https://scholars.lib.ntu.edu.tw/handle/123456789/493660
標題: | Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: A nationwide cross-sectional survey in Taiwan | 作者: | YU-CHI TUNG Chou Y.-Y. Chang Y.-H. KUO-PIAO CHUNG |
公開日期: | 2020 | 出版社: | BMJ Publishing Group | 卷: | 10 | 期: | 3 | 起(迄)頁: | e035948 | 來源出版物: | BMJ Open | 摘要: | Objective The aim of this study was to systematically and simultaneously examine the association of intrinsic and extrinsic motivating factors with physician burnout and job dissatisfaction. Design A nationally representative survey was fielded from September to November 2017. Setting Hospitals and clinics throughout Taiwan. Participants A total of 6674 physicians. Main exposure measure The main exposure measures were intrinsic motivators (sense of calling, personally rewarding hours per day and meaningful, long-Term relationships with patients) and extrinsic motivators (income, work hours, autonomy, and pay-for-performance (P4P) and bundled payment initiatives). Main outcome measures The main outcome measures were physician burnout and job dissatisfaction. Results A total of 1152 physicians returned the surveys. More sense of calling and personally rewarding hours per day were associated with less physician burnout (OR 0.16, 95% CI 0.10 to 0.26 and OR 0.25, 95% CI 0.13 to 0.47, respectively) and job dissatisfaction (OR 0.35, 95% CI 0.21 to 0.57 and OR 0.46, 95% CI 0.26 to 0.83, respectively). Longer work hours were associated with more physician burnout (OR 2.67, 95% CI 1.54 to 4.63) and job dissatisfaction (OR 1.71, 95% CI 1.05 to 2.79). Not receiving P4P bonuses from their organisations was associated with more physician burnout (OR 1.56, 95% CI 1.02 to 2.38). Not sharing the losses from caring for patients included in the bundled payment system was associated with less physician burnout (OR 0.59, 95% CI 0.36 to 0.97). Conclusions Fostering a healthcare work environment that supports intrinsic motivation and improves work hours may reduce physician burnout and job dissatisfaction. Rewarding physicians fairly and equitably may prevent them from feeling burned out. Value-based care delivery and payment model innovations, such as bundled payments, may encourage healthcare professionals to coordinate care through the standardisation of care to decrease burnout. ? ? Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081899596&doi=10.1136%2fbmjopen-2019-035948&partnerID=40&md5=e0eefd24a9f0c3451eb06894c66808f4 https://scholars.lib.ntu.edu.tw/handle/123456789/493660 |
ISSN: | 2044-6055 | DOI: | 10.1136/bmjopen-2019-035948 | SDG/關鍵字: | adult; article; burnout; care behavior; controlled study; female; health care policy; human; job satisfaction; major clinical study; male; motivation; multicenter study; outcome assessment; physician; standardization; Taiwan; work environment; burnout; cross-sectional study; epidemiology; middle aged; physician; physiology; psychology; questionnaire; risk factor; Taiwan; Adult; Burnout, Professional; Cross-Sectional Studies; Female; Humans; Male; Middle Aged; Motivation; Physicians; Risk Factors; Surveys and Questionnaires; Taiwan |
顯示於: | 健康政策與管理研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。