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Medewerkers in de zorg, hun roeping en de verzakelijking: werkt dat?

Fokkink, E. (2010) Medewerkers in de zorg, hun roeping en de verzakelijking: werkt dat?

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Abstract:The last two decades Dutch healthcare changed course. The government strives modernisation of General Law Special Medicalcare (Algemene Wet Bijzondere Ziektekosten, AWBZ) for more market forces. This with the most important goals: cost saving and qualitatively better care. Between these goals tension exists: with less resources providing better care. Commercializing of care has become necessary. Since the Council for the Public Health and Care in 2002 had recommended the government to no longer exclude commercial institutions of the AWBZ, commercializing of healthcare accelerated. The branche formally known as soft, had to toughen up. But what are the consequences of the commercialization for the employee? Employees in healthcare work in healthcare from a vocation. How does the employee experience the commercialization? Methode Data-collection for this study consisted of unstructured interviews. 14 employees of healthcare participated. Data was coded and analysed. Results and conclusions Both the literature study and the research make clear that employees work in the care from a vocation. However they only recognize this in retrospective. To induce the employee with the changes, awareness of vocation is of relevance for manager and employee. The research proves that employees gain the most satisfaction from the direct contact with the client. Nevertheless the employee gains also satisfaction from indirect hours provided that the impact for the beneficiaries or the employee himself is transparant. The commercialization increases the indirect hours of the employees in healthcare and can threaten satisfaction, but not necessarily if balance is monitored and the impact for the beneficiaries or the employee himself is transparant. The employee doesn’t experience the HKZ certification as burden, on the other hand a lot of other do. For example: keeping ledgers, list of attendance, list of legionella, etcetera. Discussion Changes cause employees to engage more in sensemaking. Sensemaking or meaning represent the inter- relationship between the internal world of the individual and the external context of the workplace (Cartwright & Holmes, 2006). The continuous changes in healthcare apply for more balance between the internal world (vocation) and the external context.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:05 communication studies
Programme:Communication Studies MSc (60713)
Link to this item:http://purl.utwente.nl/essays/60461
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