Trybou Jeroen, Gemmel Paul, Desmidt Sebastian, Annemans Lieven
Ghent University, Ghent, Belgium.
BMC Health Serv Res. 2017 Jan 13;17(1):28. doi: 10.1186/s12913-017-1990-0.
To be successful, hospitals must increasingly collaborate with their medical staff. One strategic tool that plays an important role is the mission statement of hospitals. The goal of this research was to study the relationship between the fulfillment of administrative and professional obligations of hospitals on physicians' motivation to contribute to the mission of the hospital. Furthermore the mediating role of the physicians' emotional attachment to the hospital and moderation effect of the exchange with the head physicians were considered.
Self-employed physicians of six hospitals participated in a survey. Descriptive analyses and linear regression were used to analyse the data.
The results indicate that affective commitment mediated the relationship between psychological contract fulfillment and mission statement motivation. In addition, the quality of exchange with the Chief Medical Officer moderated the relationship between the fulfillment of administrative obligations and affective commitment positively.
This study extends our understanding of social exchange processes and mission statement motivation of physicians. We showed that when physicians perceive a high level of fulfillment of their psychological contract they are more committed and more motivated to contribute to the mission statement. A high quality relationship between physician and Chief Medical Officer can enhance this reciprocity dynamic.
为取得成功，医院必须越来越多地与医务人员合作。医院使命宣言是发挥重要作用的一项战略工具。本研究的目的是探讨医院行政和专业义务的履行与医生为医院使命做贡献的动机之间的关系。此外，还考虑了医生对医院的情感依恋的中介作用以及与主任医师交流的调节作用。
六家医院的个体执业医生参与了一项调查。采用描述性分析和线性回归分析数据。
结果表明，情感承诺在心理契约履行与使命宣言动机之间起中介作用。此外，与首席医疗官的交流质量对行政义务履行与情感承诺之间的关系有正向调节作用。
本研究扩展了我们对医生社会交换过程和使命宣言动机的理解。我们表明，当医生认为他们的心理契约得到高度履行时，他们会更有归属感，更有动力为使命宣言做出贡献。医生与首席医疗官之间的高质量关系可以增强这种互惠动态。
