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积极领导对家庭医生工作与生活质量的影响:文化的调节作用。

The effects of positive leadership on quality of work and life of family doctors: The moderated role of culture.

作者信息

Sun Wei, Huang Xianhong, Chen Xingyu, Wu Yan, Huang Zhen, Pang Yichen, Peng Can, Zhang Yunjie, Zhang Hao

机构信息

Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou, China.

School of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Front Psychol. 2023 Mar 20;14:1139341. doi: 10.3389/fpsyg.2023.1139341. eCollection 2023.

Abstract

BACKGROUND

Quality of work and life (QWL) of family doctors is highly valued in improving access and equity of healthcare; however, the current low level of QWL in many countries and regions needs to be improved urgently.

METHODS

This study explored the effect of positive leadership on the QWL of family doctors, as well as the moderating role of culture, via analysis of data from 473 valid questionnaires of family doctors in China as a sample using SEM, hierarchical linear regression, and a simple slope test.

RESULTS

The empirical results show that positive leadership promoted the QWL of family doctors by improving their achievement motivation and coordinating supportive resources. In addition, our hierarchical linear regression analysis found that the interactive items of positive leadership and culture had a positive effect on achievement motivation (   = 0.192), QWL (   = 0.215) and supportive resources (   = 0.195). Meanwhile, culture had a moderated mediating effect on the relationship between positive leadership and QWL via the achievement motivation of family doctors and supportive resources.

CONCLUSION

These findings suggest that the interaction among multiple factors, including environmental factors, individual physiological features and culture, may influence the impact of positive leadership on the QWL of family doctors. The possible reasons of these findings and theoretical and practical implications are discussed in this study.

摘要

背景

家庭医生的工作生活质量(QWL)在改善医疗服务的可及性和公平性方面备受重视;然而,目前许多国家和地区的QWL水平较低,亟待提高。

方法

本研究以中国473份家庭医生有效问卷数据为样本,通过结构方程模型(SEM)、分层线性回归和简单斜率检验,探讨积极领导对家庭医生QWL的影响以及文化的调节作用。

结果

实证结果表明,积极领导通过提高家庭医生的成就动机和协调支持性资源来促进其QWL。此外,我们的分层线性回归分析发现,积极领导与文化的交互项对成就动机(β = 0.192)、QWL(β = 0.215)和支持性资源(β = 0.195)有正向影响。同时,文化通过家庭医生的成就动机和支持性资源对积极领导与QWL之间的关系具有调节中介作用。

结论

这些发现表明,包括环境因素、个体生理特征和文化在内的多种因素之间的相互作用,可能会影响积极领导对家庭医生QWL的影响。本研究讨论了这些发现的可能原因以及理论和实践意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0803/10067620/24e3cafbd190/fpsyg-14-1139341-g001.jpg

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