Journal of Healthcare Management - July/August 2014 - (Page 304)

J o u r n al of H ealt H care M anage Ment 59:4 J uly /a ugust 2014 misplaced, as such alignment strategies focus on extrinsic factors. The author states that extrinsic factors are inadequate to change physician behavior and are disruptive in facilitating broader organizational culture change. Based on the research, pay for performance is too individually focused to be effective and often places members of the same team into an antagonistic situation, competing against one another rather than aligning toward a common vision. The researcher also found that physicians are more highly motivated by intrinsic factors. Therefore, stronger organizations will be developed through facilitating the physicians' involvement in and leadership of medical and organizational decision making, thereby improving career opportunities and promoting broader professional cooperation. In the 1940s and 1950s, psychologist Abraham Maslow identified a direct correlation between human motivation and personal growth. Those individuals who functioned at the top of their abilities were self-actualized and more fulfilled (McLeod, 2007). The research in this article provides some clear opportunities for aligning physicians in such a way that they can achieve higher levels of professional fulfillment. Over time, this approach will provide greater career satisfaction than pure extrinsic motivation will. And certainly, professional satisfaction will have a positive impact on behavior, burnout, medical errors, patient satisfaction, and clinical outcomes. North Shore-LIJ Health System has taken this approach. The alignment and integration of physicians in the organization's senior leadership structure is rapidly evolving, and the goals of this evolution are to foster professional career development, organizational alignment, and continuous improvement in outcomes and patient satisfaction through a more consistent, integrated approach than individually based pay-for-performance incentive metrics. REFERENCES Leigh, J. P., Tancredi, D. J., and Kravitz, R. L. (2009). Physician career satisfaction within specialties. BMC Health Services Research, 9, 166. McLeod, S. A. (2007). Maslow's hierarchy of needs. Retrieved from http://www.simplypsychology .org/maslow.html Rosenthal, E. (2014, February 13). Apprehensive, many doctors shift to jobs with salaries. The New York Times, p. A14. 304 http://www.simplypsychology.org/maslow.html http://www.simplypsychology.org/maslow.html

Table of Contents for the Digital Edition of Journal of Healthcare Management - July/August 2014

Journal of Healthcare Management - July/August 2014
Contents
Interview With Charles R. Evans, FACHE, President of the International Health Services Group and Senior Advisor at Jackson Healthcare
The Most Effective Leadership Style for the New Landscape of Healthcare
Exploring Obstacles to Success for Early Careerists in Healthcare Leadership
Decisions Through Data: Analytics in Healthcare
Sustainable Competitive Advantage for Accountable Care Organizations
Hospital Characteristics Associated With Achievement of Meaningful Use
The Effect of Professional Culture on Intrinsic Motivation Among Physicians in an Academic Medical Center
Abstract from the Academy of Management

Journal of Healthcare Management - July/August 2014