Exploring personal interests of physicians in hospitals and specialty clinics.
Physicians' interests substantially influence intra-organizational dynamics in hospitals, though little is known about the actual content and structure of these interests. The objective of this study was to both identify and build a structured model of physicians' interests. Based on literature and 27 semi-structured interviews with physicians, a questionnaire containing 10 interests was developed. Next, 1475 physicians in the Netherlands filled out an online survey. Analyses of the data revealed a distinction between the primary interest of 'helping patients as well as possible' and nine secondary interests. Factor analysis identified the main secondary interest dimensions as work-related, setting-related, and life-related. Value attached to interests differs between specialties and types of hospitals. The influence of hospital type on the value attached to interests is stronger than the influence of specialty group on the value attached to interests. Insight in the relative importance of different interests may help policy-makers make decisions that foster shared interests.
Department of Health Technology and Services Research, School of Management and Governance, University of Twente, Enschede, The Netherlands. Electronic address: w.t.koelewijn@utwente.nl.
Wout T
WT
Koelewijn
Netherlands Institute for Knowledge Intensive Entrepreneurship (NIKOS), School of Management and Governance, University of Twente, Enschede, The Netherlands.
Michel L
ML
Ehrenhard
Netherlands Institute for Knowledge Intensive Entrepreneurship (NIKOS), School of Management and Governance, University of Twente, Enschede, The Netherlands.
Aard J
AJ
Groen
Department of Health Technology and Services Research, School of Management and Governance, University of Twente, Enschede, The Netherlands.
Wim H
WH
van Harten
D001291:Attitude of Health Personnel; D005163:Factor Analysis, Statistical; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008505:Medical Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D008511:Medicine / Q000706:statistics & numerical data; D009426:Netherlands; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D036301:Qualitative Research
Hospitals; Interests; Intra-organizational dynamics; Neo-institutionalism; Physicians