{"id":"https://openalex.org/W2341736282","doi":null,"title":"Commitment among state health officials & its implications for health sector reform: lessons from Gujarat.","display_name":"Commitment among state health officials & its implications for health sector reform: lessons from Gujarat.","publication_year":2008,"publication_date":"2008-02-01","ids":{"openalex":"https://openalex.org/W2341736282","mag":"2341736282","pmid":"https://pubmed.ncbi.nlm.nih.gov/18403792"},"language":"en","primary_location":{"id":"pmid:18403792","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18403792","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Indian journal of medical research","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045057888","display_name":"Sunil Kumar Maheshwari","orcid":"https://orcid.org/0000-0002-2140-0105","observed_orcids":["https://orcid.org/0000-0002-2140-0105"]},"institutions":[{"id":"https://openalex.org/I150870154","display_name":"Indian Institute of Management Ahmedabad","ror":"https://ror.org/02egcpy68","country_code":"IN","type":"education","lineage":["https://openalex.org/I150870154"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sunil Maheshwari","raw_affiliation_strings":["Indian Institute of Management Ahmedabad, Ahmedabad, India. sunilm@iimahd.ernet.in","Indian Institute of Management-Ahmedabad, Ahmedabad, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Indian Institute of Management Ahmedabad, Ahmedabad, India. sunilm@iimahd.ernet.in","institution_ids":["https://openalex.org/I150870154"]},{"raw_affiliation_string":"Indian Institute of Management-Ahmedabad, Ahmedabad, India","institution_ids":["https://openalex.org/I150870154"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088516537","display_name":"Ramesh Bhat","orcid":"https://orcid.org/0000-0002-3222-2623","observed_orcids":["https://orcid.org/0000-0002-3222-2623"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ramesh Bhat","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5035635790","display_name":"Somen Saha","orcid":"https://orcid.org/0000-0002-8043-3388","observed_orcids":["https://orcid.org/0000-0002-8043-3388"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Somen Saha","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.2161,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.91284404,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"127","issue":"2","first_page":"148","last_page":"53"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14309","display_name":"Employee Performance and Management","score":0.8838000297546387,"subfield":{"id":"https://openalex.org/subfields/3307","display_name":"Human Factors and Ergonomics"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T14309","display_name":"Employee Performance and Management","score":0.8838000297546387,"subfield":{"id":"https://openalex.org/subfields/3307","display_name":"Human Factors and Ergonomics"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12244","display_name":"Healthcare Education and Workforce Issues","score":0.03310000151395798,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.03269999846816063,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/organizational-commitment","display_name":"organizational commitment","score":0.9760000109672546},{"id":"https://openalex.org/keywords/professional-commitment","display_name":"professional commitment","score":0.996999979019165},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.8610000014305115},{"id":"https://openalex.org/keywords/human-resource-management","display_name":"human resource management","score":0.7599999904632568},{"id":"https://openalex.org/keywords/medical-officers","display_name":"medical officers","score":0.9259999990463257},{"id":"https://openalex.org/keywords/promotion-fairness","display_name":"promotion fairness","score":0.8389999866485596},{"id":"https://openalex.org/keywords/seniority-based-promotion","display_name":"seniority-based promotion","score":0.9869999885559082},{"id":"https://openalex.org/keywords/job-autonomy","display_name":"employee autonomy","score":0.6489999890327454},{"id":"https://openalex.org/keywords/performance-feedback","display_name":"performance feedback","score":0.550000011920929},{"id":"https://openalex.org/keywords/rewards-and-recognition","display_name":"rewards and recognition","score":0.7450000047683716},{"id":"https://openalex.org/keywords/leadership-development","display_name":"leadership development","score":0.7519999742507935},{"id":"https://openalex.org/keywords/gujarat","display_name":"Gujarat","score":0.7730000019073486}],"concepts":[{"id":"https://openalex.org/C2780783599","wikidata":"https://www.wikidata.org/wiki/Q1931779","display_name":"Seniority","level":2,"score":0.6483465433120728},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.5579203367233276},{"id":"https://openalex.org/C107645774","wikidata":"https://www.wikidata.org/wiki/Q5467169","display_name":"Human resources","level":2,"score":0.5233884453773499},{"id":"https://openalex.org/C98147612","wikidata":"https://www.wikidata.org/wiki/Q215599","display_name":"Promotion (chess)","level":3,"score":0.5133420825004578},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.5013060569763184},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4283970892429352},{"id":"https://openalex.org/C83030740","wikidata":"https://www.wikidata.org/wiki/Q267236","display_name":"Organizational commitment","level":2,"score":0.4219186007976532},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.40771496295928955},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.39941948652267456},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3972218930721283},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3694692552089691},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.23671451210975647},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.2356669306755066},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.10972389578819275},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000078329","descriptor_name":"Workforce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007588","descriptor_name":"Job Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010558","descriptor_name":"Personnel Loyalty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011361","descriptor_name":"Professional Competence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011634","descriptor_name":"Public Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D015279","descriptor_name":"Organizational Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016730","descriptor_name":"Program Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":1,"locations":[{"id":"pmid:18403792","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18403792","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Indian journal of medical research","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.504800021648407},{"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8","score":0.48510000109672546}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1982720512","https://openalex.org/W1988906318","https://openalex.org/W2044089068","https://openalex.org/W2051864682","https://openalex.org/W2063715850","https://openalex.org/W2097660300","https://openalex.org/W2108304188","https://openalex.org/W2138522682","https://openalex.org/W2157209757","https://openalex.org/W2158517811","https://openalex.org/W2322584079"],"related_works":["https://openalex.org/W2608674845","https://openalex.org/W2132092154","https://openalex.org/W7095900847","https://openalex.org/W2607495131","https://openalex.org/W2606223045","https://openalex.org/W2108304188","https://openalex.org/W237488857","https://openalex.org/W2586762232","https://openalex.org/W4321447050","https://openalex.org/W4384502309"],"abstract_inverted_index":{"BACKGROUND":[0],"&":[1,171],"OBJECTIVE:":[2],"Commitment,":[3],"competencies":[4],"and":[5,19,36,54,66,74,127,156,161,166,190,218,224,226,261],"skills":[6,260],"of":[7,32,90,123,129,163,181,246],"people":[8],"working":[9],"in":[10,43,84,115,149,232,255,264],"the":[11,17,30,85,104,116,121,130,133,150,203,233],"health":[12,34,164,204,234,267],"sector":[13,235],"can":[14],"significantly":[15],"impact":[16],"performance":[18,222],"its":[20,37,55,265],"reform":[21,230],"process.":[22],"In":[23],"this":[24],"study":[25,174],"we":[26],"attempted":[27],"to":[28,51,93,97,103,107,154,197,236,242,253],"analyse":[29],"commitment":[31,53,64,68,89,102],"state":[33],"officials":[35],"implications":[38],"for":[39,178,208],"human":[40,58],"resource":[41,59],"practices":[42,184],"Gujarat.":[44],"METHODS:":[45],"A":[46],"self-administered":[47],"questionnaire":[48],"was":[49,95],"used":[50],"measure":[52],"relationship":[56,215],"with":[57,152],"(HR)":[60],"variables.":[61],"Employee's":[62],"organizational":[63],"(OC)":[65],"professional":[67,210],"(PC)":[69],"were":[70,128,144,195],"measured":[71],"using":[72],"OC":[73],"PC":[75],"scale.":[76],"Fifty":[77],"five":[78],"medical":[79,247],"officers":[80,143],"from":[81],"Gujarat":[82],"participated":[83],"study.":[86],"RESULTS:":[87],"Professional":[88],"doctors":[91],"(3.21":[92],"4.01)":[94],"found":[96],"be":[98],"higher":[99],"than":[100],"their":[101],"organization":[105],"(3.01":[106],"3.61).":[108],"Doctors":[109],"did":[110],"not":[111],"perceive":[112],"greater":[113],"fairness":[114],"system":[117,134],"on":[118,185,188],"promotion":[119,139],"(on":[120],"scale":[122],"5,":[124],"score:":[125],"2.55)":[126],"view":[131],"that":[132],"still":[135],"followed":[136],"seniority":[137],"based":[138],"(score:":[140],"3.42).":[141],"Medical":[142],"upset":[145],"about":[146],"low":[147],"autonomy":[148,263],"department":[151],"regard":[153],"reward":[155],"recognition,":[157],"accounting":[158],"procedure,":[159],"prioritization":[160],"synchronization":[162],"programme":[165],"other":[167],"administrative":[168],"activities.":[169],"INTERPRETATION":[170],"CONCLUSION:":[172],"Our":[173],"provided":[175],"some":[176],"support":[177],"positive":[179],"effects":[180],"progressive":[182],"HR":[183],"OC,":[186],"specifically":[187],"affective":[189],"normative":[191],"OC.":[192],"Following":[193],"initiatives":[194],"identified":[196],"foster":[198],"a":[199,240,251],"development":[200],"climate":[201],"among":[202],"officials:":[205],"providing":[206,220],"opportunities":[207],"training,":[209],"competency":[211],"development,":[212],"developing":[213,256,262],"healthy":[214],"between":[216],"superiors":[217],"subordinates,":[219],"useful":[221],"feedback,":[223],"recognising":[225],"rewarding":[227],"performance.":[228],"For":[229],"process":[231],"succeed,":[237],"there":[238],"is":[239,250],"need":[241,252],"promote":[243],"high":[244],"involvement":[245],"officers.":[248],"There":[249],"invest":[254],"leadership":[257],"quality,":[258],"supervision":[259],"public":[266],"institutions.":[268]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}