Chmielewska Malgorzata, Stokwiszewski Jakub, Markowska Justyna, Hermanowski Tomasz
Pharmacy Division, Department of Forensic Pharmacy, Medical University of Warsaw, Warsaw, Poland.
National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Front Med (Lausanne). 2025 Feb 6;12:1456341. doi: 10.3389/fmed.2025.1456341. eCollection 2025.
This study explores the relationship between the motives driving people to work in healthcare and the individual work performance of public hospital doctors. The results are analyzed in terms of changes necessary to improve work performance among medical practitioners.
A cross-sectional study was conducted among 249 medical doctors from 22 randomly selected inpatient departments of multidisciplinary public hospitals in Warsaw. Data were collected using self-administered structured questionnaires developed by WHO. Herzberg model as modified by the authors was used to identify key motives for choosing a job in healthcare. A chi-square test was used to analyze the correlations between the reasons for choosing to work as a medical practitioner and socio-demographic variables. The interdependence between individual performance and the main reason for choosing a career in healthcare was examined with a Kruskal-Wallis test.
The research results indicate a statistically significant relationship between the main motive for choosing a career in healthcare-namely, the individual motivation of hospital doctors, and individual work performance as measured by "notion that my work is valuable in itself" ( = 0.003) and "responsibility for outcomes" ( = 0.024) response categories. Doctors whose main motive for choosing the profession was to help patients are more likely to feel high satisfaction with "The notion that my work is valuable in itself" than others (42.5% vs. 27.0% for "other" and 28.3% for "Nature of the work itself") and with "The sense of responsibility for the outcomes" (50.0% vs. 35.1% for "other" and 36.3% for "Nature of the work itself").
When examining factors affecting the professional performance of medical doctors, aspects related to the original main motive for choosing this profession and for working in the healthcare must not be disregarded. The distinctive features of this profession, including personal qualities, should perhaps be considered in the admission criteria for medical studies.
本研究探讨促使人们从事医疗保健工作的动机与公立医院医生个人工作绩效之间的关系。从提高执业医生工作绩效所需的变化方面对结果进行了分析。
对来自华沙多学科公立医院22个随机选取的住院科室的249名医生进行了横断面研究。使用世界卫生组织编制的自填式结构化问卷收集数据。采用作者修改后的赫兹伯格模型来确定选择医疗保健工作的关键动机。使用卡方检验分析选择医生职业的原因与社会人口统计学变量之间的相关性。使用克鲁斯卡尔-沃利斯检验研究个人绩效与选择医疗保健职业的主要原因之间的相互依存关系。
研究结果表明，选择医疗保健职业的主要动机（即医院医生的个人动机）与以“我的工作本身有价值”（=0.003）和“对结果负责”（=0.024）反应类别衡量的个人工作绩效之间存在统计学上的显著关系。选择该职业的主要动机是帮助患者的医生，比其他人更有可能对“我的工作本身有价值”（“其他”为27.0%，“工作本身的性质”为28.3%，而前者为42.5%）和“对结果的责任感”（“其他”为35.1%，“工作本身的性质”为36.3%，而前者为50.0%）感到高度满意。
在研究影响医生专业绩效的因素时，与选择该职业以及从事医疗保健工作的最初主要动机相关的方面不可忽视。也许在医学研究的录取标准中应考虑该职业的独特特征，包括个人素质。
