Intrinsic motivation: the case for healthcare systems in Malaysia and globally

The intrinsic motivational aspects that improve the psychological well-being of health practitioners have been usurped by an insulated reliance on financial incentives and other external factors. This paper examines issues pertinent to the motivation of doctors in the healthcare system in Malaysia. The article also attempts to identify problem areas that could benefit from interventions focusing on intrinsic motivation. Financial incentives and the deterioration in intrinsic motivation levels partly influence the exodus of healthcare workers from public healthcare organizations to private practice. A multidimensional approach is required to improve intrinsic motivation amongst healthcare workers. Leadership strength, organizational citizenship, modification of job design, career management, and a democratized work environment are seen as crucial factors to remedy work morale in healthcare systems. A prospective conceptual framework described in this article could serve as the foundation to analyse motivational outcomes through research in the future.