With many countries embarking on health sector reform, it is critical to understand what kinds of changes in organizational structure, functioning, and incentives can positively affect worker motivation. This research commenced with a conceptual framework which outlines the many layers of influence on worker motivation: individual level determinants, determinants operating at the organizational level, and determinants stemming from interactions with the broader societal culture. Based on this framework, exploratory research was conducted on both determinants and consequences of worker motivation in four hospitals (two each in Jordan and Georgia). Data in both countries were collected in three phases: a contextual analysis of social, historical and organizational factors; a 360 degree assessment of factors affecting motivation from the perspective of managers, supervisors, workers and patients; and an in-depth analysis of determinants and consequences of motivation at the individual worker level. Results from the two countries indicate that many, but not all tools used to measure determinants and consequences of motivation in USA can be reliably applied in these two disparate contexts. The rich array of data from these three phases did provide a solid grounding for policy changes related to labor regulations and human resource management practices, as well as for hospital level interventions. Another important finding was the differences in perceptions of physicians, nurses, allied health professionals and service/administrative workers who often differed significantly on how they viewed the organizational environment and how they responded to that environment.
Learning Objectives: 1. articulate the many determinants of health worker motivation 2. discuss how health sector reforms can positively impact on health worker motivation
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.