Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan.

摘要: Objective The aim of this study was to systematically and simultaneously examine the association intrinsic extrinsic motivating factors with physician burnout job dissatisfaction. Design A nationally representative survey fielded from September November 2017. Setting Hospitals clinics throughout Taiwan. Participants total 6674 physicians. Main exposure measure main measures were motivators (sense calling, personally rewarding hours per day meaningful, long-term relationships patients) (income, work hours, autonomy, pay-for-performance (P4P) bundled payment initiatives). outcome Results 1152 physicians returned surveys. More sense calling associated less (OR 0.16, 95% CI 0.10 0.26 OR 0.25, 0.13 0.47, respectively) dissatisfaction 0.35, 0.21 0.57 0.46, 0.83, respectively). Longer more 2.67, 1.54 4.63) 1.71, 1.05 2.79). Not receiving P4P bonuses their organisations 1.56, 1.02 2.38). sharing losses caring for patients included in system 0.59, 0.36 0.97). Conclusions Fostering a healthcare environment that supports motivation improves may reduce Rewarding fairly equitably prevent them feeling burned out. Value-based care delivery model innovations, such as payments, encourage professionals coordinate through standardisation decrease burnout.