The British Medical Association has stated that a cultural shift is required within the Isle of Man's healthcare system.
Following a survey of physicians employed by Manx Care, it was discovered that 76% of respondents did not think the company had a positive culture.
King's College London and the NHS created the Culture of Care Barometer survey.
The "development of a healthy culture," according to Manx Care, "will always be a work in progress.".
72 of the 161 Manx Care doctors who received the survey and were invited to participate did so.
Nearly 80% did not believe there was strong leadership at the highest level of the organization, and more than 60% said they would not recommend it as a place to work.
However, the majority of doctors felt their coworkers were dependable, friendly, and they could rely on them when needed.
Philip Banfield, the chairman of the British Medical Association council, traveled to the island this week to meet with top health officials in response to the survey.
According to him, the union's mission is to give doctors "the power to improve their services.".
"Unfortunately, we continue to find concerns about the culture within Manx care," he said.
"What you can't have is a control and command mechanism that just tells professionals what to do. These are experts that the patients and the island need, and you need enough of these doctors on the island treated with respect to maintain your health service. ".
Manx Care stated that while changing the organizational culture would "not happen overnight," there were "a number of things which tell us that we're moving in the right direction," including feedback from recent Care Quality Commission inspections.
