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The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa
Bibliography: leaves 196-223.
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
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School of Management Studies
2014
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| _version_ | 1867613565411655680 |
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| access_status_str | Open Access |
| author | Pillay, Rubin |
| author2 | Horwitz, Frank |
| author_browse | Horwitz, Frank Pillay, Rubin |
| author_facet | Horwitz, Frank Pillay, Rubin |
| author_sort | Pillay, Rubin |
| collection | Thesis |
| description | Bibliography: leaves 196-223. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/10733 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:38:10.305Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | School of Management Studies |
| publisherStr | School of Management Studies |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/10733 The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa Pillay, Rubin Horwitz, Frank Business Administration Bibliography: leaves 196-223. The financial crisis in the South African health care industry has forced participants in the industry to look for ways to contain costs. The subsequent deregulation of the private sector has resulted in the introduction and rapid growth of managed health care. This shift to a new paradigm were cost-effectiveness is a prerogative, has major implications for the doctor workforce. Due to concerns about the potential negative impact of this philosophy of health care delivery on the recruitment, retention and motivation of medical doctors, this study investigated the effect of managed care on their clinical performance and job satisfaction. A cross-sectional survey on a probability sample of 2023 general practitioners throughout South Africa was conducted using a mailed questionnaire. Exploratory factor analysis and internal consistency measures were used to assess the instrument's validity and reliability. Univariate, bivariate and multivariate statistical models were used to evaluate the organisational structures and managerial practices associated with managed care, and to assess the impact of these on the clinical freedom and job satisfaction of the respondents. 2014-12-31T19:49:33Z 2014-12-31T19:49:33Z 2002 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/10733 eng application/pdf School of Management Studies Faculty of Commerce University of Cape Town |
| spellingShingle | Business Administration Pillay, Rubin The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa |
| thesis_degree_str | Doctoral |
| title | The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa |
| title_full | The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa |
| title_fullStr | The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa |
| title_full_unstemmed | The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa |
| title_short | The effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors, as knowledge workers, in the managed health care industry in South Africa |
| title_sort | effect of organisational structure and managerial practices on the clinical behaviour and job satisfaction of primary health care doctors as knowledge workers in the managed health care industry in south africa |
| topic | Business Administration |
| url | http://hdl.handle.net/11427/10733 |
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