Title
Managerial control vs professional autonomy: an empirical study on perceptions and expectations of physicians at teaching hospitals in Turkey.
Abstract
This study investigates the effects of work context on professional job processes in large organizations in general, and the differences of perceptions and expectations of physicians for professional autonomy in different work environments in specific. An empirical study was conducted on "perceptions and expectations of physicians" in terms of their control over diagnosis and treatment process in different teaching hospitals in Turkey. Results exhibit that the difference between expectation and perception on "the control over diagnosis and treatment process", one of the crucial elements in professional autonomy of physicians, is statistically significant among the surveyed hospitals. The reason of this difference seems to be the managerial practices of each organization. Thus, the study emphasizes the need of assessing the problematic job procedures and of changing them with the most effective ones to create a synergy instead of conflict in the work setting. This synergy in the health care organizations means a balance between managerial control and professional autonomy and a better health service to the patient.
Year
DOI
Venue
2008
10.1007/s10916-007-9118-4
J. Medical Systems
Keywords
Field
DocType
different work environment,managerial control,professionals.physician autonomy. hospital organization,treatment process,different teaching hospital,professional autonomy,professional job process,work setting,teaching hospitals,work context,better health service,empirical study,managerial control vs professional,statistical significance
Health care,Nursing,Work setting,Autonomy,Health services,Perception,Medicine,Empirical research
Journal
Volume
Issue
ISSN
32
2
0148-5598
Citations 
PageRank 
References 
1
0.35
0
Authors
5
Name
Order
Citations
PageRank
Mustafa Kilic111.37
Mahmut Arslan210.35
Dogan Nadi Leblebici310.35
Mehmet Devrim Aydin410.35
M Kemal Oktem510.35