Motivations influencing the surgeon’s healthcare unit choice to perform surgery: a confirmatory study in Portugal

• Diana Nora ; Diogo Guedes Vidal ^[2] ; Lilian Monteiro Ferrari Viterbo ^[2] ; Maria Alzira Pimenta Dinis ^[2] ; Hélder Fernando Pedrosa Sousa ^[1]
  1. [1] Universidade de Trás-os-Montes e Alto Douro

     Universidade de Trás-os-Montes e Alto Douro

     Vila Real (São Pedro), Portugal

     
  2. [2] University Fernando Pessoa
• Localización: EJIHPE: European Journal of Investigation in Health, Psychology and Education, ISSN 2174-8144, ISSN-e 2254-9625, Vol. 10, Nº. 1, 2020, págs. 143-158
• Idioma: inglés
• DOI: 10.3390/ejihpe10010013
• Enlaces
  • Texto completo (pdf)
  • Texto completo
• Resumen

  • Quality surgical practice is a fundamental subject in health institutions, and it is important to understand the structural and organizational conditions of the operating room (OR). The present exploratory study sought to understand the motivations that underlie the choice of surgeons for the best healthcare unit to perform surgery, as well as the characteristics of those professionals regarding age, years of work experience, and sex. A questionnaire survey was administered to a convenience sample of 99 surgeons, 67.3% male and 32.7% female, aged 37 to 66 (M = 23.7; Std = 8.92). The results show that at the top of the surgeons’ motivations to perform surgery is the 77.8% attributed to the human resources and equipment available and at the other extreme the 3% to the previous online visit to facilities. This study opens important clues to the development of more in-depth and comparative approaches, necessary for the continuous improvement of the healthcare provided in the context of surgical practice.

• Referencias bibliográficas
  • Portuguese Ministry of Health. Retrato da Saúde (Health Portrait); da Saúde, M., Ed.; Portuguese Ministry of Health: Lisboa, Portugal, 2018;...
  • De Campos, A.C. Reformas da Saúde—O Fio Condutor (Health Reforms—The Lead Wire); Almedina: Coimbra, Portugal, 2008. (In Portuguese)
  • Santana, P.; Almendra, R. The health of the Portuguese over the last four decades. Méditerranée 2018, 130.
  • Fernandes, A.C.; Fernandes, J.V.; Barros, P.P. Três Olhares Sobre o Futuro da Saúde em Portugal (Three Views on the Future of Health in Portugal);...
  • Vidal, D.G.; Barreira, E.; Oliveira, G.M.; Pontes, M.; Maia, R.L.; Ferraz, M.P.; Cabeda, J.M.; Calheiros, J.M. Assessment of Health and Well-being...
  • Vidal, D.G.; Pontes, M.; Barreira, E.; Oliveira, G.M.; Maia, R.L. Differential Mortality and Inequalities in Health Services Access in Mainland...
  • Doetsch, J.; Pilot, E.; Santana, P.; Krafft, T. Potential barriers in healthcare access of the elderly population influenced by the economic...
  • Assembly of the Portuguese Republic Lei n.o 56/79 - Diário da República n.o 214/1979, Série I de 1979-09-15 1979, 14. Available online: https://dre.pt/home/-/dre/369864/details/maximized...
  • Ribeiro, J.M. Reforma do sector público hospitalar: Programa de empresarialização de 34 hospitais portugueses (Hospital Public Sector Reform:...
  • Fidler, A. The role of the private sector in health financing and service delivery. Eur. J. Public Health 2009, 19, 450–451.
  • Maarse, H. The privatization of health care in Europe: An eight-country analysis. J. Health Polit. Policy Law 2006, 31, 981–1014.
  • Chapman, A. The impact of reliance on private sector health services on the right to health. Health Hum. Rights 2014, 16, 122–134.
  • Ferreira, J.S. Public-Private Competition in the Portuguese Health System: An Exploratory Analysis. Master’s Thesis, Technical University...
  • Simões, J.D.A.; Augusto, G.F.; Hernández-Quevedo, C. Portugal: Health System Review; World Health Organization: Copenhagen, Denmark, 2017;...
  • Mateus, A.; Ramalho, E.; Oliveira, H.; Rodrigues, H.; Ferreira, R. Private Health Sector in Portugal; Millennium bcp: Lisbon, Portugal, 2017....
  • Gomes, J.A.; Martins, M.M.; Fernandes, C.S. Instrumentos para Avaliar a Qualidade e Segurança no Bloco Operatório—Revisão Integrativa (Instruments...
  • Gomes, J.A.; Martins, M.M.; Rizatto Tronchin, D.M.; Fernandes, C.S. Validação de uma escala sobre indicadores de estrutura no bloco operatório:...
  • Gomes, J.A.; Martins, M.M.; Maria, D.; Tronchin, R.; Fernandes, C.S. Processos de qualidade assistencial no bloco operatório—validação de...
  • De Oliveira, M.C. Os Cirurgiões Também Pensam (Surgeons Also Think); Quasi Edições: Vila Nova de Famalicão, Portugal, 2006. (In Portuguese)
  • Randa, K.; Heiser, R.; Gill, R. Strategic Investments in the Operating Room (OR): Information Technology (IT) to Generate Rapid ROI and Long-Term...
  • Segall, N.; Bonifacio, A.S.; Barbeito, A.; Schroeder, R.A.; Perfect, S.R.; Wright, M.C.; Emery, J.D.; Atkins, B.Z.; Taekman, J.M.; Mark, J.B....
  • Van Veen-Berkx, E.; Bitter, J.; Kazemier, G.; Scheffer, G.J.; Gooszen, H.G. Multidisciplinary teamwork improves use of the operating room:...
  • Health Foundation. Serviço Nacional Saúde—Para Uma Conversação Construtiva (National Health Service—For A Constructive Conversation); Diário...
  • Portuguese Medical Association. Determinantes da Fixação no Espaço Laboral—Estudo em Profissionais Médicos (Determinants of Workplace Fixation—Study...
  • Marques, I.; Captivo, M.E.; Vaz Pato, M. Scheduling elective surgeries in a Portuguese hospital using a genetic heuristic. Oper. Res. Health...
  • Harfouche, A.P.D.J. Opções Políticas em Saúde: Efeitos Sobre a Eficiência Hospitalar (Health Policy Options: Effects on Hospital Efficiency);...
  • Portuguese Ministry of Health. Relatório Final—Os Cidadãos no Centro do Sistema. Os Profissionais no Centro da Mudança (Final Report—Citizens...
  • Nora, D.; Vidal, D.G. Surgeons have motivations too! An exploratory approach to the main variables influencing the choice of the place to...
  • Nora, D. Condições Percebidas Como Necessárias para uma Prática Cirúrgica de Qualidade (Perceived Conditions as Necessary for Quality Surgical...
  • Plasters, C.L.; Seagull, F.J.; Xiao, Y. Coordination challenges in operating-room management: An in-depth field study. AMIA Annu. Symp. Proc....
  • Marjamaa, R.A.; Kirvela, O.A. Who is responsible for operating room management and how do we measure how well we do it? Acta Anaesthesiol....
  • Montgomery, K.; Schneller, E.S. Hospitals’ strategies for orchestrating selection of physician preference items. Milbank Q. 2007, 85, 307–335....
  • High Commissioner of Health. Plano Nacional de Saúde 2011–2016 (National Health Plan 2011–2016); Direcção-Geral de Saúde: Lisboa, Portugal,...
  • Baschera, D.; O’Donnell Taylor, E.; Masilonyane-Jones, T.; Isenegger, P.; Zellweger, R. Are Medical Students Who Want to Become Surgeons Different?...
  • Yang, Y.; Shen, B.; Gao, W.; Liu, Y.; Zhong, L. A surgical scheduling method considering surgeons’ preferences. J. Comb. Optim. 2015, 30,...
  • Molina-Pariente, J.M.; Fernandez-Viagas, V.; Framinan, J.M. Integrated operating room planning and scheduling problem with assistant surgeon...
  • Chang, B.P.M.; Arriaga, A.F.; Hassan, S.M.; Kidik, P.; Hepner, D.L.; Lipsitz, S.R.; Thomas, B.A.; Bader, A.M.; Correll, D.J. Improving efficiency...
  • Liu, Y.; Fan, Z.-P.; Jiang, Y.-P. Satisfied surgeon–patient matching: A model-based method. Qual. Quant. 2018, 52, 2871–2891
  • Rahimi, S.A.; Dexter, F.; Gu, X. Prioritizations of individual surgeons’ patients waiting for elective procedures: A systematic review and...
  • Vilelas, J. Investigação—O Processo de Construção do Conhecimento (Research—The Knowledge Building Process); Edições Sílabo: Lisboa, Portugal,...
  • Freixo, M.J.V. Metodologia científica: Fundamentos, Métodos e Técnicas (Scientific Methodology: Fundamentals, Methods and Techniques); Instituto...
  • IBM Corporation Released. IBM SPSS Statistics for Windows; Versão 25.0 2018; IBM Corporation: Armonk, NY, USA, 2018.
  • Portuguese Medical Association. Especialidades (Specialties). Available online: https://ordemdosmedicos.pt/especialidades/ (accessed on 23...
  • Leitch, K.K.; Walker, P.M. Surgeon compensation and motivation. Arch. Surg. 2000, 135, 708–712.
  • Kähler, L.; Kristiansen, M.; Rudkjøbing, A.; Strandberg-larsen, M. Surgeons’ motivation for choice of workplace. Dan. Med. J. 2012, 59, A4508....
  • Gür, Ş.; Eren, T.; Alakaş, H.M. Surgical operation scheduling with goal programming and constraint programming: A case study. Mathematics...
  • Martinez-Millana, A.; Lizondo, A.; Gatta, R.; Vera, S.; Salcedo, V.T.; Fernandez-Llatas, C. Process mining dashboard in operating rooms: Analysis...