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Ökad tillgänglighet med multipla interventioner: -Identifiering av motivationsfaktorer i ett förbättringsarbete utifrån self-determination theory
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
2016 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Increased Accessibility with Multiple Interventions: : Identifying motivational factors in a quality improvement project using self-determination theory. (English)
Abstract [en]


The population of Sweden and most of the world are becoming larger and older. This will mean more people seeking care. Health care today is already strained by waiting lists for outpatient care and operation. Public healthcare purchasing private healthcare or expands with additional clinics has not proven to be successful alternatives. Motivation based on self-determination theory (SDT) has been studied during the project. An important part of SDT is that external motivation is divided into four different degrees; external regulation, introjected regulation, identified regulation and integrated regulation. SDT also argues that the required nutrition to motivation is  autonomy, competence and relatedness.


The improvement work aims to increase access to healthcare in an orthopedic clinic without extra appointments or buying private care. The study highlights the factors that feed motivation based on SDT.


A pilot study identified that balance, registration of patients and controls were keys for availability. These three elements were processed through PDSA in a project. The study is based on a mixed approach with survey and focus interviews.


The result shows that the queues at the outpatient unit can be reduced with the initiatives implemented (control, balance and right registration). The difficulty, however, is to find balance between the various capacities and balance seasonal variation. The study shows clearly the importance of autonomy for motivating employees. Having the power or being powerless affect the autonomy greatly.

Place, publisher, year, edition, pages
2016. , 51 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
URN: urn:nbn:se:hj:diva-30513ISRN: JU-HHJ-KVA-2-20160025OAI: diva2:937272
Subject / course
HHJ, Quality improvement and leadership in health and welfare services
2016-06-02, Forum Humanum, Jönköping, 09:34 (Swedish)
Available from: 2016-07-04 Created: 2016-06-14 Last updated: 2016-10-07Bibliographically approved

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