Human Resource Department; Linghong Wu - Statistics Office, The Fourth Affiliated Hospital of Guangxi Medical University, Liu Zhou, China.
Department of Marketing, Operations and General Management, ISCTE Instituto Universitário de Lisboa, Business Research Unit (UNIDE-IUL), Lisbon, Portugal.
Psychol Health Med. 2022 Sep;27(8):1661-1671. doi: 10.1080/13548506.2021.1916952. Epub 2021 Apr 19.
In the increasingly commercialized healthcare environment in China, doctor-patient relationship (DPR) is a job demand for doctors that is linked to various motivational outcomes. Drawing on the Job Demands-Resources (JD-R) model, and the conservation of resources theory, we develop a preliminary conceptual model that links Leader Member Exchange (LMX) as a job resource, and DPR as a challenge job demand, to the levels of work engagement and turnover intentions of doctors working in this healthcare environment. Using two-wave data collected from 381 doctors in a public hospital, we found support for the hypothesized model. Results of a series of SEM analyses revealed that LMX was positively related to DPR and work engagement, while DPR partially mediates the path from LMX to work engagement. In addition, LMX is negatively related to turnover intentions through DPR and subsequently work engagement. Theoretically, this study contributes to the development of the JD-R model by investigating the concept of challenge job demand, and its role in the motivational process, with new evidence from healthcare occupations in China. Practically, this study contributes to the limited number of studies on managing the changing nature of the DPR in China, and in seeking potential solutions based on established organizational constructs.
在中国日益商业化的医疗保健环境中，医患关系（DPR）是医生的工作要求，与各种激励结果相关。本研究以工作要求-资源（JD-R）模型和资源保存理论为基础，初步构建了一个概念模型，将领导-成员交换（LMX）作为工作资源，DPR 作为挑战工作要求，与在这种医疗保健环境中工作的医生的工作投入和离职意愿联系起来。我们使用一家公立医院 381 名医生的两波数据进行研究，结果支持了假设模型。结构方程分析的结果表明，LMX 与 DPR 和工作投入呈正相关，而 DPR 部分中介了 LMX 与工作投入之间的关系。此外，LMX 通过 DPR 和随后的工作投入与离职意愿呈负相关。从理论上讲，这项研究通过考察挑战工作要求的概念及其在中国医疗保健职业中的激励过程中的作用，为 JD-R 模型的发展做出了贡献。从实践上讲，这项研究为管理中国不断变化的医患关系性质的为数不多的研究做出了贡献，并根据既定的组织结构寻求潜在的解决方案。
