The attitude of Healthcare Worker towards a Performance Appraisal in Primary Care Center
Introduction
Health workers are the pillars of the health structures across the world. The offering of excellence care relies on the accessibility of an adequate number of committed, motivated and competent health experts working in a structure with adequate resources. The WHO has indicated that effective health structure comprises of all institutions, action, and individuals whose basic objectives is to enhance sustain and restore good health. Enough number of well-trained health experts in the sector is required so as to attain the service objectives. Internationally, healthcare givers are consistently exposed to various deliveries of service challenges like long working hours, great degrees of stress, days with not enough periods of break not up to date infrastructure, disadvantages in their operations as well as crowded health services with waiting period being on the rise (Ramani et al. 2013). Though these predicaments differ from one nation to another, many of the health structures strive in certain level with political matters and administrative matters in spite of the level of income or the living standards of the people.
According to Herzog 2013, taking into consideration the ideology of the health proficient concerning their work environ, the public regulations that govern their work and the anomalies of the health structure from within is an important feature of the governance in the healthcare structure. As part and parcel of the plan on human resources for general accessibility to healthcare and General Health coverage endorsed by the 29th Pan American Sanitary Convention in 2017, it is important to study the fascinations, inspirations and needed working situations for health professionals in unfavorable parts so as to exert a pull and maintain human resources in those particular areas.
Performance evaluation is among the most vital elements in the structural and rational procedure of human resource management. Information got via performance evaluation gives the basis of hiring, developing and training of the existing workforce. It also maintains and motivates an excellent workforce by sufficiently and appropriately rewarding their performances. Devoid of a dependable performance evaluation structure, the human resource structure will fall apart leading to absolute waste of human assets (Alhassan, 2013). This should be viewed as an opportunity to enhance clinic care.
Performance appraisal has been described as the procedure that permits health care centres to measure and subsequently assess a health worker’s success and character over time. It can also be seen as combining many variables like motivation, expectations, ability and work conditions. It has been discovered that some aspects impact health workers (Cox, 2017). These aspects are the nature of the task, the compensation package, the work environs, encouragement from high management and the overall health care culture.
Performance evaluation structures are made to assess a health worker’s performance and then highlight measures to be carried out for enhancements that are important for a healthcare centre to prosper. The appraisal reason is aimed at informing individuals about their performance standards. The development reason is aimed at identifying predicaments in workers carrying out the assigned work (Meyer, 2017). Most hospitals nowadays ensure that doctors performance are appraised since they are responsible to the community and the patients making certain that the care given attains the set standards and for quality enhancements.
The basic purpose of having a performance appraisal agenda is to supervise the health workers performance, inspire the workforce and enhance the morale of the primary care centre. In the health centre, supervising the workers’ performances entail day to day documentation that is completed via accomplishing a performance evaluation form. When the workers are in the know that the health centre is concerned about their performances and could be rewarded with promotions and incentive increments, they will strive to work hard. Morale is got when workers get rewards for work done well. An efficient performance evaluation agenda will help the health centre in attaining its objectives. Not just training requirements will be recognized during the performance evaluation review, concealed can be found out as well. Through the identification of these training requirements, staff can do their job excellently and be in a good position to talk to clients’ queries and concerns (Ahmed, 2019). A well-developed workforce is very likely to be productive as well as resourceful thus giving the care centre a competitive edge that is from enhanced client relations to increased productivity in terms of profits.
In the health centres, the basic goal of performance evaluations is to develop the worth of healthcare operations. This is the expected feedback of informing doctors of probable performance lack as in the structure of the worthy development cycle and the educational structure of performance reflection. Therefore, this paper talks about the attitude of the healthcare worker towards performance appraisals in the primary care centre
Objectives
The goal and objective of this research were to collect information concerning the attitudes and opinions of health workers towards their performance evaluation at the primary care centres.
Methodology
The design of the research included a cross-sectional survey that was carried out by use of an online questionnaire. The setting was done online whereby the online questionnaire was implemented in several provinces in the state of California in the major public and private primary care centres in North Bay Center for Primary Care -Fairfield, Stanford Primary Care Center in Los Altos and finally, Stockton Medical Plaza Primary Care Center. The online questionnaire was made available for accomplishing in May, June and July 2019.
Those who participated constitutes of both female and male physicians listed in the country registry for private providers at the national level, the provincial college of doctors at the provincial level and the listing of medical practitioners from the above primary health caregiving centres. The research contributors were entitled to take part if they were graduates with a degree in medicine and were lawfully capable of practising medicine in California. Approval from those who participated could go on to the full questionnaire just after approval was got by agreeing with the terms and conditions and agreement of participation assent form.
Before the research, several unofficial interviews were carried out with 15 well experienced and qualified doctors as well as researchers from California, recognized via a non-probabilistic purposive sample activity. This part of the research was done to find out vital matters that can impact the relations of health workers with primary care centres in California. Immediately after the interview, the last questionnaire was given to the physicians recruited previously. After a proofread of the questionnaire, arrangement of the queries according to sections as well as editing certain queries that rose from the pilotage for two months, a questionnaire with 47 items written in American English was made.
Research Questions
The study questionnaire was divided into three parts. Part one investigates demographic matters like age, sex, university attended, post-graduation training, present workplace, and workload. Part two entailed measuring of the opinion concerning matters related to the usage of particular drug prescriptions. Part three included the measurement of the participants’ exposure in dealing with the Californian Health structure in both the public and private sectors.
The issuing of the questionnaire was done via email. Concise clarification of the reason for the research and confidentiality assurance was assured in all instances. Every part of the questionnaire comprised of a set of queries that the respondents were asked to select a predefined response listed after a statement or a query. Moreover, some queries needed ‘not applicable’ ‘yes’ or ‘no’ answers. Getting to the next set of queries was not easy before answering all the prior queries. The piloting phase showed that it would be about 10-20 minutes to accomplish the questionnaire.
Hypothesis
The outcome of the research is important to comprehend the complicated nature of the healthcare workers in California and assist to improve plans of bettering the Californian tactic for healthcare human resources. California has created numerous reforms aspiring to build up a health care system on the foundation of primary care. These modifications led to an escalation of the number of health care proficient in the public sector in the previous decade. This was mostly because of the execution of the economic incentives to retain and attract skilled and competent employees where they are most needed.
Health care workers attitudes towards performance evaluation in primary care centres mirror their opinion concerning the health sector and can influence their character in their operations. Most of the respondents were a physician working in public healthcare centres working in the cities that is congruent with the uneven allocation of health experts in the nation. Astonishingly, there were no family physician respondents. The most burning matter as per the respondents was in relation to the quantity of organizational paperwork facing health professional daily. The public health care system of California doesn’t have a federal CIS signifying that organizational work like appointments, purchasing drugs, referrals, records management, and statistics updates require to be done manually and the health workers should accomplish reports by hand so as to record their activities.
All the information is then moved to spreadsheets by a third party to drive them to the national or regional management bureaus. It is, therefore, not easy to get local information to make a follow-up inquiry for a case amid health care providers. Californian principles necessitate the usage of extraordinary and united clinical past format by all the experts. This is the case even in situations having electronic information structure. Health experts, hence, should carry out both activities i.e. registration of information on the local computer model and also doing the actual paper recording and this is also important for communication amid subsystems i.e. when a sick person is referred from a public service to the social insurance information model.
The second problem is an opinionated bad vision from health systems can be viewed as a normal lack of comprehending of the goal and the anticipated effect of the reforms taken on by the Health Ministry. Generally, the Californian doctors seemed to frustrate by insufficient communication and responses they get from the health authorities. The doctors report not being satisfied with the schedule of their work. Whereby physicians work does not have time to rest.
Thirdly is a perceived deficiency in health centre infrastructure. This problem is provided with additional weight since California has escalated its expenditure on infrastructure in the period of the last ten years. It has been noted that there is a record number of latest health care units as well as minute hospitals including the improvement and advancement of the tools and infrastructure in customary or locally rooted primary care centres. As a warning, it is likely that the political division taking place in California during the last 5 years has affected the perceptions of the health experts against anything related to government as well as public expenditure on health.
Conclusion
Doctors are a very essential group in the public health model of a country. They face a lot of challenges in enhancing the quality of healthcare. The outcome of this study reveals that there are vital problems that require to be resolved to address health professionals daily needs as well as their perceptions as to the way the structure should be well structured, governed and resourced. This research gives the fundamental elements for health systems to begin to take upon vital decisions concerning the role of the health structure and to invent means of addressing these predicaments.
References
Ramani, S., Rao, K. D., Ryan, M., Vujicic, M., & Berman, P. (2013). For more than love or money: attitudes of student and in-service health workers towards rural service in India. Human resources for health, 11(1), 58.
Herzog, R., Álvarez-Pasquin, M. J., Díaz, C., Del Barrio, J. L., Estrada, J. M., & Gil, Á. (2013). Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC public health, 13(1), 154.
Alhassan, R. K., Spieker, N., van Ostenberg, P., Ogink, A., Nketiah-Amponsah, E., & de Wit, T. F. R. (2013). Association between health worker motivation and healthcare quality efforts in Ghana. Human resources for health, 11(1), 37.
Meyer, J. C., Schellack, N., Stokes, J., Lancaster, R., Zeeman, H., Defty, D., … & Steel, G. (2017). Ongoing initiatives to improve the quality and efficiency of medicine use within the public healthcare system in South Africa; a preliminary study. Frontiers in pharmacology, 8, 751.
Ahmed, I. (2019). Staff well-being in high-risk operating room environment: Definition, facilitators, stressors, leadership, and team-working—A case-study from a large teaching hospital. International Journal of Healthcare Management, 12(1), 1-17.
Cox, J. A., Vlieghe, E., Mendelson, M., Wertheim, H., Ndegwa, L., Villegas, M. V., … & Hara, G. L. (2017). Antibiotic stewardship in low-and middle-income countries: the same but different?. Clinical microbiology and infection, 23(11), 812-818.
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