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Identifying the Determinants for Attractiveness of integrated Forms of care from the Perspective of Health care Professionals

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Journal of Health Science 2017年第6期5卷 329-339页

作者： Eva Krczal Department for Economy and Health Danube University Krems Krems 3500 Austria

Fostering integration between caregivers in the ambulatory sector involves transforming the institutional, organizational and technical flamework but also redesigning the work performed by health care professionals. Empirical research on the implementation of integrated care highlights professional engagement and commitment as a key success factor during the change process. Although a mismatch of motives during the integration process is often reported only a few studies have explored motivational aspects of health care integration. The aim of this study is to explore motivational factors for health care professionals in order to identify the determinants of attractiveness of integrated forms of care. An online-questionnaire was developed to identify the most important motivational factors for health care professionals and to reflect their perceptions on the attractiveness of interdisciplinary forms of care. The sample includes practicing physicians （general practitioners and specialists）, practicing nurses and non-physician professions （physiotherapists, midwives, speech therapists, occupational therapists）. Findings suggest that health care professionals are highly motivated by intrinsic motivators. Physicians turned out to be the most reluctant group towards integrated care models. Participating in integrated forms of care would challenge working independently which represents a strong motivator. The responses of nurses suggest that they are the most favorable group. integrated care forms would be attractive offering more possibilities for social relationships, expanding responsibilities and challenging work. Results support the importance of health workforce engagement and participation in planning health care integration.

关键词： Motivation human resource management employee engagement occupational choice implementing integrated care

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