Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10071/23575 |
Resumo: | In the increasingly commercialized healthcare environment in China, doctor-patient relationship (DPR) is a job demand for doctors dat is linked to various motivational outcomes. Drawing on the Job Demands–Resources (JD-R) model, and the conservation of resources theory, we develop a preliminary conceptual model dat links Leader Member Exchange (LMX) as a job resource, and DPR as a challenge job demand, to the levels of work engagement and turnover intentions of doctors working in this healthcare environment. Using two-wave data collected from 381 doctors in a public hospital, we found support for the hypothesized model. Results of a series of SEM analyses revealed dat LMX was positively related to DPR and work engagement, while DPR partially mediates the path from LMX to work engagement. In addition, LMX is negatively related to turnover intentions through DPR and subsequently work engagement. Theoretically, this study contributes to the development of the JD-R model by investigating the concept of challenge job demand, and its role in the motivational process, with new evidence from healthcare occupations in China. Practically, this study contributes to the limited number of studies on managing the changing nature of the DPR in China, and in seeking potential solutions based on established organizational constructs. |
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Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospitalDoctor-patient relationship (DPR)Leader-member exchange (LMX)Job demands resources (JD-R) modelChallenge job demandWork engagementTurnover intentionIn the increasingly commercialized healthcare environment in China, doctor-patient relationship (DPR) is a job demand for doctors dat is linked to various motivational outcomes. Drawing on the Job Demands–Resources (JD-R) model, and the conservation of resources theory, we develop a preliminary conceptual model dat links Leader Member Exchange (LMX) as a job resource, and DPR as a challenge job demand, to the levels of work engagement and turnover intentions of doctors working in this healthcare environment. Using two-wave data collected from 381 doctors in a public hospital, we found support for the hypothesized model. Results of a series of SEM analyses revealed dat LMX was positively related to DPR and work engagement, while DPR partially mediates the path from LMX to work engagement. In addition, LMX is negatively related to turnover intentions through DPR and subsequently work engagement. Theoretically, this study contributes to the development of the JD-R model by investigating the concept of challenge job demand, and its role in the motivational process, with new evidence from healthcare occupations in China. Practically, this study contributes to the limited number of studies on managing the changing nature of the DPR in China, and in seeking potential solutions based on established organizational constructs.Routledge/Taylor and Francis2022-04-19T00:00:00Z2022-01-01T00:00:00Z20222023-03-27T12:57:46Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10071/23575eng1354-850610.1080/13548506.2021.1916952Zeng, W. L.Ma, S.Callan, V. J.Wu, L.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-09T17:40:06Zoai:repositorio.iscte-iul.pt:10071/23575Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:18:32.221781Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
title |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
spellingShingle |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital Zeng, W. L. Doctor-patient relationship (DPR) Leader-member exchange (LMX) Job demands resources (JD-R) model Challenge job demand Work engagement Turnover intention |
title_short |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
title_full |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
title_fullStr |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
title_full_unstemmed |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
title_sort |
Exploring the doctor-patient relationship as a challenge job demand: application of the job demands–resources model in a Chinese public hospital |
author |
Zeng, W. L. |
author_facet |
Zeng, W. L. Ma, S. Callan, V. J. Wu, L. |
author_role |
author |
author2 |
Ma, S. Callan, V. J. Wu, L. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Zeng, W. L. Ma, S. Callan, V. J. Wu, L. |
dc.subject.por.fl_str_mv |
Doctor-patient relationship (DPR) Leader-member exchange (LMX) Job demands resources (JD-R) model Challenge job demand Work engagement Turnover intention |
topic |
Doctor-patient relationship (DPR) Leader-member exchange (LMX) Job demands resources (JD-R) model Challenge job demand Work engagement Turnover intention |
description |
In the increasingly commercialized healthcare environment in China, doctor-patient relationship (DPR) is a job demand for doctors dat is linked to various motivational outcomes. Drawing on the Job Demands–Resources (JD-R) model, and the conservation of resources theory, we develop a preliminary conceptual model dat links Leader Member Exchange (LMX) as a job resource, and DPR as a challenge job demand, to the levels of work engagement and turnover intentions of doctors working in this healthcare environment. Using two-wave data collected from 381 doctors in a public hospital, we found support for the hypothesized model. Results of a series of SEM analyses revealed dat LMX was positively related to DPR and work engagement, while DPR partially mediates the path from LMX to work engagement. In addition, LMX is negatively related to turnover intentions through DPR and subsequently work engagement. Theoretically, this study contributes to the development of the JD-R model by investigating the concept of challenge job demand, and its role in the motivational process, with new evidence from healthcare occupations in China. Practically, this study contributes to the limited number of studies on managing the changing nature of the DPR in China, and in seeking potential solutions based on established organizational constructs. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-19T00:00:00Z 2022-01-01T00:00:00Z 2022 2023-03-27T12:57:46Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10071/23575 |
url |
http://hdl.handle.net/10071/23575 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1354-8506 10.1080/13548506.2021.1916952 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Routledge/Taylor and Francis |
publisher.none.fl_str_mv |
Routledge/Taylor and Francis |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799134744800133120 |