公立医院医务人员医患关系感知对工作绩效的影响:有调节的中介模型

The Effect of Doctor-patient Relationship Perception on Work Performance among Medical Staff in Public Hospitals:A Moderated Mediation Model

为探究公立医院医务人员医患关系感知对工作绩效的影响及其作用机制。采用方便抽样法选取2022年8月-2022年10月在四川省、浙江省、福建省的4所公立三甲医院工作的380例医务人员为研究对象,采用一般资料调查表、医患关系感知量表、一般自我效能感量表、组织支持感量表、工作绩效量表进行调查。结果显示,医务人员医患关系感知与自我效能感(r=-0.392,P<0.01)和工作绩效(r=-0.286,P<0.01)均呈负相关,自我效能感与组织支持感(r=0.538,P<0.01)、工作绩效(r=0.507,P<0.01)均呈正相关,组织支持感与工作绩效呈正相关(r=0.510,P<0.01);自我效能感在医患关系感知与工作绩效之间起部分中介作用,效应值为-0.241,占总效应的64.78%;组织支持感可以削弱医患关系感知对自我效能感的负向预测作用,在医患关系感知通过自我效能感影响工作绩效的中介模型前半路径起调节作用。由此可知,公立医院医务人员感知到的医患关系较差,应从政策支持、医院、社会层面采取措施,缓和紧张的医患关系,发挥自我效能感的中介作用和组织支持感的调节作用,将医患关系对医务人员工作绩效所产生的负面影响降至最小,提高医务人员工作绩效,从而提升医疗服务的整体质量。

To explore the effect of doctor-patient relationship perception on work performance among medical staff in public hospitals and its mechanism.The convenient sampling method was used to select 380 medical staff working in four public tertiary hospitals in Sichuan Province,Zhejiang Province,and Fujian Province from August 2022 to October 2022 as the research objects,and the General Information Questionnaire,Doctor-Patient Relationship Scale,General Self-Efficacy Scale,Perceived Organizational Support Scale,Work Performance Questionnaire were used.This paper showed that the doctor-patient relationship perception of medical staff was negatively correlated with self-efficacy(r=-0.392,P<0.01)and work performance(r=-0.286,P<0.01),self-efficacy was positively correlated with perceived organizational support(r=0.538,P<0.01)and work performance(r=0.507,P<0.01),perceived organizational support was positively correlated with work performance(r=0.510,P<0.01).Self-efficacy played a partial mediating role between doctor-patient relationship perception and work performance,and its effect value was-0.241,accounting for 64.78%of the total effect.Perceived organizational support weakened the negative predictive effect of doctor-patient relationship perception on self-efficacy,which moderates the first half path of the mediating model that doctor-patient relationship perception affects work performance through self-efficacy.It indicated that the doctor-patient relationship perceived by medical staff in public hospitals is poor.Measures should be taken from the aspects of policy support,hospital and society levels to alleviate the doctor-patient relationship,play the mediating role of self-efficacy and the moderating role of organizational support,minimize the negative impact of doctor-patient relationship on the work performance among medical staff,and improve the work performance of medical staff,so as to improve the overall quality of medical services.