Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China.
School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
BMC Health Serv Res. 2024 Sep 2;24(1):1016. doi: 10.1186/s12913-024-11449-3.
Healthcare professionals' job satisfaction is a critical indicator of healthcare performance, pivotal in addressing challenges such as hospital quality outcomes, patient satisfaction, and staff retention rates. Existing evidence underscores the significant influence of healthcare leadership on job satisfaction. Our study aims to assess the impact of leadership support on the satisfaction of healthcare professionals, including physicians, nurses, and administrative staff, in China's leading hospitals.
A cross-sectional survey study was conducted on healthcare professionals in three leading hospitals in China from July to December 2021. These hospitals represent three regions in China with varying levels of social and economic development, one in the eastern region, one in the central region, and the third in the western region. Within each hospital, we employed a convenience sampling method to conduct a questionnaire survey involving 487 healthcare professionals. We assessed perceived leadership support across five dimensions: resource support, environmental support, decision support, research support, and innovation encouragement. Simultaneously, we measured satisfaction using the MSQ among healthcare professionals.
The overall satisfaction rate among surveyed healthcare professionals was 74.33%. Our study revealed significant support from senior leadership in hospitals for encouraging research (96.92%), inspiring innovation (96.30%), and fostering a positive work environment (93.63%). However, lower levels of support were perceived in decision-making (81.72%) and resource allocation (80.08%). Using binary logistic regression with satisfaction as the dependent variable and healthcare professionals' perceived leadership support, hospital origin, job role, department, gender, age, education level, and professional designation as independent variables, the results indicated that support in resource provision (OR: 4.312, 95% CI: 2.412 ∼ 7.710) and environmental facilitation (OR: 4.052, 95% CI: 1.134 ∼ 14.471) significantly enhances healthcare personnel satisfaction.
The findings underscore the critical role of leadership support in enhancing job satisfaction among healthcare professionals. For hospital administrators and policymakers, the study highlights the need to focus on three key dimensions: providing adequate resources, creating a supportive environment, and involving healthcare professionals in decision-making processes.
医疗保健专业人员的工作满意度是医疗保健绩效的关键指标，对于解决医院质量结果、患者满意度和员工保留率等挑战至关重要。现有证据强调了医疗保健领导力对工作满意度的重大影响。我们的研究旨在评估领导支持对中国顶尖医院的医疗保健专业人员（包括医生、护士和行政人员）满意度的影响。
我们于 2021 年 7 月至 12 月在中国三家顶尖医院进行了一项横断面调查研究。这些医院代表了中国三个具有不同社会和经济发展水平的地区，一家在东部地区，一家在中部地区，第三家在西部地区。在每家医院内，我们采用便利抽样法对 487 名医疗保健专业人员进行了问卷调查。我们评估了五个维度的感知领导支持：资源支持、环境支持、决策支持、研究支持和创新鼓励。同时，我们使用医疗保健专业人员的 MSQ 衡量满意度。
被调查医疗保健专业人员的总体满意度为 74.33%。我们的研究表明，医院的高级领导层非常支持鼓励研究（96.92%）、激发创新（96.30%）和营造积极的工作环境（93.63%）。然而，在决策制定（81.72%）和资源分配（80.08%）方面的支持度较低。使用满意度作为因变量，医疗保健专业人员感知的领导支持、医院来源、工作角色、部门、性别、年龄、教育水平和专业职称作为自变量的二元逻辑回归分析表明，资源提供（OR：4.312，95%CI：2.4127.710）和环境促进（OR：4.052，95%CI：1.13414.471）的支持显著提高了医疗保健人员的满意度。
研究结果强调了领导支持在提高医疗保健专业人员工作满意度方面的关键作用。对于医院管理人员和政策制定者，研究结果突出了需要关注三个关键维度：提供充足的资源、营造支持性环境以及让医疗保健专业人员参与决策过程。
