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Medical engagement and organizational characteristics in general practice

Ahnfeldt-Mollerup, Peder ; dePont Christensen, René ; Halling, Anders LU ; Kristensen, Troels ; Lykkegaard, Jesper ; Nexøe, Jørgen ; Barwell, Fred ; Spurgeon, Peter and Søndergaard, Jens (2016) In Family Practice 33(1). p.69-74
Abstract

BACKGROUND: Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by Applied Research Ltd (2008) on the basis of emerging evidence that medical engagement is critical for implementing radical improvements.

OBJECTIVES: To study the importance of medical engagement in general practice and to analyse patterns of association with individual and organizational characteristics.

DESIGN AND SETTING: A cross-sectional study using a sampled survey questionnaire and the official register... (More)

BACKGROUND: Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by Applied Research Ltd (2008) on the basis of emerging evidence that medical engagement is critical for implementing radical improvements.

OBJECTIVES: To study the importance of medical engagement in general practice and to analyse patterns of association with individual and organizational characteristics.

DESIGN AND SETTING: A cross-sectional study using a sampled survey questionnaire and the official register from the Danish General Practitioners' Organization comprising all registered Danish GPs.

METHOD: The Danish version of the MES Questionnaire was distributed and the survey results were analysed in conjunction with the GP register data.

RESULTS: Statistically adjusted analyses revealed that the GPs' medical engagement varied substantially. GPs working in collaboration with colleagues were more engaged than GPs from single-handed practices, older GPs were less engaged than younger GPs and female GPs had higher medical engagement than their male colleagues. Furthermore, GPs participating in vocational training of junior doctors were more engaged than GPs not participating in vocational training.

CONCLUSION: Medical engagement in general practice varies a great deal and this is determined by a complex interaction between both individual and organizational characteristics. Working in collaboration, having staff and being engaged in vocational training of junior doctors are all associated with enhanced levels of medical engagement among GPs.

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author
; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Age Factors, Aged, Cross-Sectional Studies, Denmark, Female, General Practice/organization & administration, General Practitioners, Humans, Leadership, Male, Middle Aged, Quality Improvement, Sex Factors, Surveys and Questionnaires
in
Family Practice
volume
33
issue
1
pages
6 pages
publisher
Oxford University Press
external identifiers
  • pmid:26502810
  • scopus:84961774743
ISSN
1460-2229
DOI
10.1093/fampra/cmv085
language
English
LU publication?
no
additional info
© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
id
bd614c68-8f14-419f-9499-730d3bd37b28
date added to LUP
2019-05-27 10:34:29
date last changed
2024-05-28 13:31:00
@article{bd614c68-8f14-419f-9499-730d3bd37b28,
  abstract     = {{<p>BACKGROUND: Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by Applied Research Ltd (2008) on the basis of emerging evidence that medical engagement is critical for implementing radical improvements.</p><p>OBJECTIVES: To study the importance of medical engagement in general practice and to analyse patterns of association with individual and organizational characteristics.</p><p>DESIGN AND SETTING: A cross-sectional study using a sampled survey questionnaire and the official register from the Danish General Practitioners' Organization comprising all registered Danish GPs.</p><p>METHOD: The Danish version of the MES Questionnaire was distributed and the survey results were analysed in conjunction with the GP register data.</p><p>RESULTS: Statistically adjusted analyses revealed that the GPs' medical engagement varied substantially. GPs working in collaboration with colleagues were more engaged than GPs from single-handed practices, older GPs were less engaged than younger GPs and female GPs had higher medical engagement than their male colleagues. Furthermore, GPs participating in vocational training of junior doctors were more engaged than GPs not participating in vocational training.</p><p>CONCLUSION: Medical engagement in general practice varies a great deal and this is determined by a complex interaction between both individual and organizational characteristics. Working in collaboration, having staff and being engaged in vocational training of junior doctors are all associated with enhanced levels of medical engagement among GPs.</p>}},
  author       = {{Ahnfeldt-Mollerup, Peder and dePont Christensen, René and Halling, Anders and Kristensen, Troels and Lykkegaard, Jesper and Nexøe, Jørgen and Barwell, Fred and Spurgeon, Peter and Søndergaard, Jens}},
  issn         = {{1460-2229}},
  keywords     = {{Adult; Age Factors; Aged; Cross-Sectional Studies; Denmark; Female; General Practice/organization & administration; General Practitioners; Humans; Leadership; Male; Middle Aged; Quality Improvement; Sex Factors; Surveys and Questionnaires}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{69--74}},
  publisher    = {{Oxford University Press}},
  series       = {{Family Practice}},
  title        = {{Medical engagement and organizational characteristics in general practice}},
  url          = {{http://dx.doi.org/10.1093/fampra/cmv085}},
  doi          = {{10.1093/fampra/cmv085}},
  volume       = {{33}},
  year         = {{2016}},
}