Group citizenship behaviour in healthcare organization, doctor-patient relationship, work engagement and turnover intention: A moderated mediation model.

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Abstrakt

Tytuł:: Group citizenship behaviour in healthcare organization, doctor-patient relationship, work engagement and turnover intention: A moderated mediation model.
Autorzy:: Zeng W; Liuzhou Worker's Hospital, Guangxi, Liuzhou, China.
Ma S; Business Research Unit (BRU-IUL), Business School, Instituto Universitário de Lisboa (ISCTE-IUL), Lisboa, Portugal.
Wu L; Liuzhou Worker's Hospital, Guangxi, Liuzhou, China.
Wang C; School of Accounting and Finance, Xi'an Peihua University, Shanxi, Xi'an, China.
Huang Y; Liuzhou Institute of Technology, Guangxi, Liuzhou, China.
Li B; Liuzhou Worker's Hospital, Guangxi, Liuzhou, China.
Źródło:: The International journal of health planning and management [Int J Health Plann Manage] 2023 May; Vol. 38 (3), pp. 687-701. Date of Electronic Publication: 2023 Feb 19.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Chichester, Sussex, England : Wiley, c1985-
MeSH Terms:: Physician-Patient Relations*
Physicians*
Humans ; Work Engagement ; Citizenship ; Intention ; Personnel Turnover ; Surveys and Questionnaires ; Job Satisfaction
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Grant Information:: UIDB/00315/2020 Fundação para a Ciência e a Tecnologia; Z2016200 Guangxi Provincial Health Commission
Contributed Indexing:: Keywords: doctor-patient relationship (DPR); group citizenship behaviour (GCB); job demands-resources (JD-R) model; turnover intention; work engagement
Entry Date(s):: Date Created: 20230222 Date Completed: 20230501 Latest Revision: 20230501
Update Code:: 20240105
DOI:: 10.1002/hpm.3615
PMID:: 36805680
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The effective functioning of health care organisations depends on the inter-professional collaboration among healthcare professionals from diverse backgrounds, representing different work units, to provide quality services. This study aims to understand how group citizenship behaviour (GCB) that supports other work groups may moderate the relationship between doctor-patient relationship (DPR), Work Engagement (WE) and Turnover Intention (TI). The data for this study were collected through two waves of questionnaire survey at a tertiary public hospital in China. The hypothesised model was tested by Hayes' PROCESS macro. There were significant differences of perceived GCB across different professional units with work units practicing a multidisciplinary working approach and working in the high-stake working environment reported higher levels of GCB. The results show that WE mediates the relationships between DPR and TI and GCB accentuates the positive relationship between DPR and WE. Specifically, the path between DPR and WE was stronger for individuals with high perceived GCB than those with low perceived GCB. The study contributes to the development of Job Demands-Resources model with integrating GCB into the model and enriching the challenge job demand conceptualisation by focussing on DPR in Chinese health care setting. In practice, the hospital administrators should encourage GCB to improve organizational effectiveness and doctors' attitudes.
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