Abstract
Abstract
Background
Physicians appear to vary in their motivation towards using virtual care, but to what extent is unclear. To better understand this variance, which is important for supporting physician wellbeing and therefore patient care, the authors used self-determination theory’s (SDT) framework. According to SDT, different types of motivation exist, ranging from controlled to autonomous, that lend to differences in engagement, performance, and wellbeing. The authors aimed to determine: (a) if there were distinct groups of physicians based on their quality of motivation towards using virtual care, and if so, (b) how these groups varied in fulfillment of basic psychological needs (autonomy, competence, and relatedness) in the workplace.
Methods
In March-August 2022, the authors collected quantitative, survey-based data from a cross-section of 156 family physicians in Alberta, Canada. The survey contained existing scales that measure types of motivation (autonomous vs. controlled) and basic psychological need satisfaction/frustration at work. Cluster analysis was used to explore profiles of physician motivation towards using virtual care, and analysis of variance was used to determine how each profile differed with respect to workplace need fulfillment.
Results
With motivation towards using virtual care, three higher-order profiles of physician motivation were identified: autonomous (19% family physicians), controlled (16% of family physicians), and ambivalent (66% of family physicians). The three profiles differed significantly in terms of psychological need fulfillment at work.
Conclusions
This study identifies specific profiles that family physicians currently fall into when it comes to motivation towards using virtual care. In line with SDT, findings suggest that basic psychological needs are fundamental nutrients for physicians to internalize and endorse the value of using virtual care in their practices. Implications for physician wellbeing are discussed.
Publisher
Springer Science and Business Media LLC
Reference28 articles.
1. Virtual care in Canada. : Progress and potential. 2022 Report of the Virtual Care Task Force. https://www.cma.ca/sites/default/files/2022-02/Virtual-Care-in-Canada-Progress-and-Potential-EN.pdf. Accessed 2 May 2023.
2. Bashshur R, Doarn CR, Frenk JM, et al. Telemedicine and the COVID-19 pandemic, lessons for the future. Telemed J E Health. 2020;26:571–3.
3. Thomas EE, Haydon HM, Mehrotra A, et al. Building on the momentum: sustaining telehealth beyond COVID-19. J Telemed Telecare. 2022;28:301–8.
4. Keenan J, Rahman R, Hudson J. Exploring the acceptance of telehealth within palliative care: a self-determination theory perspective. Health Technol. 2021;11:575–84.
5. Karlsen C, Ludvigsen MS, Moe CE, et al. Experiences of community-dwelling older adults with the use of telecare in home care services: a qualitative systematic review. JBI Database System Rev Implement Rep. 2017;15(12):2913–80.