基于组织行为学视角全科医生绩效的实证研究

An empirical research of task performance of general practitioner based on organizational behavior perspective

目的目前,基层医疗服务状态如同一潭"死水",低水平的社区卫生服务质量阻碍了我国新医改进程。基于此,国家开启了全面提升社区卫生服务工程。提高全科医生工作绩效成为社区卫生服务提升工程的必然选择,本研究旨在探讨社区卫生服务组织内领导风格与全科医生工作绩效的关系,检验组织主人翁行为的中介效应,为提升社区卫生服务质量提供理论依据。方法采用分层抽样法先抽取哈尔滨、大庆、绥化、黑河、大兴安岭和齐齐哈尔6个城市,通过会议集中调研方法,对263个社区卫生服务机构参会代表进行问卷调查。采用多元阶层回归分析法检验变量之间关系及中介效应。结果变革型领导对组织主人翁行为(β=0.351,P<0.01)以及全科医生绩效(β=0.286,P<0.01)具有显著正向影响,组织主人翁行为对全科医生绩效(β=0.486,P<0.01)具有显著正向影响,组织主人翁行为在二者之间扮演完全中介作用。结论变革型领导对全科医生绩效的影响是通过组织主人翁行为的传导从而实现,本研究从"积极心理传递、互惠理论、心理与文化建设"三个理论视角阐述其关系的作用机制,为构建科学的全科医生人力资源管理体系与组织领导力实践提供一些理论参考。

Objective At present, the grassroots medical service status stand in backwater, the low level of community health service quality hindered the process of our new health care reform, therefore, the country started the comprehensive promotion of community health service project. Improving the general practitioner performance is the inevitable choice of community health service project. The paper aims to explore the relationship between transformational leadership and task performance of general practitioner, and test the mediating role of organizational ownership behavior. Methods The strati- fied sampling method was used to collect 263 community health service institution in Harbin, Daqing, Suihua, Heihe, Dax- inganling and Qiqihar, and the questionnaire survey was conducted among the delegates from those community health serv- ice institution. The hierarchical multiple regressions were used to test the relationship between variables and mediating effect. Results Transformational leadership had a significantly positive influence on organizational ownership behavior （13 = 0.334, P 〈 0.01 ） and task performance （13 = 0. 334, P 〈 0.01 ）, and organizational ownership behavior had positive effects on the task performance（13 =0. 486 ,P 〈 0.01 ）. The organizational ownership behavior played the fully mediating role （13 = 0,459, P 〈 0.01 ）. Conclusion The transformational leadership significantly affects the performance of general practitioner by the conduction of organizational ownership behavior. This article explored the action mechanism between the relations of variables based on three theoretical perspectives.