Motivational dynamics and impact on performances: The case of physicians of university polyclinics in the NHS scenario.

Rationale: The principle of inseparability of teaching, academic research and assistance to patients, to which university physicians are subject in carrying out their work, invites reflection, aimed at identifying a combination of the three activities characterised, at the same time, by efficiency and effectiveness.
Aims and Objectives: The present paper illustrates a paradigm based on the balance of intrinsic and extrinsic motivations with the purpose of identifying an efficient solution in the performance of the duties of university doctors.
Methods: The analysis refers to Italy in terms of the main scenario, or, conversely, the achievement of more profit-related goals.
Results and Conclusion: Depending on the prevailing goal, it is possible to recognise the superiority of the constitutional principles.
(© 2023 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.)