Introduction: Labour force is as much important as a patient-centred service delivery for
a healthy functional capability. Attitudes of healthcare professionals, in-house working
practices and interactive relations that prevail in a healthcare setting are all determinant
factors influencing institutional performance. Success in any institution is therefore
closely related to human resource management and employee motivation.
Aim: The aim of this study was to investigate the relationship between motivation and
efficiency of healthcare professionals working in emergency care units and its
importance in the quality management of healthcare services.
Material and Method: A data collection form consisting of 9 items, a motivation and
efficiency scale, and Servqual scale were used in the study. The study population
consisted of the personnel working in three public and eight private hospitals located in
downtown Adana. The study sample, on the other hand, was composed of 731 patients
and 497 healthcare professionals who agreed to participate in the study.
Results/Discussion: The study used a sample that consisted of 731 patients and 497
healthcare professionals. In the model in which the economic factor was used as the
dependent variable, higher economic status and shorter length of service in an
emergency care unit were both found, in decreasing order, to be significant predictors.
In the model in which organisational-managerial factor was considered as the dependent
variable, higher economic status, working in a private hospital, lower educational level,
shorter service length in an emergency care unit and being single were found, in
decreasing order, to be significant predictors. Using, on the other hand, the psychosocial
factor as the dependent variable in the model, the study found that working in a private
hospital, shorter length of service in an emergency care unit and lower educational level
were, again in decreasing order, significant predictors. In all the three models, the
aspects of higher economic status and shorter length of service in an emergency care
department were found to be factors that promoted motivation and efficiency. Working
in a private hospital significantly predicted the scores of perceived aspects achieved in all
the sub-dimensions of the Servqual scale. Having a higher educational level also
significantly predicted the scores of perceived aspects, except for those of physical
aspects. Working in a public hospital, on the other hand, was found to be a significant
predictor for expected reliability, responsiveness and assurance.