Love over gold and mind over matter? Identifying capabilities that preserve medical assistants' sustainable employability.

IF 3.9 2区医学 Q1 HEALTH POLICY & SERVICES

Human Resources for Health Pub Date : 2024-07-22 DOI:10.1186/s12960-024-00937-6

Bram P I Fleuren, Alden Yuanhong Lai, Lynda Gruenewald-Schmitz, Jennifer Larkin, Christina T Yuan

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引用次数: 0

Abstract

Background: Medical assistants (MAs) are crucial for affordable, high-quality primary care, but what motivates this low-wage occupational group to stay in their job remains underexplored. This paper identifies the work aspects that MAs value ("capabilities"), and how they affect sustainable employability, which refers to employees' long-term ability to function and remain in their job.

Methods: We used structural equation modelling to assess how capabilities relate to four outcomes among MAs: burnout, job satisfaction, intention to quit, and experiencing work as meaningful.

Results: We find that earning a good income, developing knowledge and skills, and having meaningful relationships at work relate to the outcomes. Meaningful relationships represent a stronger predictor than salary for one's intention to quit.

Conclusions: Competitive salaries are necessary but not sufficient to motivate low-wage health care workers like MAs to stay in their job. Health care leaders and managers should also structure work so that MAs can foster meaningful relationships with others as well as develop competencies.

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爱重于金，心重于物？识别保持医疗助理可持续就业能力的能力。

背景：医疗助理（MAs）对于负担得起的、高质量的初级医疗服务至关重要，但这一低工资职业群体继续工作的动力是什么仍未得到充分探讨。本文确定了医疗助理重视的工作方面（"能力"），以及这些能力如何影响可持续就业能力，可持续就业能力指的是员工长期发挥作用和继续工作的能力：方法：我们使用结构方程模型来评估能力与四个结果之间的关系：工作倦怠、工作满意度、辞职意向和体验工作的意义：结果：我们发现，收入丰厚、发展知识和技能以及在工作中拥有有意义的关系与结果有关。有意义的人际关系比薪酬更能预测一个人的辞职意愿：有竞争力的薪资是必要的，但不足以激励像医疗服务人员这样的低薪医疗工作者继续工作。医护人员的领导者和管理者还应该安排好工作，使医护人员能够与他人建立有意义的关系并发展能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Human Resources for Health Social Sciences-Public Administration

CiteScore

8.10

自引率

4.40%

发文量

102

审稿时长

34 weeks

期刊介绍： Human Resources for Health is an open access, peer-reviewed, online journal covering all aspects of planning, producing and managing the health workforce - all those who provide health services worldwide. Human Resources for Health aims to disseminate research on health workforce policy, the health labour market, health workforce practice, development of knowledge tools and implementation mechanisms nationally and internationally; as well as specific features of the health workforce, such as the impact of management of health workers" performance and its link with health outcomes. The journal encourages debate on health sector reforms and their link with human resources issues, a hitherto-neglected area.