Changes in the field of activity of eldery care phsysicians

Diepen, J. (Judith) van (2012) Changes in the field of activity of eldery care phsysicians. thesis, Other studies (UMCG).

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Abstract

Introduction This research is about the changing field of activity of elderly care physicians. The theory of planned behavior is used to study the changes in the field of activity. Successfulness of change is operationalized as the level of modernity in the field of activity. The relationships between readiness to change, subjective norm and perceived behavioral control and successfulness of change are investigated. Also, the role of organizational culture, commitment to the association for elderly care physicians Verenso and commitment to postgraduate medical education are researched. In order to accomplish the objective of this study, the research questions to be answered are: How do characteristics of elderly care physicians influence the level of modernity in the field of activity, and what are the roles of organizational culture, commitment to postgraduate medical education and commitment to Verenso in the changing field of activity? Methods A questionnaire has been distributed among elderly care physicians and elderly care residents in the Netherlands in order to obtain the necessary data. Regression analyses have been done to analyze the data. Results The linear regression analysis shows that readiness to change, subjective norm and perceived behavioral control have a positive significant relationship with the level of modernity. When the variables of the theory of planned behavior are taken together, subjective norm is the only variable which, according to the multiple regression analysis, has a significant positive relationship with level of modernity. This means that subjective norm is of relative higher importance in explaining the successfulness of change than are readiness to change and perceived behavioral control. To increase the level of modernity in the field of activity all three variables should be taken into account whereby special attention should be given to subjective norm. Further more, a strong clan culture enhances the relationship between readiness to change and the level of modernity. Moreover, a mediating effect of subjective norm on the relationship between the independent variable commitment to Verenso and the dependent variable level of modernity has been found. Discussion The main strength of this study is that it is among the first to provide a thorough overview of the influences on changes in the field of activity of elderly care physicians. The theory driven assessment adds support for Ajzen’s (1991) theory of planned behavior, and can be useful for postgraduate medical education and Verenso, since they are currently busy with changing the field of activity of elderly care physicians.

Item Type:	Thesis (Thesis)
Supervisor name:	Pols MD PhD, J. (Jan) and Griend MD, mrs. J. van der
Supervisor name:	Prins PhD, mrs. K.S.
Faculty:	Economics and Business
Keywords:	Ouderenzorg, Geriater(m/v), Beroepsuitoefening, Verandermanagement
Date Deposited:	25 Jun 2020 10:55
Last Modified:	25 Jun 2020 10:55
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1572

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