Hospital restructuring and physician job satisfaction: An empirical study

Mascia, Daniele; Morandi, Federica; Cicchetti, Americo

doi:10.1016/j.healthpol.2013.11.001

Cited by 15 publications

(21 citation statements)

References 32 publications

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“…We recognized that the methodological quality of the included studies was a critical factor. Out of the 11 quality criteria, only one study met ten [ 24 ], two studies met nine [ 19 , 34 ], eight studies met eight [ 18 , 20 , 23 , 26 , 30 , 32 , 39 , 40 ], 10 studies met seven [ 21 , 22 , 26 , 27 , 28 , 31 , 33 , 36 , 37 , 38 ], two studies met six [ 29 , 35 ] and one study met five [ 17 ] of them. The criteria which were most rarely met or not reported (in more than half of the analyzed studies) were ‘sample size calculations’ and ‘confidence intervals provided for the main results’.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies had a high response rate (over 75%) [ 21 , 31 , 34 , 36 , 38 , 39 ], 13 studies had a response rate between 50–75% [ 17 , 19 , 20 , 22 , 24 , 25 , 27 , 28 , 29 , 32 , 35 , 37 , 40 ] and in five studies it was lower than 50% [ 18 , 23 , 26 , 30 , 33 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The included studies enrolled a total of 20,013 physicians from 12 European countries ( Table 1 ). Eight studies were conducted in Germany [ 18 , 23 , 26 , 27 , 28 , 29 , 32 , 35 ], three in the Netherlands [ 19 , 36 , 40 ], two in Sweden [ 24 , 37 ], two in Finland [ 17 , 22 ], two in Poland [ 21 , 39 ] and one in each of: the United Kingdom [ 20 ], Hungary [ 38 ], Greece [ 34 ], Italy [ 30 ], France [ 31 ], Austria [ 25 ] and Spain [ 33 ]. Twenty-two studies were cross-sectional and three were cohort studies [ 22 , 36 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

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Factors Associated with Satisfaction of Hospital Physicians: A Systematic Review on European Data

Domagała

Bała

Storman

et al. 2018

IJERPH

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Background: Physician satisfaction is a multidimensional concept related to many factors. Despite the wide range of research regarding factors affecting physician satisfaction in different European countries, there is a lack of literature reviews analyzing and summarizing current evidence. The aim of the article is to synthetize the literature studying the factors associated with physician satisfaction. Methods: We searched: MEDLINE, Embase, PsycINFO, CINAHL and the Cochrane Library from January 2000 to January 2017. The eligibility criteria included: (1) target population: physicians working in European hospitals; (2) quantitative research aimed at assessing physician satisfaction and associated factors; (3) use of validated tools. We performed a narrative synthesis. Results: After screening 8585 records, 368 full text articles were independently checked and finally 24 studies were included for qualitative analysis. The included studies surveyed 20,000 doctors from 12 European countries. The tools and scales used in the analyzed research to measure physician satisfaction varied to a large extent. We extracted all pre-specified factors, reported as statistically significant/non-significant. Analyzed factors were divided into three groups: personal, intrinsic and contextual factors. The majority of factors are modifiable and positively associated with characteristics of contextual factors, such as work-place setting/work environment. In the group of work-place related factors, quality of management/leadership, opportunity for professional development and colleague support have been deemed statistically significant in numerous studies. Conclusions: We identified more studies appraising the effect of contextual factors (such as work environment, work-place characteristics), highlighting a positive association between those factors and physician satisfaction, compared with personal and intrinsic factors. Numerous studies confirmed statistically significant associations between physician satisfaction and quality of management, professional development and colleague support/team climate. Due to the health workforce crisis, knowledge regarding physician satisfaction and associated factors is essential to healthcare managers and policy makers for more stable human resources management.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Factors Associated with Satisfaction of Hospital Physicians: A Systematic Review on European Data

Domagała

Bała

Storman

et al. 2018

IJERPH

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“…Evidence from behavioral and social research suggests that job satisfaction and performance at work are positively correlated [76]. According to Mascia, job satisfaction among medical doctors is highly dependent on the organizational culture [77]. C.C.…”

Section: Discussionmentioning

confidence: 99%

Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland

Chmielewska

Stokwiszewski²,

Filip

et al. 2020

Preprint

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Background: This paper examines the relationship between selected motivation factors that affect the attitude to work among medical doctors at public hospitals and the organizational performance of hospitals .Methods: This study was based on World Health Organization questionnaires designed to estimate motivation factors according to Herzberg’s motivation theory and to measure the level of organizational performance of hospitals by using the McKinsey model . A survey was conducted among physicians (n=249) with either surgical (operative) or nonsurgical (conservative) specialty in 22 departments/units of general public hospitals in Warsaw, Poland. The relationship between the chosen job motivation factors and organizational effectiveness was determined using Spearman’s rank correlation. Furthermore, 95% confidence intervals were calculated. The independent samples t-test was used to confirm statistically significant differences between the independent groups. Normality of the data was tested by the Kolmogorov–Smirnov test.Results: The survey revealed that motivation factors related to “quality and style of supervision” have the highest effect on the organizational performance of hospitals (Spearman’s rank correlation coefficient = 0.490; p<0.001), whereas “performance feedback” has the lowest effect on organizational performance according to the surveyed healthcare professionals (54% of physicians). Conclusion: The principles of Individual Performance Review should be incorporated into strategies designed to improve the organizational performance of hospitals (with NHS serving as a potential role model) in order to establish specific rules on how to share performance feedback with individual physicians. The present study contributes to literature on human resource management in the healthcare sector and highlights the importance of nonfinancial aspects in improving the organizational performance of hospitals.

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“…This is because, in addition to organizational (Erkama, 2010) and technical (Erozan, 2011;Singh and Singru, 2013) problems, restructuring also raises human problems of individual Balogun, 2007;Li, 2008;Fink et al, 2013;Masciaa et al, 2014) and social character (Van Emmerik and Euwema, 2007;Psychogios, 2010;Lewis, 2010aLewis, , 2010b. This implies a need for continuous balancing between economic priorities and implementation of the concept of sustainable development (Baris, 2008;Prudham, 2007).…”

Section: Introductionmentioning

confidence: 99%

Challenges for long-term industry restructuring in the Upper Silesian Coal Basin: What has Polish coal mining achieved and failed from a twenty-year perspective?

Jonek-Kowalska

2015

Resources Policy

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Hospital restructuring and physician job satisfaction: An empirical study

Cited by 15 publications

References 32 publications

Factors Associated with Satisfaction of Hospital Physicians: A Systematic Review on European Data

Factors Associated with Satisfaction of Hospital Physicians: A Systematic Review on European Data

Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland

Challenges for long-term industry restructuring in the Upper Silesian Coal Basin: What has Polish coal mining achieved and failed from a twenty-year perspective?

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