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Slack resources and individual performance of clinicians: the mediating role of job satisfaction and empirical evidence from public hospitals in Beijing, China

机译:资源匮乏与临床医生个人绩效:中国北京市公立医院工作满意度和实证证据的中介作用

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BackgroundClinicians in Chinese public hospitals face a complex and severe clinical practice environment, and the individual performance of clinicians is key to improving the output of the healthcare industry. This study aims to explore the mechanism of slack resources in improving individual performance of clinicians and the role of job satisfaction in this process, while the study framework is based on the widely applied Job-Demands Resources theory.MethodsBased on the study framework composed of slack resources, individual performance, and job satisfaction, hypotheses have been put forward, and questionnaires have been distributed to representative clinicians in tertiary public hospitals. Finally, 318 valid data collected from clinicians have been obtained. To verify the hypotheses, multiple linear regression models have been established to explore the relationship between variables, and the three-stage regression models have been used to verify the presence of mediating role.ResultsAll four hypotheses proposed in this study have been proved to be held. Clinicians' job satisfaction has played a mediating role in the impact of slack resources and its three dimensions on individual performance. Among them, there has been a complete mediating role for staff slack, while time and space dimensions have played a partial mediating role in the impact of slack resources on individual performance.ConclusionsIn public hospitals in environments where behavior is subject to significant government interference, it is necessary and feasible to retain appropriate slack resources to improve individual performance. From the perspective of resources management in hospitals, it is necessary for public hospitals to implement a strategy of reserving an appropriate portion of time, staff and space in order to have the conditions to improve clinicians' satisfaction. The existence of slack resources in public hospitals can improve the job satisfaction of clinicians, and then improve the individual performance through the process.
机译:背景中国公立医院的临床医生面临着复杂而严峻的临床实践环境,临床医生的个人表现是提高医疗行业产出的关键。本研究旨在探讨闲置资源在提高临床医生个人绩效方面的机制以及工作满意度在这一过程中的作用,同时研究框架基于广泛应用的工作需求资源理论。方法基于资源松弛、个人绩效和工作满意度组成的研究框架,提出假设,并向三级公立医院的代表性临床医生发放问卷。最后,从临床医生那里获得了318个有效数据。为了验证这些假设,建立了多个线性回归模型来探究变量之间的关系,并利用三阶段回归模型来验证中介作用的存在。结果本研究提出的4个假设均成立。临床医生的工作满意度在资源匮乏及其三个维度对个人绩效的影响中起着中介作用。其中,工作人员的懈怠起到了完全的中介作用,而时间和空间维度在闲置资源对个人绩效的影响中起到了部分中介作用。结论在公立医院中,在行为受到政府严重干预的环境中,保留适当的闲置资源以提高个人绩效是必要且可行的。从医院资源管理的角度来看,公立医院需要实施适当预留时间、人员和空间的策略,以具备提高临床医生满意度的条件。公立医院资源匮乏的存在,可以提高临床医生的工作满意度,进而通过流程提高个人绩效。

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