Trybou Jeroen, De Caluwé Gaelle, Verleye Katrien, Gemmel Paul, Annemans Lieven
Department of Public Health, Ghent University, Ghent, Belgium.
Department of Innovation, Entrepreneurship and Services Management, Ghent University, Ghent, Belgium.
Hum Resour Health. 2015 Feb 17;13:8. doi: 10.1186/1478-4491-13-8.
Hospitals face increasingly competitive market conditions. In this challenging environment, hospitals have been struggling to build high-quality hospital-physician relationships. In the literature, two types of managerial strategies for optimizing relationships have been identified. The first focuses on optimizing the economic relationship; the second focuses on the noneconomic dimension and emphasizes the cooperative structure and collaborative nature of the hospital-physician relationship. We investigate potential spillover effects between the perceptions of physicians of organizational exchange and their customer-oriented behaviors.
A cross-sectional study was conducted on 130 self-employed physicians practicing at six Belgian hospitals. Economic exchange was measured using the concept of distributive justice (DJ); noneconomic exchange was measured by the concept of perceived organizational support (POS). Our outcomes consist of three types of customer-oriented behaviours: internal influence (II), external representation (ER), and service delivery (SD).
Our results show a positive relationship between DJ and II (adjusted R(2) = 0.038, t = 2.35; p = 0.028) and ER (adjusted R(2) = 0.15, t = 4.59; p < 0.001) and a positive relationship between POS and II (adjusted R(2) = 0.032, t = 2.26; p = 0.026) and ER (adjusted R(2) = 0.22, t = 5.81; p < 0.001). No relationship was present between DJ (p = 0.54) or POS (p = 0.57) and SD. Organizational identification positively moderates the relationship between POS and ER (p = 0.045) and between DJ and ER (p = 0.056). The relationships between POS and II (p = 0.54) and between DJ and II (p = 0.99) were not moderated by OI. Professional identification did not moderate the studied relationships.
Our results demonstrate that both perceptions of economic and noneconomic exchange are important to self-employed physicians' customer-oriented behaviours. Fostering organizational identification could enhance this reciprocity dynamic.
医院面临着日益激烈的市场竞争环境。在这种充满挑战的环境中，医院一直在努力建立高质量的医院 - 医生关系。在文献中，已确定了两种优化关系的管理策略。第一种侧重于优化经济关系；第二种侧重于非经济层面，并强调医院 - 医生关系的合作结构和协作性质。我们调查了医生对组织交换的认知与其以客户为导向的行为之间的潜在溢出效应。
对在比利时六家医院执业的130名个体开业医生进行了横断面研究。经济交换使用分配正义（DJ）的概念进行衡量；非经济交换通过感知组织支持（POS）的概念进行衡量。我们的结果包括三种以客户为导向的行为：内部影响（II）、外部代表（ER）和服务提供（SD）。
我们的结果表明，DJ与II（调整后R² = 0.038，t = 2.35；p = 0.028）和ER（调整后R² = 0.15，t = 4.59；p < 0.001）之间存在正相关关系，POS与II（调整后R² = 0.032，t = 2.26；p = 0.026）和ER（调整后R² = 0.22，t = 5.81；p < 0.001）之间也存在正相关关系。DJ（p = 0.54）或POS（p = 0.57）与SD之间不存在关系。组织认同正向调节POS与ER之间的关系（p = 0.045）以及DJ与ER之间的关系（p = 0.056）。POS与II之间的关系（p = 0.54）以及DJ与II之间的关系（p = 0.99）未受到OI的调节。职业认同未调节所研究的关系。
我们的结果表明，经济和非经济交换的认知对个体开业医生以客户为导向的行为都很重要。培养组织认同可以增强这种互惠动态。
