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KMID : 1235020090030010041
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Health Service Management Review
2009 Volume.3 No. 1 p.41 ~ p.47
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Voluntary participation and behavior of organizational members -Lessons from Communicable Diseases Surveillance System-
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Im Jee-Hye
Kim Hee-Sun
Lee Key-Hyo
Shin Eui-Chul
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Abstract
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Objectives: This study was designed to investigate the participation type of organizational members with their key activities to organizational performance. It compared reporting behavior of physicians participating in two kinds of surveillance systems, legally notifiable communicable diseases(LNCD) and sentinel surveillance system(CSS), which differ in terms of participation, mandatory versus voluntary.
Methods: Self-administered questionnaires were mailed to 1,955 randomly selected LNCD surveillance physicians of internal medicine, pediatrics, family medicine, dermatology, and general practice and to all 193 physicians who were involved in pediatric CSS. The survey asked about reporting behaviour of communicable diseases, physicians and medical institutional characteristics related to reporting. Simple and multiple analyses were done to find out factors related to reporting behavior, especially focusing on type of participation.
Results: Though Factors such as sex, age, knowledge, attitude of physicians and ownership of medical institution where physicians work affected physician reporting by multivariate logistic regression analysis. The type of participation (voluntary) also significantly increased physician reporting behaviour (OR: 2.62, 95% CI: 1.61-4.25).
Conclusions: This study showed that voluntary participation of members in health care organizations also seemed to stimulate their activities, and eventually improving organizational performance. This proves voluntary participation could be a more effective way for matured and well trained organizational members such as physicians.
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KEYWORD
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voluntary participation, behaviour, organizational performance, communicable diseases surveillance system
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