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良好治理通过组织问责制的中介作用对组织健康的影响:考虑人口统计学和组织变量的影响。

The impact of good governance on organizational health with the mediating role of organizational accountability: considering the influence of demographic and organizational variables.

作者信息

Taheri Taiebeh, Amerzadeh Mohammad, Alizadeh Ahad, Kalhor Rohollah

机构信息

Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran.

Non-communicable Diseases Research Center, Research Institute for Prevention of Non- Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

BMC Health Serv Res. 2025 Jul 2;25(1):892. doi: 10.1186/s12913-025-12921-4.

Abstract

BACKGROUND

Human resources are the critical element of organizations and serve as the economic engine of countries. Human resources play a crucial role in gaining competitive advantage. This study aimed to examine the impact of good governance on organizational health, with organizational accountability as a mediating factor, among employees of hospitals in Qazvin, Iran.

METHODS

This analytical, applied research used a descriptive design and was conducted in selected hospitals in Qazvin in 2023. Data were collected from hospital staff who evaluated their hospitals’ organizational attributes, including good governance, organizational health, and accountability. Descriptive and inferential statistics were used to analyze the data. Standard questionnaires, including Singh and Jha’s (2018) Organizational Health, Moghimi and Ramazan’s (2011) Good Governance, and Jansen (2001) Organizational Accountability were used for data collection. To analyze the data and test the hypotheses, Pearson correlation coefficients were employed. Structural Equation Modeling (SEM) was employed for data analysis.

RESULTS

The findings indicated that good governance directly affects organizational health and organizational accountability. Scores for good governance, organizational health, and organizational accountability in Qazvin hospitals were satisfactory. Good governance scores were higher among personnel with fixed shifts, contract staff, those with high school diplomas or lower education, educational groups and married personnel.

CONCLUSION

Based on the study results, hospital managers can enhance organizational health by improving governance and accountability. Further nationwide studies on the impact of organizational accountability on organizational health are recommended. To further advance the understanding of organizational health, future research should explore several key avenues.

摘要

背景

人力资源是组织的关键要素,也是国家的经济引擎。人力资源在获取竞争优势方面发挥着至关重要的作用。本研究旨在考察善治对组织健康的影响,并以组织问责制作为中介因素,研究对象为伊朗加兹温市医院的员工。

方法

本分析性应用研究采用描述性设计,于2023年在加兹温市选定的医院开展。数据收集自评估其医院组织属性的医院工作人员,这些属性包括善治、组织健康和问责制。使用描述性和推断性统计方法分析数据。数据收集采用标准问卷,包括辛格和贾哈(2018年)的《组织健康》、莫吉米和拉马赞(2011年)的《善治》以及扬森(2001年)的《组织问责制》。为了分析数据并检验假设,采用了皮尔逊相关系数。采用结构方程模型(SEM)进行数据分析。

结果

研究结果表明,善治直接影响组织健康和组织问责制。加兹温市医院的善治、组织健康和组织问责制得分令人满意。固定班次人员、合同制员工、高中文凭或更低学历人员、教育群体和已婚人员的善治得分更高。

结论

根据研究结果,医院管理者可通过改善治理和问责制来提高组织健康水平。建议在全国范围内进一步开展关于组织问责制对组织健康影响的研究。为了进一步深化对组织健康的理解,未来研究应探索几个关键途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81e0/12224454/77a9c43e0b23/12913_2025_12921_Fig1_HTML.jpg

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