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Fulfillment of administrative and professional obligations of hospitals and mission motivation of physicians

Jeroen Trybou (UGent) , Paul Gemmel (UGent) , Sebastian Desmidt (UGent) and Lieven Annemans (UGent)
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Abstract
Background: To be successful, hospitals must increasingly collaborate with their medical staff. One strategic tool that plays an important role is the mission statement of hospitals. The goal of this research was to study the relationship between the fulfillment of administrative and professional obligations of hospitals on physicians' motivation to contribute to the mission of the hospital. Furthermore the mediating role of the physicians' emotional attachment to the hospital and moderation effect of the exchange with the head physicians were considered. Methods: Self-employed physicians of six hospitals participated in a survey. Descriptive analyses and linear regression were used to analyse the data. Results: The results indicate that affective commitment mediated the relationship between psychological contract fulfillment and mission statement motivation. In addition, the quality of exchange with the Chief Medical Officer moderated the relationship between the fulfillment of administrative obligations and affective commitment positively. Conclusion: This study extends our understanding of social exchange processes and mission statement motivation of physicians. We showed that when physicians perceive a high level of fulfillment of their psychological contract they are more committed and more motivated to contribute to the mission statement. A high quality relationship between physician and Chief Medical Officer can enhance this reciprocity dynamic.
Keywords
Mission Statement Motivation, Psychological Contract, Affective Organizational Commitment, Leader-Member exchange, Chief Medical Officer, Hospital-Physician Relationships, LEADER-MEMBER EXCHANGE, PERCEIVED ORGANIZATIONAL SUPPORT, SOCIAL-EXCHANGE, PSYCHOLOGICAL CONTRACTS, PERFORMANCE, STATEMENT, METAANALYSIS, COMMITMENT, RESPONSES, MODELS

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Chicago
Trybou, Jeroen, Paul Gemmel, Sebastian Desmidt, and Lieven Annemans. 2017. “Fulfillment of Administrative and Professional Obligations of Hospitals and Mission Motivation of Physicians.” Bmc Health Services Research 17.
APA
Trybou, J., Gemmel, P., Desmidt, S., & Annemans, L. (2017). Fulfillment of administrative and professional obligations of hospitals and mission motivation of physicians. BMC HEALTH SERVICES RESEARCH, 17.
Vancouver
1.
Trybou J, Gemmel P, Desmidt S, Annemans L. Fulfillment of administrative and professional obligations of hospitals and mission motivation of physicians. BMC HEALTH SERVICES RESEARCH. 2017;17.
MLA
Trybou, Jeroen et al. “Fulfillment of Administrative and Professional Obligations of Hospitals and Mission Motivation of Physicians.” BMC HEALTH SERVICES RESEARCH 17 (2017): n. pag. Print.
@article{8510420,
  abstract     = {Background: To be successful, hospitals must increasingly collaborate with their medical staff. One strategic tool that plays an important role is the mission statement of hospitals. The goal of this research was to study the relationship between the fulfillment of administrative and professional obligations of hospitals on physicians' motivation to contribute to the mission of the hospital. Furthermore the mediating role of the physicians' emotional attachment to the hospital and moderation effect of the exchange with the head physicians were considered. 
Methods: Self-employed physicians of six hospitals participated in a survey. Descriptive analyses and linear regression were used to analyse the data. 
Results: The results indicate that affective commitment mediated the relationship between psychological contract fulfillment and mission statement motivation. In addition, the quality of exchange with the Chief Medical Officer moderated the relationship between the fulfillment of administrative obligations and affective commitment positively. 
Conclusion: This study extends our understanding of social exchange processes and mission statement motivation of physicians. We showed that when physicians perceive a high level of fulfillment of their psychological contract they are more committed and more motivated to contribute to the mission statement. A high quality relationship between physician and Chief Medical Officer can enhance this reciprocity dynamic.},
  articleno    = {28},
  author       = {Trybou, Jeroen and Gemmel, Paul and Desmidt, Sebastian and Annemans, Lieven},
  issn         = {1472-6963},
  journal      = {BMC HEALTH SERVICES RESEARCH},
  keywords     = {Mission Statement Motivation,Psychological Contract,Affective Organizational Commitment,Leader-Member exchange,Chief Medical Officer,Hospital-Physician Relationships,LEADER-MEMBER EXCHANGE,PERCEIVED ORGANIZATIONAL SUPPORT,SOCIAL-EXCHANGE,PSYCHOLOGICAL CONTRACTS,PERFORMANCE,STATEMENT,METAANALYSIS,COMMITMENT,RESPONSES,MODELS},
  language     = {eng},
  pages        = {10},
  title        = {Fulfillment of administrative and professional obligations of hospitals and mission motivation of physicians},
  url          = {http://dx.doi.org/10.1186/s12913-017-1990-0},
  volume       = {17},
  year         = {2017},
}

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