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中国医生对工作满意度和医院绩效的评价:收入和人与组织适配度作用的中介调节分析

Job Satisfaction and Hospital Performance Rated by Physicians in China: A Moderated Mediation Analysis on the Role of Income and Person-Organization Fit.

机构信息

School of Basic Medical Science, Hubei University of Science and Technology, Xianning 437100, China.

Department of Social Medicine and Health Management, School of Basic Medical Science, Hubei University of Science and Technology, Xianning 437100, China.

出版信息

Int J Environ Res Public Health. 2020 Aug 12;17(16):5846. doi: 10.3390/ijerph17165846.

DOI:10.3390/ijerph17165846
PMID:32806695
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7460154/
Abstract

This study tested the effect of person-organization fit (P-O fit) in mediating the link between job satisfaction and hospital performance with income as a moderator. A questionnaire survey was conducted on 301 physicians from two public hospitals in Zhejiang province of China. Respondents were asked to rate their job satisfaction, value congruence (P-O fit) with the hospital, and the hospital's performance. The mediating effect of P-O fit on the link between job satisfaction and hospital performance was tested through partial least squares-structural equation modeling (PLS-SEM). Income was introduced to the model as a moderator on the "P-O fit → hospital performance" and "job satisfaction → hospital performance" path, respectively. Higher job satisfaction and P-O fit were associated with higher ratings on hospital performance ( < 0.01). P-O fit had a partial mediating effect on the association between job satisfaction and hospital performance, accounting for 73% of the total effect. The effects of P-O fit and job satisfaction on hospital performance were stronger in the respondents with higher income. Overall, high job satisfaction is associated with high ratings on hospital performance, which is partially mediated through P-O fit. Value congruence is particularly important when financial tools are used to incentivize hospital physicians.

摘要

本研究旨在检验人组织匹配(P-O 匹配)在工作满意度与医院绩效之间的中介作用,同时以收入为调节变量。采用问卷调查法,对浙江省两家公立医院的 301 名医生进行调查。要求被试评价其工作满意度、与医院的价值契合度(P-O 匹配)以及医院绩效。采用偏最小二乘结构方程模型(PLS-SEM)检验 P-O 匹配在工作满意度与医院绩效之间的中介作用。分别将收入作为“P-O 匹配→医院绩效”和“工作满意度→医院绩效”路径的调节变量引入模型。较高的工作满意度和 P-O 匹配与医院绩效的较高评价呈正相关( < 0.01)。P-O 匹配对工作满意度与医院绩效之间的关系具有部分中介作用,占总效应的 73%。在收入较高的被试中,P-O 匹配和工作满意度对医院绩效的影响更强。总的来说,较高的工作满意度与医院绩效的较高评价相关,这部分通过 P-O 匹配来实现。当使用财务工具激励医院医生时,价值契合度尤其重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/81ea4ea52882/ijerph-17-05846-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/f60c7109aad8/ijerph-17-05846-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/52aa67a29345/ijerph-17-05846-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/0cfbfa2c61e3/ijerph-17-05846-g0A3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/0c7d9e96174f/ijerph-17-05846-g0A4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/50e7e058b1eb/ijerph-17-05846-g0A5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/e55427c8833d/ijerph-17-05846-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/81ea4ea52882/ijerph-17-05846-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/f60c7109aad8/ijerph-17-05846-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/52aa67a29345/ijerph-17-05846-g0A2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/0cfbfa2c61e3/ijerph-17-05846-g0A3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/0c7d9e96174f/ijerph-17-05846-g0A4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/50e7e058b1eb/ijerph-17-05846-g0A5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/e55427c8833d/ijerph-17-05846-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c139/7460154/81ea4ea52882/ijerph-17-05846-g002.jpg

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