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Beyond job security and money: driving factors of motivation for government doctors in India

机译:超越工作保障和金钱:印度政府医生激励的驱动因素

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Background Despite many efforts from government to address the shortage of medical officers (MOs) in rural areas, rural health centres continue to suffer from severe shortage of MOs. Lack of motivation to join and continue service in rural areas is a major reason for such shortage. In the present study, we aimed to assess and rank the driving factors of motivation important for in-service MOs in their current job. Methods The study participants included ninety two in-service government MOs from three states in India. The study participants were required to rank 14 factors of motivation important for them in their current job. The factors for the study were selected using Herzberg’s two-factor theory of motivation and the data were collected using an instrument that has an established reliability and validity. Test of Kendall’s coefficient of concordance (W) was carried out to assess the agreement in ranks assigned by participants to various motivation factors. Next, we studied the distributions of ranks of different motivating factors using standard descriptive statistics and box plots, which gave us interesting insights into the strength of agreement of the MOs in assigning ranks to various factors. And finally to assess whether MOs are more intrinsically motivated or extrinsically motivated, we used Kolmogorov-Smirnov test. Results The (W) test indicated statistically significant (P? Conclusion To address the issue of motivation, the health departments need to pay close attention to devising management strategies that address not only extrinsic but also intrinsic factors of motivation. The study results may be useful to understand the complicated issue of work motivation and can give some useful insights to design comprehensive management strategies that are based on motivational needs of MOs.
机译:背景技术尽管政府为解决农村地区医务人员的短缺做出了许多努力,但农村医疗中心仍然遭受严重缺乏MOs的困扰。缺乏加入和继续在农村地区服务的动力是造成这种短缺的主要原因。在本研究中,我们旨在评估和排名对于在职MO的当前工作很重要的动机驱动因素。方法研究参与者包括来自印度三个州的92名在职政府MO。研究参与者被要求对他们当前工作中重要的14个动机因素进行排名。使用Herzberg的两因素动机理论选择了研究的因素,并使用具有确定的信度和效度的仪器收集了数据。对Kendall的一致性系数(W)进行了测试,以评估参与者分配给各种动机因素的等级之间的一致性。接下来,我们使用标准描述性统计数据和箱形图研究了不同激励因素的等级分布,这使我们对MO在将等级分配给各种因素方面的一致意见的力量有了有趣的见解。最后,为了评估MO是出于内在动机还是出于外在动机,我们使用了Kolmogorov-Smirnov检验。结果(W)检验表明具有统计学意义(P?结论)为了解决激励问题,卫生部门需要密切关注制定不仅针对激励的内在因素而且针对激励的内在因素的管理策略,该研究结果可能是有用的。了解工作动机的复杂问题,并可以提供一些有用的见解,以基于MO的动机需求设计综合管理策略。

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