The Influence of Clinical Competence and Work Motivation on General Practitioners’ Performance at National Cancer Centre Hospital: a cross-sectional study

Authors

  • Resti Mulya Sari Division of Hematology and Medical Oncology, Department of Internal Medicine, Dharmais National Cancer Center Hospital, Jakarta, Indonesia
  • Rian Adi Pamungkas Master of Hospital Administration Program, Esa Unggul University, Jakarta, Indonesia
  • Kemala Rita Wahidi Master of Hospital Administration Program, Esa Unggul University, Jakarta, Indonesia

DOI:

https://doi.org/10.35654/ijnhs.v6i1.660

Keywords:

clinical competence, the performance of general practitioners, training, work motivation

Abstract

Background: General practitioners are responsible for providing health services, such as disease prevention, diagnosis, initial treatment, and referring patients to specialists based on the severity of the disease. Objective: This study aims to determine the influence of clinical competence and work motivation on the performance of general practitioners, with training serving as an intervening variable. Methods: This study was conducted at National Cancer Centre Hospital in January-June 2022. This is a cross-sectional study with a path analysis as its analysis method. The respondents were general practitioners who provide services to patients, with a total respondent of 51 participants. Result: This study reported an influence of simultaneous clinical competence and work motivation on general practitioners' working performance with training as an intervening variable (p=0.000). According to the partial test result, there was an effect of clinical competence on general practitioners' performance (p=0.000) and an effect of training on general practitioners' performance (p=0.003). There was no effect of work motivation on general practitioners' performance (p=0.302) or training (p=0.555). Conclusion: There is a simultaneous influence of clinical competence and work motivation on the performance of general practitioners, with training as an intervening variable. The study results suggest creating specific standards of competence for general practitioners working at the National Cancer Centre. Furthermore, it is necessary to hold training for general practitioners in accordance with the particular competencies needed to improve and maintain.

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References

Boyatzis RE. Competencies in the 21st century. Journal of Management Development. 2008;27(1):5–12.

Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287(2):226–35.

Wei Y, Wang F, Pan Z, Wang M, Jin G, Liu Y, et al. Development of a competency model for general practitioners after standardized residency training in China by a modified Delphi method. BMC Fam Pract. 2021;22(1):1–14.

Bhandari S. Identification, Tool Development and Validation, and Assessment of Core Competencies of Public Health Professionals in Uttar Pradesh, India. The Johns Hopkins University; 2020. p. 1–281.

Rao X, Lai J, Wu H, Li Y, Xu X, Browning CJ, et al. The Development of a Competency Assessment Standard for General Practitioners in China. Front Public Health. 2020;8(February):1–7.

Luthans F. The need for and meaning of positive organizational behavior. J Organ Behav. 2002;23(6):695–706.

Malik AA, Yamamoto SS, Haque A, Butt NS, Baig M, Sauerborn R. Developing and assessing a tool to measure motivation among physicians in Lahore, Pakistan. PLoS One. 2018;13(12).

Niazi AS. Training and development strategy and its role in organizational performance. Journal of public Administration and Governance. 2011;1(2):42–57.

Noe RA, Kodwani AD. Employee training and development, 7e. McGraw-Hill Education; 2018.

Mangkunegara AP, Agustine R. Effect of Training, Motivation and Work Environment on Physicians’ Performance. Academic Journal of Interdisciplinary Studies. 2016;5(1):173–88.

Liu S, Wang L, Zhang T, Liu C, Liang H, Zhang Y, et al. Factors affecting the work competency and stability of family doctors in Shanghai: A tracking study. BMC Fam Pract. 2019;20(1):1–11.

Wenghofer EF, Henzel TR, Miller SH, Norcross W, Boal P. Value of General Medical Knowledge Examinations in Performance Assessment of Practicing Physicians With Potential Competence and Performance Deficiencies. Journal of Continuing Education in the Health Professions. 2016;36(2):113–8.

Aduo-Adjei K, Emmanuel O, Forster OM. The impact of motivation on the work performance of health workers (Korle Bu Teaching Hospital): Evidence from Ghana. Hosp Pract Res. 2016;1(2):47–52.

Engda T. The contribution of medical educational system of the College of Medicine, and Health Sciences of the University of Gondar in Ethiopia on the knowledge, attitudes, and practices of graduate students of Health Sciences in relation to the prevention and con. BMC Med Educ. 2020;20(1):1–12.

Harkemanne E, Baeck M, Tromme I. Training general practitioners in melanoma diagnosis: a scoping review of the literature. BMJ Open. 2021;11(3):e043926.

Spruit E, Mol MF, Koen Bos P, Bierma-Zeinstra SMA, Krastman P, Runhaar J. Self-assessment of competence and referral behavior for musculoskeletal injections among dutch general practitioners. J Clin Med. 2020;9(6):1–13.

Saudi MH, Baker R, Surayya N, Saudi M, Mohamed R. Turkish Journal of Computer and Mathematics Education Vol . 12 No . 11 ( 2021 ), 1156-1163 Research Article The Relationship between Motivation , Training , and Job Suitability with Employee Performance?: A Study of Employees in the Private Sector Turkish. 2021;12(11):1156–63.

Mitsuyama T, Son D, Eto M. Competencies required for general practitioners/family physicians in urban areas versus non-urban areas: a preliminary study. BMC Fam Pract. 2018;19(1):1–9.

Weldegebriel Z, Ejigu Y, Weldegebreal F, Woldie M. Motivation of health workers and associated factors in public hospitals of West Amhara, Northwest Ethiopia. Patient Prefer Adherence. 2016 Feb 15;10:159–69.

Daliri B.O M, M. Majd H, Moradi A. Investigating a Newly Developed Educational Orthopedic Application for Medical Interns in a Before-after Quasi-clinical Trial Study. BMC Med Educ. 2021;21(1):1–10.

Saraswathy T, Nalliah S, Rosliza AM, Ramasamy S, Jalina K, Shahar HK, et al. Applying interprofessional simulation to improve knowledge, attitude and practice in hospital- acquired infection control among health professionals. BMC Med Educ. 2021;21(1):1–11.

Ansquer R, Mesnier T, Farampour F, Oriot D, Ghazali DA. Long-term retention assessment after simulation-based-training of pediatric procedural skills among adult emergency physicians: a multicenter observational study. BMC Med Educ. 2019;19(1):1–10

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Published

2023-02-20

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