The microfoundations of physicians’ managerial attitude

BMC Health Services Research

Daria Angelozzi¹  Fausto Di Vincenzo²  Federica Morandi³ 

[1] Abruzzo Regional Health Agency, Via A. Monti 9, 65127, Pescara, Italy;Department of Economic Studies, G. d’Annunzio University of Chieti-Pescara, Viale Pindaro 42, 65127, Pescara, Italy;Department of Management, Catholic University of Sacred Heart, Largo F. Vito 1, 00168, Rome, Italy;

关键词: Middle managers;    Managerial attitude;    Microfoundations;    Doctor-managers;    Narcissism;    Organizational identification;    Specialization;   

DOI  :  10.1186/s12913-021-06210-z

来源: Springer

【 摘 要 】

BackgroundAccountable care has profoundly changed the organizational models adopted by health care organizations and, consequently, the skill set required for doctor-managers who have become middle managers and must deal with the operational management of their units. The aim of this study was to identify the psychological microfoundations (i.e., traits) of physicians’ managerial attitude. Specifically, we analysed the roles played by narcissism, specialization choices and identification with the organization.MethodsWe collected primary data on a population of ward unit heads in the Italian National Health Service. A logistic regression model predicting the levels of managerial attitude was employed.ResultsThe results indicate that high levels of narcissism and identification with the organization are related to higher managerial attitude (instead of clinical attitude). Additionally, we found that physicians with a technique-oriented specialization present a higher probability of manifesting managerial attitude (in comparison to clinical attitude).ConclusionsHospital managers can benefit from the use of these findings by developing a strategic approach to human resource management that allows them to identify, train and select the right mix of technical knowledge and managerial skills for middle-management roles.

【 授权许可】

CC BY