Escolar Documentos
Profissional Documentos
Cultura Documentos
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Govern&ent
$rivate
O3ser>a65!" All the supervisory issues have higher percentage in private hospital than in
government hospital
A!al7s5s 2 D5s98ss5! " The supervisory issues have a high percentage in private hospital
than in government hospital as the seniors contri"ute in guiding and #atching the juniors regarding
handling of instruments! proper care of patients! diagnosis and treatment of illness! the medicine
#ith Duantity and Duality to "e administered In government hospital there is lac& of support from
juniors as #ell as the seniors They do not discuss the case #ith each other and thus do not
contri"ute to the learning process
Gra4h (-%" TRAINING 2 SALARY ISSUES )IN G AGE*
30%
66%
35%
74%
30%
94%
60%
40%
65%
84%
89
;89
<89
=89
>89
:89
?89
@89
A89
B89
;889
Ade-uate
infor&ation
Ade-uate
orientation
Ongoing
training
0air sa"ar' )ou"d
reco&&end
Govern&ent
$rivate
O3ser>a65!" 9air salary is more in government hospital #hile all the others have high
percentage in private hospital
A!al7s5s 2 D5s98ss5!" 9air salary is more in government hospital as the salary is
Duantified according to the post held In private hospital the salary of doctors is "ased on per patient
or on share "asis and of paramedical staff and nurses is even on hourly "asis In government
hospital there is no adeDuate provision of on the jo" training or reorientation programmes The
doctors as #ell a other staff are not updated on the latest researches in the medical field If anyone
#ants to go for higher education at the first instance he is not allo#ed to go or has to complete a lot
of formalities and even sometimes he is compelled to go on leave #ithout salary It mars the tempo
of learning in the hospital In private hospital the training on the jo" is given very much importance
The management organiAes various seminars and conferences for updating the employees at all
levels In some cases sanctions half pay leave for further training! sponsor fello#ship for doctors
and diploma courses for nurses All these measure contri"ute to the higher level of jo" satisfaction
in a private hospital
Gra4h (-(" BENEFITS )IN G AGE*
80%
66%
75%
56%
80%
50%
85%
46%
80%
40%
90%
56%
85%
38%
89
;89
<89
=89
>89
:89
?89
@89
A89
B89
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Govern&ent
$rivate
O3ser>a65!" All these "enefits are more in government hospital than in private hospital
A!al7s5s 2 D5s98ss5!" =ne of the major findings is that "enefits are case of government
hospitals are more than in private hospital In government hospital the salary is on the "asis of post
held and seniority and not on performance "asis #hereas in private hospital it is "ased on the
num"er of patients per day treated "y doctors or cared "y staff nurses The vacations on various
occasions are more in government hospital than in private hospital The sic& leaves! maternity
leaves! paternity leaves and earned leaves are more in government hospital In private hospital there
is no adeDuate provision of these types of leave In fact the staff has to serve ,.+hours #ith a shift
system During national and state holidays the management persons get leave #hile the doctors!
nurses and paramedical staff have to "e present In government hospital the employees get more
retirement "enefits li&e pension! gratuity! and leave+encashment even after ,4 years of service
#hereas in private hospital no such "enefits are given In the form of disa"ility "enefits in
government hospital disa"led persons are employed "y reserving some posts for them and after
posting they are given some more "enefits li&e traveling allo#ance for coming and going "ac& from
their home to the hospital daily In private hospital the management does not give employment to
the disa"led persons If a staff mem"er during the service "ecomes disa"led physically and is una"le
to achieve the set targets! he is fired out "y the management 5e is given little compensation and is
not allo#ed to continue his jo" Life and health insurance policies are provided in government
hospital #ith small percentage of premium contri"uted "y the employees and remaining "y the
government In private sector such facilities are denied
(-' T.TEST METHOD
Ta3le (-#" Cm4ar5s! / J3 Sa65s/a965! 5! G>er!me!6 a!<
Pr5>a6e Hs456al Em4l7ees
Let us ta&e the h746heses ,"
5
o
W There is no difference "et#een G5 and P5 regarding jo" satisfaction
5
*
W G5 have more jo" satisfaction than P5
6.6es6 A;ree
s6r!;l7
,
SmeCha6
A;ree
#
Ne56her A;ree
Nr D5sa;ree
'
SmeCha6
D5sa;ree
1
D5sa;ree
S6r!;l7
?
:o of o"servation G5$P5
n
.4!.4 .4!.4 .4!.4 .4!.4 .4!.4
)ean X 0!*/ */,!,,/ 31/!/01 00,!/4 ,/,!*01
Standard deviation S 01- 000 .1* ../ ,/1
Calculated values of t +/32 +.34 -21 *0- *.2
Degrees of freedom
Wn
*
Un
,
+,
12 12 12 12 12
Ta"le value of t t44/6127 *0. *0. *0. *0. *0.
The calculated value of YtY is greater than the ta"le value in case *! ,! and - 5ence!
5
4
is rejected in cases *! , and - sho#ing there is a difference! Government hospital has less
jo" satisfaction level than the private hospital
The calculated value of t is less than the ta"le values in cases . and /
5ence 5
4
is accepted in cases . and / sho#ing there is no significant difference to the
disagreement level to the jo" satisfaction in government hospital and private hospital
T.Tes6 Me6h<
Ta3le (-'" Cm4ar5s! / Be!e/56s
Let us ta&e the h746heses #%
5
4
WThere is no difference "et#een G5 and P5 regarding the "enefits provided
5
*
WG5 provide less "enefits than P5
6.6es6 A;ree
s6r!;l7
,
SmeCha6
A;ree
#
Ne56her A;ree
Nr D5sa;ree
'
SmeCha6
D5sa;ree
1
D5sa;ree
S6r!;l7
?
:o of o"servation G5$P5
n
.4!.4 .4!.4 .4!.4 .4!.4 .4!.4
)ean X
3.-!/.-
,-*.!*31
*
-*.!3.- -*.!*420 420!.0
Standard deviation S ,41 -..- ,*-, ,/** *4-,
Calculated values of t -0, *20 +//, +/1/ +012
Degrees of freedom
W n
*
Un
,
+,
*, *, *, *, *,
Ta"le value of t 44/6*,7 *12 *12 *12 *12 *12
The calculated values of YtY are greater than the ta"le value in all cases *! ,! -! . and / 5ence
5
4
is rejected in all the five cases It sho#s there is difference The "enefits li&e overall "enefits
pac&age! vacation! sic& leave! health care! retirement! and disa"ility are more in government
hospital than in private hospital
CHAPTER + 0
IMPLICATIONS OF STUDY
The study reveals that jo" satisfaction of private hospital employees is more than
government hospital employees as a result! specialist doctors move in private hospitals due to
availa"ility of modern eDuipments! good #or&ing conditions! recognition and challenging #or& and
chances of advancement The nurses and paramedical staff are happier in government hospital due
to high salary as compared to private hospital and less #or& Due to high jo" security in government
hospital the nurse and paramedical people do not support the doctors in performing operations and
medical duties The class four people sho# diso"edience in performing their duties pertaining to
cleaning and maintaining the hospital premises! rather these people enjoy their #or&ing more in
government hospital than private hospital ie #hy the private hospitals are al#ays in short of nurses
I paramedical staff In government sector the promotion is on seniority "asis than on performance
and is timely These people have access to political persons The Duality of health care in
government hospital is almost degraded due to lac& of latest instruments and support of staff #hich
led to the proliferation of private hospitals in Ludhiana city There is one government hospital and
four "ig reno#ned hospitals li&e Dayanand )edical College and 5ospital! Christian )edical
College and 5ospital! )ohan Dai =s#al 5ospital and Apollo 5ospital recently came into operation
in ,44/ These all are super specialty hospitals #ith a capacity of more than /44 "eds each
The Punja" Government in ,440 appointed the doctors and paramedical staff on contract
"asis in rural areas #ith a lucrative salary especially for graduate doctors as they are under paid in
private hospitals This has resulted in the shortage of junior doctors in private hospitals :o# the
government is revising its healthcare machinery "y appointing more doctors and paramedical staff
on contract "asis even in ur"an areas in order to deliver the "etter health care facilities to poor
section of the society for #hich responsi"ility of healthcare lies on government The contractual
la"our policy helps the government to &eep a trac& of highly performing staff so that they #ill enter
into jo" on achievement "asis
The doctors get a competitive e@posure in the private hospital and their s&ills are optimally
utiliAed and they are promoted on performance "asis only The private hospital has an edge over
government hospital in terms of infrastructure! autonomy given "y management on clinical
activities and improvement in the clinical processes The sponsoring of doctors to fello#ship
programmes and nurses and paramedical staff to diploma courses is done on the "asis of
achievement and performance They are provided #ith su"sidiAed houses and canteen facilities Due
to a"ove reasons the healthcare is going day "y day into the private hands from government as there
is efficient management in terms of manpo#er! materials! eDuipments! procedures and funds
CHAPTER + ,$
SUGGESTIONS A RECOMMENDATIONS
IN THE FOLLO@ING AREAS
Oaria"le #hich have a significant impact on satisfaction level
6a7 >o" security
6"7 >o" "enefits
Areas of dissatisfaction in Government 5ospital%
* Superior+su"ordinate relationship
, Lac& of infrastructure an support from staff
- ?or&ing conditions
. Participation in decision ma&ing and recognition of #or&
Areas of dissatisfaction in Private 5ospital%
6a7 >o" security
6"7 Benefits
In government hospital the satisfaction level can "e increased "y providing "etter
infrastructure! latest eDuipments! decentraliAing the po#er to ma&e decisions! ma&ing adeDuate
planning! giving performance "ased promotions! "y giving re#ards in recognition to good #or&!
giving priority to Duality of #or& and "y imparting adeDuate training to upgrade &no#ledge and
s&ill of employees through of seminars! #or&shops and medical camps The senior should
contri"ute to the development of juniors "y sharing their e@perience #ith juniors! and "y avoiding
the political interference
In private hospital the employees satisfaction level can "e increased further "y giving fair
salary to the employees! "y providing security of jo"! giving retirement "enefits li&e pension!
gratuity! leave encashment! adeDuate num"er no of leaves! health and insurance policies
CHAPTER + ,,
CONCLUSION OF STUDY
The survey has "rought certain features regarding the jo" satisfaction of government and
private hospital employees The prominent areas of satisfaction among government hospital
employees are jo" security and "enefits #here as in private hospital areas of satisfaction are good
#or&ing conditions! "etter superior+su"ordinate relationship! interpersonal relations! promotion on
performance "asis and recognition of good #or& The employees of government hospital are
dissatisfied mainly due to lac& of adeDuate and modern infrastructure! interference of seniors!
"ureaucracy and politicians in the #or&ing of physicians! nurses and paramedical staff! lac& of
support! diso"edience from lo#er staff and lagging "ehind the private hospital in terms of up
gradation of eDuipments The prominent area of dissatisfaction in private hospital is in terms of
"enefits 6li&e pension! insurance policies7 and jo" security Thus the government hospital is not at
par #ith private hospital
JJJJJJJJJJ
BUESTIONNAIRE OF STUDY
TTTTTTT 5ospital
?e need your helpZ Gour ans#ers to the follo#ing Duestions #ill "e an important part of the
an organiAational revie# "eing competed for TTTT 5ospital Please ta&e a fe# minutes to
complete this survey! and return it today The information you provide #ill "e completely
anonymous
* 5o# #ould you descri"e the level of your overall jo" satisfaction #ith your #or& at
TTTTT5ospitalR Circle one ans#er
Ver7 Sa65s/5e< Ver7 D5ssa65s/5e<
* , - . /
Descri"e your level of agreement$disagreement #ith each statement "y circling one num"er for
each statement
A;ree
S6r!;l7
D5sa;re
e
S6r!;l
7
, I understand the long+term plan of
TTT5ospital
* , - . /
- I have confidence in the hospital leadership to
implement the plan
* , - . /
. There is adeDuate planning of hospital
o"jectives
* , - . /
/ I contri"ute to the planning process at
TTTT 5ospital
* , - . /
0 I am proud to #or& for TTT 5ospital * , - . /
1 I feel I contri"ute to the facilityBs plan and
mission
* , - . /
2 I am given enough authority to ma&e decisions
I need to ma&e
* , - . /
3 )y physical #or&ing conditions are good * , - . /
*4 If I do good #or& I can count on ma&ing more
money
* , - . /
A;ree
S6r!;l7
D5sa;re
e
S6r!;l
7
** If I do good #or& I can count on "eing
promoted
* , - . /
*, I "elieve my jo" is secure * , - . /
*- I feel part of a team #or&ing to#ard shared
goals
* , - . /
*. I li&e the type of #or& that I do * , - . /
*/ I feel valued atTTTT 5ospital * , - . /
*0 I li&e the people I #or& #ith at TTTT
5ospital
* , - . /
*1 I e@perience a spirit of cooperation at
TTTT 5ospital
* , - . /
*2 At TTTT 5ospital I am treated li&e a
person! not a num"er
* , - . /
*3 I am given enough recognition "y management * , - . /
,4 Communications from management are
freDuent enough
* , - . /
,* Communications from management &eep me to
date on the hospital
* , - . /
,, I feel I can trust #hat I am told "y the
management staff
* , - . /
,- ;uality is a top priority at TTTT 5ospital * , - . /
,. )y supervisor as&s me for input to help ma&e
decisions
* , - . /
,/ I feel that my supervisor gives me adeDuate
support
* , - . /
,0 )y supervisor treats me #ith respect * , - . /
,1 I feel that my supervisor treats me fairly * , - . /
,2 )y supervisor tells me #hen my #or& needs to
"e improved
* , - . /
A;ree
S6r!;l7
D5sa;re
e
S6r!;l
7
,3 )y supervisor tells me #hen I do my #or&
#ell
* , - . /
-4 I am provided enough information "y the
5ospital to do my jo" #ell
* , - . /
-* )y initial training provided "y the hospital
#as as much as I needed
* , - . /
-, As much ongoing training as I need is provided
"y the 5ospital
* , - . /
-- I "elieve my salary is fair for my
responsi"ilities
* , - . /
-. I #ould recommend employment at
TTTTT 5ospital to my friend
* , - . /
-/ =verall "enefits pac&age * , - . /
-0 Amount of vacation * , - . /
-1 Sic& leave policy * , - . /
-2 Amount of health care paid for "y health
insurance
* , - . /
-3 'etirement plan "enefits * , - . /
.4 Life insurance * , - . /
.* Disa"ility "enefits * , - . /
., Are there any "enefits you #ould li&e to see added to TTTTT 5ospitalBs "enefits
pac&ageR 6chec& one7
Ges 4
?hat #ould you li&e addedR TTTTTTTTTTTTTTTTTTTTTT
:o 4
.- 5o# long do you plan to continue your employment at TTTTT 5ospitalR 6chec& one7
4 Less than 0 months 4 Less than *4 years
4 Less than * year 4 Indefinitely
4 Less than / years 4 <ntil retirement
.. Please tell us #hat TTTTT 5ospital can do to increase your satisfaction as an employee
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
The follo#ing Duestions are for statistical use only The information #ill not "e used to attempt
to identify individuals This section is optional! "ut #ould help our analysis of the data
Chec& one "o@ for each Duestion
./ ?hat is your ageR
<nder ,* 4
,* to -. 4
-/ to .. 4
./ to /. 4
// or older 4
.3 5o# many children under the
Age of *2 do you haveR
:one 4
=ne 4
T#o 4
Three 4
9our 4
9ive or more 4
.0 5o# long have you #or&ed for
TTTTT 5ospitalR
.1 ?hat is your se@R
)ale 4
9emale 4
/4 ?hat is your income "efore ta@ per month from
this jo"! including overtime and "onusesR
Less than 's*4!444 4
's*4!444 to less than 's,4!444 4
's,4!444 to less than 's-4!444 4
's-4!444 to less than 's.4!444 4
's.4!444 to less than 's/4!444 4
's/4!444 or more 4
.2 ?hat is your marital statusR
)arried 4
<nmarried 4
Please re68r! 78r e!65re H8es65!!a5re /8l/5lle<-
Y8r hel4 a!< 78r 5!486 are ;rea6l7 a<m5ra3le-
BIBLI=G'AP5G
BOOKS
Tripathi! PCM Personal *anagement and (ndustrial +elations, Sultan Chand and Sons!
:e# Delhi ,444
Shan&ar! B)M Principles of Hospital Administration and Planning, >aypee Brothers!
:e# Delhi! ,44,
Cha""ra! T:M Human +esource *anagement ,oncepts and (ssues, Danpat 'ai and
Company Limited! :e# Delhi! ,44/
(unders! GDM Hospital -acilities Planning and *anagement, Tata )cGra#+5ill
Pu"lishing Company! :e# Delhi! ,44/
J8r!al, Ma;aD5!es
=ison David SM +elationship etween hospital pharmacists jo" satisfaction and
involvement in clinical activities!L 5ealthy+system Pharmacy >ournal >une *! *330! Ool :o
/-! pp ,2*+,2.
To&ar D)! and Su"ich L)! +elative contriutions of congruence and personality
dimensions to .o satisfaction, >ournal of Oocational Behaviour! :ovem"er *4! *331! vol
11! pp 14-+1.2-
(h#aja A! ;ureshi '! Andrades )! 9atima S! and (h#aja ?! ,omparison of .o
satisfaction and stress among male and female doctors in teaching hospital of /arachi,
Social Psychiatry and Psychiatric 8pidemiology! )ay /! *333! vol 0! pp -4*+-42
Lopoplo B 'osalie! The +elationship of +ole0+elated variales to 1o satisfaction and
commitment to the organi"ation in a +estructured Hospital 2nvironment3 Physical Therapy
>ournal =cto"er *4! ,44,! vol 2,! pp 32.+333
Oerhaeghe '! )a& ' and Oan )aele G! 1o stress among middle0aged healthcare
workers and its relation to sickness asence, Stress and 5ealth% >ournal of the International
society for investigator of stress! April */! ,44-! vol /! pp ,0/+,1.
'andha#a G! 1o satisfaction and work performance' An empirical study, IBAT
>ournal of )anagement! =ct ,4! ,44.! vol /0! pp 14+24
Byaliss '! The national health service versus private and complementary medicine,
British )edical >ournal >une *4! ,44.! vol 00! pp 3/+*44
Singeser! ,areer and 1o satisfaction, The AS5A Leader >une *,! ,44.! vol ,4! pp
*.+,4
Tan&a Geeti&aM A comparative study of +ole 4tress in )overnment and Private
Hospital3 >ournal of 5ealth )anagement Decem"er *! ,440! vol 2! pp **+,,
Salgado >9! The five factor model of personality and .o performance in the 2uropean
community, >ournal of Applied Psychology >an -! *331! vol 3! pp .42+.-4
(anfer! every theory as a predictor of productivity and work quality, Bulletin! >uly
*-! *334! vol 14! pp /4+04
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