Abstract

The motivation of medical workers is essential to society since the quality of their work affects the individual and public health. The authors highlighted the special role of state and municipal authorities in motivating medical professionals. The study aims to identify the main directions and elaborate the recommendations to build motivational management models in health care facilities. The study reveals the essence and objectives of personnel policy management in health care facilities. The main methods of motivating health workers were analyzed. The authors evaluated the impact of health reforms on health workers’ motivation. The study proposed several ways to improve the motivational management models. The authors conducted an in-depth analysis of economic and non-economic motivation in health care facilities. The methodological basis of the study is comparative analysis, the method of scientific abstraction, induction and deduction analysis, and synthesis. The practical implementation involved the online services Google Ngram Viewer and SciVal. The findings proved the need to develop the health care quality performances and their approval at the local level. The authors concluded that it is necessary to elaborate on a local program of employees’ motivation of utility non-profit enterprises to implement qualitative indicators. This program may include the mayor’s award, awards free internship programs, invitations to cultural events, symbolic gifts, etc. The obtained results showed that the health reform didn’t cover all activity areas of the health care institutions while the funding for medical care per one patient was insufficient. Therefore, the study emphasized the urgency to solve the above strategic problem in state and municipal management in Ukraine. The findings could be useful for the state and the municipal government of Ukraine in elaborating on motivation programs for health workers and their maintenance.

Keywords: motivation model, health care institutions, reforming, management, health workers.

JEL Classification: I10, I180, I150.

Cite as: Mamay, A.,Myroshnychenko, Iu., & Dzwigol. H. (2021). Motivation management model and practical realization within the health care institutions. Health Economics and Management Review, 2(2), 23-30. https://doi.org/10.21272/hem.2021.2-03

This work is licensed under a Creative Commons Attribution 4.0 International License

References

1. Bogoyavlenska, Yu. V. (2004). Effective mechanisms of work motivation. Economics: problems of theory and practice. Dnepropetrovsk: DNU, 195 (2), 528-539.
2. Kjellström, S., Avby, G., Areskoug-Josefsson, K., Andersson Gäre, B., & Andersson Bäck, M. (2017). Work motivation among healthcare professionals. Journal of Health Organization and Management, 31(4), 487–502. [Google Scholar] [CrossRef]
3. Korlén, S., Essén, A., Lindgren, P., Amer-Wahlin, I., & von Thiele Schwarz, U. (2017). Managerial strategies to make incentives meaningful and motivating. Journal of health organization and management, 31 (2), 126-141. [Google Scholar] [CrossRef]
4. Law of Ukraine «On Amendments to Certain Legislative Acts of Ukraine Concerning the Improvement of Legislation on the Activities of Health Care Institutions» of April 6, 2017 №2002. Retrieved from [Link]
5. Law of Ukraine «On state financial guarantees of medical care» from 19.10.2017 № 2168-VIII. Retrieved from [Link]
6. Law of Ukraine «On Amendments to the Budget Code of Ukraine» from 07.12.2017 № 2233-VIII. Retrieved from. [Link]
7. Luu, T. T., Rowley, C., Dinh, C. K., Qian, D., & Le, H. Q. (2019). Team creativity in public healthcare organizations: The roles of charismatic leadership, team job crafting, and collective public service motivation. Public Performance & Management Review, 42(6), 1448-1480. [Google Scholar] [CrossRef]
8. Mcdonald, E., & Spence, C. (2016). Professions and Financial Incentives. In Routledge Companion to the Professions and Professionalism. Routledge. [Google Scholar]
9. McDonald, R., Harrison, S., Checkland, K., Campbell, S. M., & Roland, M. (2007). Impact of financial incentives on clinical autonomy and internal motivation in primary care: ethnographic study. BMJ, 334 (7608), 1357. [Google Scholar] [CrossRef]
10. Razee, H., Whittaker, M., Jayasuriya, R., Yap, L., & Brentnall, L. (2012). Listening to the rural health workers in Papua New Guinea–the social factors that influence their motivation to work. Social science & medicine, 75(5), 828-835. [Google Scholar] [CrossRef]
11. Toode, K., Routasalo, P., & Suominen, T. (2011). Work motivation of nurses: A literature review. International Journal of Nursing Studies, 48 (2), 246-257. [Google Scholar] [CrossRef]
12. Tynan, A., Vallely, A., Kelly, A., Kupul, M., Neo, J., Naketrumb, R., … & Hill, P. S. (2013). Sociocultural and individual determinants for motivation of sexual and reproductive health workers in Papua New Guinea and their implications for male circumcision as an HIV prevention strategy. Human resources for health, 11(1), 1-14. [Google Scholar] [CrossRef]
13. Valdez, C. D., & Nichols, T. W. (2013). Motivating healthcare workers to work during a crisis: A literature review. Journal of Management Policy and Practice, 14(4), 43-51. [Google Scholar]
14. Vavylov, V. (2014). Motivation of medical staff. Vavy’lov Blog [Link]
15. Vroom, V.H. (1964). Work and Motivation. New York: Wiley.