Grumblers in the time of Diagnosis-Related Groups: Sand in the gear or lubricating oil?

Article type: Research Article

Authors: Schnoor, Jörg

Affiliations: Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103 Leipzig, Germany. Tel.: +49 0341 97 17700; Fax: +49 0341 97 17709; E-mail: joerg.schnoor@medizin.uni-leipzig.de

Abstract: Objective: After the change from cost allowance to a German system of Diagnosis-Related Groups there has been much public discussion about how the new terms of employment within the health sector are increasingly in conflict with individuals' original motivations for their career choice. If such criticism remains unheard a further loss of employees might occur. Methods: Two decades of professional experiences have been reviewed. The results were personally assessed and summarized in a field report. Participants: One senior physician, Department of Anesthesiology, University Hospital. Results: In total, a deliberate contact approach by management to address employees' criticisms and grumbling about the terms of employment is essential for enterprise's success. Conclusions: While employees can introduce criticisms more constructively to contribute ideas that protect the enterprise's success, executives will have to position themselves in such a way as to be open to these perspectives. Constructive contact with "hospital troublemakers" should be implemented into the enterprise culture. Guidance is necessary to institute such changes.

Keywords: DRG, criticism, intrinsic motivation, leadership, gentle dissent

DOI: 10.3233/WOR-2012-1454

Journal: Work, vol. 42, no. 4, pp. 601-604, 2012