title: Contextual factors affecting job satisfaction and organizational commitment in community mental health centers undergoing system changes in the financing of care.
abstract: This study examines the relationship between contextual factors and job satisfaction and organizational commitment among a sample of 148 administrators and staff in 17 community mental health centers undergoing the transition from fee-for-service (FFS) reimbursement to capitation of Medicaid-funded mental health services in Colorado. Hierarchical linear modeling was used to assess both organizational level factors as well as factors at the individual level of analysis in relation to job satisfaction and organizational commitment. Results indicated significant associations between type of financing for Medicaid-funded services and organizational commitment. Direct, nonprofit capitation was positively linked to organizational commitment, relative to traditional FFS reimbursement. Aggregate perceptions about the organization, including its culture and climate, and the formalization of policies and procedures were strongly linked to job attitudes, over and above individual perceptions about the organization. Individual perceptions of the organization were also related to job attitudes as was respondent level within the hierarchy of the organization. These findings are discussed in terms of their implications for research and intervention in mental health service settings.
authors.affiliation: Center for Mental Health Services Research, University of California, Berkeley 94720, USA. amorris@uclink4.berkeley.edu
authors.forename: Anne
authors.initials: A
authors.lastname: Morris
authors.forename: Joan R
authors.initials: JR
authors.lastname: Bloom
mesh_terms: D001291:Attitude of Health Personnel; D002204:Capitation Fee / Q000458:organization & administration*; D003120:Colorado; D003155:Community Mental Health Centers / Q000458:organization & administration*; D003362:Cost-Benefit Analysis; D018588:Fee-for-Service Plans / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D007588:Job Satisfaction; D016014:Linear Models; D008484:Medicaid / Q000191:economics / Q000458:organization & administration*; D009013:Morale; D015279:Organizational Culture; D009936:Organizational Innovation; D010558:Personnel Loyalty; D011795:Surveys and Questionnaires; D000078329:Workforce