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Relationship Between Psychological Contract Violation and Physicians? Destructive and Constructive Behaviors in Tertiary Public Hospitals: An Empirical Evidence in Beijing

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机构: [S]chool of Public Health, Capital Medical University & Research Center for Capital Health Management and Policy, Beijing, People’s Republic of China [2]Department of Basic Health Care, Tianjin Hedong District Health Commission, Tianjin, People’s Republic of China [3]Department of Human Resources, Beijing Tongren Hospital, Capital Medical University, Beijing, People’s Republic of China [4]The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, People’s Republic of China [5]Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, People’s Republic of China [6]Department of Human Resources, Beijing Shijitan Hospital, Capital Medical University, Beijing, People’s Republic of China
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关键词: tertiary public hospitals physicians psychological contract violation EVLN China mediation effect

摘要:
Background: In China, physicians have long faced long working hours, high stress levels, and tensions between physicians and patients, which can lead to negative behaviors. Understanding physicians' expectations and requirements of the hospital and increasing satisfaction with their psychological contract can help improve physician motivation and stabilize the hospital team.Aim: The study aims to analyze the relationship between physicians' psychological contract violations and different behavioral choices, encourage hospitals to conclude a balanced psychological contract with physicians, and provide governance and intervention strategies for hospital human resource management.Methods: Stratified cluster sampling was used to select 321 physicians from four public hospitals in Beijing for questionnaire surveys. Descriptive statistical analysis, t-test, ANOVA, correlation analysis, and regression models were performed using Stata 15.0 and SPSS 26.0 to analyze the relationship between psychological contract violations, physicians' EVLN behaviors and organizational justice.Results: Psychological contract violation had a positive effect on exit behavior and neglect behavior, and a negative effect on voice behavior and loyalty behavior. Organizational justice plays a mediating role between psychological contract violation and physicians' exit, voice and loyalty behaviors.Conclusion: Psychological contract violation can drive negative behavior among physicians, and organizational justice can play a mediating role in this. Public hospitals should establish a healthy psychological contract with physicians and place a premium on organizational justice to promote constructive behaviors and prevent destructive behaviors. This study constructs a more complete theoretical framework to explain physicians' behavior, and further dynamic tracking investigations are necessary because the evolution of physicians' behavior is a dynamic and long-term process.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 卫生保健与服务
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 卫生保健与服务
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出版当年[2021]版:
Q3 HEALTH CARE SCIENCES & SERVICES
最新[2023]版:
Q2 HEALTH CARE SCIENCES & SERVICES

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [2]Department of Basic Health Care, Tianjin Hedong District Health Commission, Tianjin, People’s Republic of China
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通讯机构: [*1]School of Public Health, Capital Medical University & Research Center for Capital Health Management and Policy, No. 10, Xitoutiao, Youanmen Wai, Fengtai District, Beijing, 100069, People’s Republic of China
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