Health sector reform and public sector health worker motivation: a conceptual framework.
Soc Sci Med
; 54(8): 1255-66, 2002 Apr.
Article
em En
| MEDLINE
| ID: mdl-11989961
ABSTRACT
Motivation in the work context can be defined as an individual's degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers' willingness to apply themselves to their tasks. Resource availability and worker competence are essential but not sufficient to ensure desired worker performance. While financial incentives may be important determinants of worker motivation, they alone cannot and have not resolved all worker motivation problems. Worker motivation is a complex process and crosses many disciplinary boundaries, including economics, psychology, organizational development, human resource management, and sociology. This paper discusses the many layers of influences upon health worker motivation the internal individual-level determinants, determinants that operate at organizational (work context) level, and determinants stemming from interactions with the broader societal culture. Worker motivation will be affected by health sector reforms which potentially affect organizational culture, reporting structures, human resource management, channels of accountability, types of interactions with clients and communities, etc. The conceptual model described in this paper clarifies ways in which worker motivation is influenced and how health sector reform can positively affect worker motivation. Among others, health sector policy makers can better facilitate goal congruence (between workers and the organizations they work for) and improved worker motivation by considering the following in their design and implementation of health sector reforms addressing multiple channels for worker motivation, recognizing the importance of communication and leadership for reforms, identifying organizational and cultural values that might facilitate or impede implementation of reforms, and understanding that reforms may have differential impacts on various cadres of health workers.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
11_ODS3_cobertura_universal
/
1_ASSA2030
/
2_ODS3
Problema de saúde:
11_delivery_arrangements
/
11_financial_arrangements
/
1_desigualdade_iniquidade
/
2_cobertura_universal
Assunto principal:
Gestão de Recursos Humanos
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Cultura Organizacional
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Atitude do Pessoal de Saúde
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Modelos Organizacionais
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Reforma dos Serviços de Saúde
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Motivação
Aspecto:
Equity_inequality
Limite:
Humans
Idioma:
En
Revista:
Soc Sci Med
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Estados Unidos