、保留医生工作和提高医疗质量的政策，了解医生的动机可能至关重要。然而，医生的动机仍然是一个研究不足的领域。
绘制全科医生的工作动机图。
使用丹麦的注册和调查数据进行的横断面分析。
使用调查数据来衡量四种动机类型：外在动机、内在动机、用户导向和公共服务动机。这些与医生的特征、实践和地区的登记数据相结合。使用潜在剖面分析，探索全科医生动机的异质性；使用线性回归分析估计全科医生动机与医生、实践和地区特征之间的关联。
全科医生的动机存在很大的异质性。确定了五类具有不同工作动机的全科医生：第 1 类“与金钱无关”——可能性为 53.2%；第 2 类“与一切有关”——26.5%；第 3 类“与帮助他人有关”——8.6%；第 4 类“与工作有关”——8.2%；第 5 类“与金钱和病人有关”——3.5%。线性回归分析表明，动机仅与医生、实践和地区特征有一定程度的关联。
全科医生的工作动机存在差异。对于许多全科医生来说，“不是一切都与金钱有关”的发现表明，在设计新政策和组织结构以保留劳动力和确保高质量医疗服务时，应该考虑他们的不同动机。
