scholarly journals Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland

2020 ◽  
Author(s):  
Malgorzata Chmielewska ◽  
Jakub Stokwiszewski ◽  
Justyna Filip ◽  
Tomasz Hermanowski
Keyword(s):  
Organizational Performance ◽  
Performance Feedback ◽  
Rank Correlation ◽  
Public Hospitals ◽  
World Health ◽  
Healthcare Sector ◽  
Medical Doctors ◽  
Motivation Factors ◽  
Spearman’S Rank Correlation ◽  
The Relationship

Abstract Background This paper explores the relationship between selected motivation factors that affect the attitude to work among medical doctors at public hospitals and the organizational performance of hospitals and selected motivation factors that affect the attitude to work among medical doctors at public hospitals. Methods This study was based on World Health Organization questionnaires designed to estimate motivation factors according to Herzberg’s motivation theory and to measure the levels of organizational performance of hospitals using the McKinsey model in the social aspect. A survey was conducted among physicians (n=249) with either surgical or nonsurgical specialty in 22 departments/units of general public hospitals in Warsaw, Poland. The relationship between the examined factors of job motivation and organizational effectiveness was determined using Spearman’s rank correlation. Furthermore, 95% confidence intervals were computed. The independent samples t-test was used to confirm any statistically significant differences between the independent groups. Normality was tested by the Kolmogorov–Smirnov test. Results The survey revealed that motivation factors related to “quality and style of supervision” have the greatest effect on the hospital’s organizational performance (Spearman’s rank correlation coefficient = 0.490; p<0.001), whereas “performance feedback” was rated as the lowest to affect organizational performance among the surveyed healthcare professionals (54% of physicians). Conclusion The principles of Individual Performance Review should be incorporated into strategies designed to improve the organizational performance of hospitals (with NHS serving as a possible role model) in order to establish specific rules on how to share performance feedback with among individual physicians. The present study contributes to literature on human resource management in the healthcare sector, highlighting the importance of social nonfinancial aspects in improving organizational performance in a hospital setting.

scholarly journals Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland

2020 ◽  
Author(s):  
Malgorzata Chmielewska ◽  
Jakub Stokwiszewski ◽  
Justyna Filip ◽  
Tomasz Hermanowski
Keyword(s):  
Organizational Performance ◽  
Performance Feedback ◽  
Rank Correlation ◽  
Public Hospitals ◽  
World Health ◽  
Healthcare Sector ◽  
Medical Doctors ◽  
Motivation Factors ◽  
Spearman’S Rank Correlation ◽  
The Relationship

Abstract Background: This paper examines the relationship between selected motivation factors that affect the attitude to work among medical doctors at public hospitals and the organizational performance of hospitals .Methods: This study was based on World Health Organization questionnaires designed to estimate motivation factors according to Herzberg’s motivation theory and to measure the level of organizational performance of hospitals by using the McKinsey model . A survey was conducted among physicians (n=249) with either surgical (operative) or nonsurgical (conservative) specialty in 22 departments/units of general public hospitals in Warsaw, Poland. The relationship between the chosen job motivation factors and organizational effectiveness was determined using Spearman’s rank correlation. Furthermore, 95% confidence intervals were calculated. The independent samples t-test was used to confirm statistically significant differences between the independent groups. Normality of the data was tested by the Kolmogorov–Smirnov test.Results: The survey revealed that motivation factors related to “quality and style of supervision” have the highest effect on the organizational performance of hospitals (Spearman’s rank correlation coefficient = 0.490; p<0.001), whereas “performance feedback” has the lowest effect on organizational performance according to the surveyed healthcare professionals (54% of physicians). Conclusion: The principles of Individual Performance Review should be incorporated into strategies designed to improve the organizational performance of hospitals (with NHS serving as a potential role model) in order to establish specific rules on how to share performance feedback with individual physicians. The present study contributes to literature on human resource management in the healthcare sector and highlights the importance of nonfinancial aspects in improving the organizational performance of hospitals.

scholarly journals Motivation Factors Affecting the Job Attitude of Medical Doctors and the Organizational Performance of Public Hospitals in Warsaw, Poland

2020 ◽  
Author(s):  
Malgorzata Chmielewska ◽  
Jakub Stokwiszewski ◽  
Justyna Filip ◽  
Tomasz Hermanowski
Keyword(s):  
Organizational Performance ◽  
Performance Feedback ◽  
Hospital Setting ◽  
Individual Performance ◽  
Public Hospitals ◽  
World Health ◽  
Healthcare Sector ◽  
Social Aspect ◽  
Medical Doctors ◽  
Motivation Factors

Abstract Background: This paper explores the relationship between organizational performance of hospitals and selected motivation factors that affect the attitude to work among medical doctors at public hospitals.Methods: This study was based on World Health Organization questionnaires designed to estimate motivation factors and to measure the levels of organizational performance of hospitals in the social aspect. A survey was conducted among physicians (N=249) with either surgical or non-surgical specialty, in 22 departments/units of general public hospitals in Warsaw (Poland).Results: The survey revealed that motivation factors related to “quality and style of supervision” have the greatest impact on the hospital’s organizational performance (Spearman's rank correlation coefficient = 0.490; p<0.001), whereas “performance feedback” was rated the lowest among the surveyed healthcare professionals (54% of physicians). Conclusion: The principles of Individual Performance Review should be incorporated into strategies designed to improve the organizational performance of hospitals (with NHS serving as a role model) in order to establish specific rules on how to share performance feedback among individual physicians. This study makes a research contribution to literature on human resource management in the healthcare sector, highlighting the importance of social aspects in improving organizational performance in a hospital setting.

scholarly journals The relationship between the effectiveness of performing technical elements and indicators of static and dynamic balance in young acrobats 6-7 years old

2021 ◽  
Vol 7 (4) ◽  
pp. 58-68
Author(s):  
T. Chernykh ◽  
V. Mulyk ◽  
K. Mulyk ◽  
А. Skaliy ◽  
А. Ostrowski ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Dynamic Equilibrium ◽  
Dynamic Balance ◽  
Rank Correlation ◽  
Young Athletes ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient ◽  
Initial Stage ◽  
Equilibrium Test ◽  
The Relationship

Purpose: to determine the relationship between the performance of basic elements and indicators of static and dynamic balance in the training process of young acrobats 6-7 years. Material and methods. The study involved 16 young acrobats at the stage of initial training (age 6-7 years). All parents of the participants gave written consent for the participation of children in the study. The study involved testing the technique of performing basic elements of sports acrobatics and assessing the static and dynamic balance of young athletes. The relationship between (swallow, shoulder blade, forward squat, wheel (sideways overturning), bridges) and static and dynamic equilibrium tests was determined. Spearman's rank correlation coefficient method was used as a method of statistical analysis. Results. It is established that the largest relationship between the performance of basic elements and static balance in the basic exercises of young acrobats have: Romberg's test with the elements "Swallow", "Stand on the shoulders", "Bridge"; Biryuk test with elements "Swallow", "Wheel", "Bridge"; balance "Swallow" with elements "Swallow", "Wheel"; static equilibrium test with the elements "Swallow", "Rack on the shoulders", "Rolling forward with a squat", "Wheel". Reliable values ​​of the correlation coefficient were established between the tests of dynamic balance and the basic elements of sports acrobatics in young athletes 6-7 years, namely: "Swallow", "Flip forward with a squat", "Wheel" and "Bridge". The analysis of special tests of static and dynamic balance in mastering the basic elements of acrobatics at the first stage of long-term training makes it possible to use them to determine the level of coordination capabilities of young athletes and further improve the use of acrobatic exercises. Conclusions. A reliable relationship between the performance of basic exercises and indicators of static and dynamic balance in young acrobats at the initial stage of training. It is shown that the level of static and dynamic balance is of great importance for the assimilation and improvement of basic elements of technology by young acrobats 6-7 years. Static and dynamic balance tests can be used to individually build training programs and young acrobats. It is shown that sports acrobatics is a significant means of developing the balance of children 6-7 years.

The Relationship between Arch Dimensions and the 5-Year Index in the Primary Dentition of Patients with Complete UCLP

2002 ◽  
Vol 39 (6) ◽  
pp. 635-640 ◽  
Author(s):  
A.T. Dibiase ◽  
D.D. Dibiase ◽  
N.J. Hay ◽  
B.C. Sommerlad
Keyword(s):  
Rank Correlation ◽  
Primary Dentition ◽  
Dental Arch ◽  
Growth Study ◽  
Spearman’S Rank Correlation ◽  
Primary Surgery ◽  
Transverse Arch ◽  
Spearman’S Rank Correlation Coefficient ◽  
The Relationship ◽  
Maxillary Arch

Objective To compare dental arch dimensions of children in the primary dentition with repaired unilateral clefts of the lip and palate (UCLP) to a noncleft group of a similar age and determine how the dimensions of the cleft arches relate to an index of treatment outcome. Method Dental study casts of 44 5- to 6-year-olds with complete UCLP (22 boys and 22 girls) from a single center, whose primary surgery had been carried out by one surgeon, were matched for age, sex, and ethnicity with dental study casts from a longitudinal growth study. Analysis of variance was used to ascertain differences in arch dimensions between the two groups. The cleft group casts were then assessed with an established index of surgical outcome, the 5-year-old index. Spearman's rank correlation coefficient was used to see how the arch dimensions of the cleft group related to the categories of the index. Results and Conclusions Maxillary arch dimensions were significantly smaller in the cleft group than in the noncleft group, irrespective of sex (p < .05). In the mandibular arch, there was no difference between the cleft and noncleft groups (p > .05). Maxillary arch dimensions of the cleft group correlated significantly with the 5-year-old index for arch length and intercanine width (p < .05) but not intermolar width (p = .842). This would suggest that the 5-year-old index is a suitable tool for assessing the outcome of treatment in the primary dentition for anteroposterior and anterior transverse arch dimensions.

Value that matters: intellectual capital and big data to assess performance in healthcare. An empirical analysis on the European context

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ginevra Gravili ◽  
Francesco Manta ◽  
Concetta Lucia Cristofaro ◽  
Rocco Reina ◽  
Pierluigi Toma
Keyword(s):  
Big Data ◽  
Organizational Performance ◽  
Healthcare System ◽  
Healthcare Sector ◽  
Healthcare Organizations ◽  
Content Type ◽  
Structural Capital ◽  
And Performance ◽  
The Relationship

PurposeThe aim of this paper is to analyze and measure the effects of intellectual capital (IC), i.e. human capital (HC), relational capital (RC) and structural capital (SC), on healthcare industry organizational performance and understanding the role of data analytics and big data (BD) in healthcare value creation (Wang et al., 2018). Through the assessment of determined variables specific for each component of IC, the paper identifies the guidelines and suggests propositions for a more efficient response in terms of services provided to citizens and, specifically, patients, as well as predicting effective strategies to improve the care management efficiency in terms of cost reduction.Design/methodology/approachThe study has a twofold approach: in the first part, the authors operated a systematic review of the academic literature aiming to enquire the relationship between IC, big data analytics (BDA) and healthcare system, which were also the descriptors employed. In the second part, the authors built an econometric model analyzed through panel data analysis, studying the relationship between IC, namely human, relational and structural capital indicators, and the performance of healthcare system in terms of performance. The study has been conducted on a sample of 28 European countries, notwithstanding the belonging to specific international or supranational bodies, between 2011 and 2016.FindingsThe paper proposes a data-driven model that presents new approach to IC assessment, extendable to other economic sectors beyond healthcare. It shows the existence of a positive impact (turning into a mathematical inverse relationship) of the human, relational and structural capital on the performance indicator, while the physical assets (i.e. the available beds in hospitals on total population) positively mediates the relationship, turning into a negative impact of non-IC related inputs on healthcare performance. The result is relevant in terms of managerial implications, enhancing the opportunity to highlight the crucial role of IC in the healthcare sector.Research limitations/implicationsThe relationship between IC indicators and performance could be employed in other sectors, disseminating new approaches in academic research. Through the establishment of a relationship between IC factors and performance, the authors implemented an approach in which healthcare organizations are active participants in their economic and social value creation. This challenges the views of knowledge sharing deeply held inside organizations by creating “new value” developed through a more collaborative and permeated approach in terms of knowledge spillovers. A limitation is given by a fragmented policymaking process which carries out different results in each country.Practical implicationsThe analysis provides interesting implications on multiple perspectives. The novelty of the study provides interesting implications for managers, practitioners and governmental bodies. A more efficient healthcare system could provide better results in terms of cost minimization and reduction of hospitalization period. Moreover, dissemination of new scientific knowledge and drivers of specialization enhances best practices sharing in the healthcare sector. On the other hand, an improvement in preventive medicine practices could help in reducing the overload of demand for curative treatments, on the perspective of sharply decreasing the avoidable deaths rate and improving societal standards.Originality/valueThe authors provide a new holistic framework on the relationship between IC, BDA and organizational performance in healthcare organizations through a systematic review approach and an empirical panel analysis at a multinational level, which is quite a novelty regarding the healthcare. There is little research focussed on healthcare industries' organizational performance, and, specifically, most of the research on IC in healthcare delivered results in terms of theoretical contribution and qualitative analyzes. The authors even contributed to analyze the healthcare industry in the light of the possible existence of synergies and networks among countries.

scholarly journals Effect of Mineral Mix and Concentrate Feeds on Milk Revenue of Smallholder Dairy Farmers in Kapseret Sub County, Kenya

2021 ◽  
pp. 24-34
Author(s):  
J. K. Bett ◽  
S. W. Munyiri ◽  
I. M. Nkari
Keyword(s):  
Milk Production ◽  
Rank Correlation ◽  
Multiple Regression Model ◽  
Primary Data ◽  
Income Generation ◽  
Dairy Farmers ◽  
Spearman’S Rank Correlation ◽  
Dairy Animals ◽  
Smallholder Dairy ◽  
The Relationship

Dairy farming contributes about eight percent of National Gross Domestic Product with an annual milk production of 3.43 billion litres in Kenya. It supports the livelihood of approximately four million Kenyans through food provision, income generation and employment. However, milk production per individual animal in Kenya, averaging six to seven (6-7) litres/cow/day, is low compared to the world’s best at 10,133 litres/cow/year (28 litres/cow/day) mainly due to factors including poor feeding. This means that Kenya produces an average of 20 litres of milk less per cow per day compared to the world’s best. The objective of this study was to determine the effect of mineral mix and concentrate feeds on milk revenue of smallholder dairy farmers in Kapseret sub County. The study was conducted between the months of January-March, 2020. Primary data was collected using closed and open ended questionnaires. Spearman’s Rank correlation was used to show the strength of the relationship between the variables. Multiple regression model was employed to assess the effect of supplementation on milk revenue. Results were presented in tables, and descriptive statistics such as percentages and frequencies. The results indicated a positive and statistically significant relationship between the variables (concentrate feeds and mineral mix) and milk revenue at (r=0.41, p=0.001) and (r=0.30, p=0.001), respectively. The relationship between mineral mix and concentrate feeds was positive and statistically significant (r=0.92, p=0.001). Subsequent feeding of homemade or commercial concentrates and mineral mix to dairy animals influenced milk revenue. The study concluded that mineral mix and concentrate feeds increased milk revenue of smallholder dairy farmers in Kapseret sub County. The study recommended the use of mineral mix and commercial concentrates or quality homemade concentrates in order to increase milk produce which affects farmers’ milk revenue.

scholarly journals Evaluating Organizational Performance of Public Hospitals using the McKinsey 7-S Framework

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Malgorzata Chmielewska ◽  
Jakub Stokwiszewski ◽  
Justyna Markowska ◽  
Tomasz Hermanowski
Keyword(s):  
Organizational Performance ◽  
Learning Style ◽  
Data Entry ◽  
Study Data ◽  
Management Style ◽  
Public Hospitals ◽  
World Health ◽  
Arithmetic Means ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background This study examined non-financial aspects of the organizational performance of public hospitals from the perspective of hospital physicians; the obtained results were analyzed to identify the necessary improvements in organizational performance. Methods This was a cross-sectional study of multidisciplinary public hospitals on a group of 249 randomly selected physicians from 22 in-patient departments or clinics operating in the Warsaw region. The study data was collected using the structured World Health Organization questionnaires (to be filled out by respondents) assessing the hospital’s organizational performance variables qualified according to the McKinsey 7-S Framework. Epidata software version 3.1 was used for data entry, and the analysis was carried out in the SPSS software, version 19. The results of the organization evaluation are presented in the McKinsey 7-S Framework diagram. Key elements of the performance factors were grouped into ‘stens’, and the sten values were expressed as arithmetic means. Normal distribution of the stens was validated with the Kolmogorov–Smirnov test. 95% confidence intervals were calculated. The significance of differences between the analyzed stens was compared with the paired Student t-test. The interdependence of the variables was determined using the Pearson’s correlation coefficient. Results The results revealed a significant difference (p <0.05) in the respondents’ assessment of social (a mean score of 2.58) and technical (a mean score of 2.80) organizational aspects of the hospital operation. Scores for all variables were low. The social elements of an organization with the lowest score included ‘staff’, and in it the aspect – ‘efforts are made to inspire employees at the lowest levels of the organization’, ‘skills’ involving the learning style followed by the management/managerial staff, and ‘management style’ (average scores of 2.38, 2.56, 2.61, respectively). Conclusion Consistently with the existing literature, social factors were shown to play a more significant role in the management and they therefore deserve careful attention and more recognition when identifying and improving the key aspects affecting the organizational performance of public hospitals. Technical elements (strategy, structure, system) are important, but were demonstrated to have limited effect on the organizational operations geared towards ensuring effective functioning of a public hospital.

scholarly journals Second Wave and Pandemic Situation of COVID-(2020-2021) In Bangladesh

2021 ◽  
Author(s):  
Ahasan Ullah Khan
Keyword(s):  
Rank Correlation ◽  
Online News ◽  
World Health ◽  
Family Welfare ◽  
Spearman Correlation ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient ◽  
The Status ◽  
Strong Relation ◽  
Health Organization

Abstract In Bangladesh, the Institute of Epidemiology, Disease Control and Research (IEDCR) reported the first COVID-19 positive patients in the country on March 8, 2020. The world health organization (WHO) declared a COVID-19 epidemic on March 11, 2020. The aim of this study was related to the situation and relation of tests, infested, recovered and death of people against COVID-19 of Bangladesh. The study was carried out from 8 March 2020 to 30 April 2021 (N=419 days) to observe the status of Bangladesh towards rampant COVID-19. The data of this research was collected from IEDCR, Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare (MoHFW), and cross-checked with different newspapers and online news portals. Correlations were made using Spearman's rank correlation coefficient. The total tests, infection, recovered and died were 5357294, 747761, 669995 and 11250; respectively in Bangladesh. The tests of COVID-19 were 1482, 69252, 244064, 460528, 409503, 362113, 397452, 389452, 436862, 454892, 424034, 392403 and 722848 in March to December, 2020 to January to April 2021; respectively in Bangladesh. The infestation of COVID-19 was 49, 7616, 39486, 98330, 92125, 73070, 50457, 44205, 57248, 58948, 21629, 11077 and 128555 in March to December, 2020 to January to April 2021; respectively in Bangladesh. The recovered of COVID-19 was 25, 135, 7904, 34845, 76517, 69452, 71600, 48658, 56099, 70367, 22285, 17140 and 150816 in March to December, 2020 to January to April 2021; respectively in Bangladesh. The death of COVID-19 was 6, 163, 472, 1198, 1264, 1125, 970, 666, 718, 938, 568, 277 and 2237 in March to December, 2020 to January to April 2021; respectively in Bangladesh. The maximum number of people infested and death in April, 2021. The positive correlation found between infested with tests and recovered with tests of April, 2021 by people where (R2= 0.5289, p<0.012 and 0.0000006 p<0.05) and the negative correlation found between tests with date and death with tests (R2= 0.2567, p<0.01 and 0.3614, p<0.01). All the Spearman correlation positive with moderate to strong relation between the variables at the 0.01 level in two-tailed and the total number was n=419. The mean Spearman correlation for tests was 0.31 (range 0.553 to 0.634), for infested was 0.35 (range 0.611 to 0.880), for recovered was 0.796 (range 0.634 to 0.799), for death was 0.808 (range 0.553 to 0.880). March to December 2020 and January to February 2021, not much less than April 2021. More people infested and died in April, 2021 than previous year. This study also indicated that there is moderate to strong relation among tests, infested, recovered and death with COVID-(2020-2021).

scholarly journals Favorable Lip and Oral Cancer Mortality-To-Incidence Ratios in Countries With High Human Development Index and Expenditures On Health

2021 ◽  
Author(s):  
Wen-Wei Sung ◽  
Yong-Chen Hsu ◽  
Ying-Ching Chen ◽  
Yu-Chi Chao ◽  
Chih-Jung Chen
Keyword(s):  
Oral Cancer ◽  
Human Development ◽  
Human Development Index ◽  
Economic Status ◽  
Rank Correlation ◽  
Cancer Prognosis ◽  
World Health ◽  
Development Index ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient

Abstract Background: The incidence rate of lip and oral cancer is increasing in recent years, the prognosis of which is associated with a country’s socioeconomic status. The mortality-to-incidence ratio (MIR) is a reasonable indicator of disparities in cancer screening and treatment. We aim to understand the association between economic status and cancer prognosis.Methods: Data were obtained from the Global Cancer Observatory (GLOBOCAN) and the World Health Organization (WHO). The MIR was applied to evaluate the correlation to healthcare expenditures and the human development index (HDI) disparities via Spearman's rank correlation coefficient.Results: The results showed that Asia has the most cases and deaths. The association of the HDI, current health expenditure (CHE), and ratio of CHE to the percentage of gross domestic product (CHE/GDP) to the crude rate (CR) of incidence show significant results (p<0.001, p=0.005, and p<0.001, respectively). However, their association with the mortality rate (p=0.303, p=0.997, and p=0.101) is not significant. In the correlation of the MIRs, the results revealed a significant association with the HDI, CHE, and CHE/GDP with the MIR (p<0.001, p<0.001, and p<0.001, respectively).Conclusion: Countries with a higher HDI, more CHE per capita, and higher CHE/GDP tend to have a lower MIR, which indicates a favorable clinical outcome.

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