Iranian Journal of Public Health 2018. 47(5):698-705.

The Mediating Effects of Job Satisfaction on the Association between Doctor-patient Relationship and OCB among Physicians in China
Rui HAN, Lin WEI, Jingping LI, Ding ZHANG, Hongliang LI

Abstract


Background: The aim of this study was to investigate OCB among physicians in China and explore whether their job satisfaction mediates the association between doctor-patient relationship (DPR) and organizational citizenship behavior (OCB).

Methods: This cross-sectional, questionnaire-based survey was conducted among 1400 physicians in Shaanxi, China in 2014. The subjects were selected using a multi-stage cluster sampling methodology. The self-administered questionnaires included OCB Scale, DDPRQ, and PJSQ. Hierarchical linear regression analysis was used to estimate the effects of job satisfaction on the association between DPR and OCB.

Results: DPR negatively predicted four dimensions of OCB, including conscientiousness, sportsmanship, civic virtue, and altruism. DPR was negatively related to five job satisfaction dimensions, namely work satisfaction (WS), promotion satisfaction (PS), reward satisfaction (RS), supervision satisfaction (SS), and environment satisfaction (ES). WS was positively correlated with conscientiousness and civic virtue; PS and SS were positively related to all four OCB dimensions; RS was positively related with civic virtue and altruism, and ES was positively correlated with conscientiousness and civic virtue. WS and PS partially mediated the association between DPR and conscientiousness; PS and SS partially mediated the relation between DPR and sportsmanship; PS, SS, and ES mediated the association between DPR and civic virtue; and PS, RS and SS partially mediated the relation between DPR and altruism.

Conclusion: Job satisfaction mediated the association between DPR and OCB among Chinese physicians. The poor DPR possibly reduce physicians’ job satisfaction, thereby causing a decline of OCB in hospitals. Therefore, DPR improvement and job satisfaction have a great potential to promote physicians’ job performance in China.

 

 


Keywords


Job satisfaction; Doctor-patient relationship; OCB

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References


Huang MC, Liu TC (2010). The impact of external environment and self-serving motivation on physician’s organizational citizenship behaviors. Journal of Behavioral Studies in Business, 2: 1-10.

Ong LM, De Haes JC, Hoos AM, Lammes FB (1995). Doctor-patient communication: A review of the literature. Soc Sci Med, 40 (7): 903-18.

Matusitz J, Spear J (2014). Effective doctor–patient communication: An updated examination. Soc Work Public Health, 29 (3): 252-66.

Ruiz-Moral R, Perez Rodriguez E, Perula de Torres LA, De la Torre J (2006). Physician-patient communication: A study on the observed behaviours of specialty physicians and the ways their patients perceive them. Patient Educ Couns, 64 (1-3): 242-8.

Lin CT, Chang CS (2015). Job Satisfaction of Nurses and Its Moderating Effects on the Relationship Between Organizational Commitment and Organizational Citizenship Behaviors. Res Theory Nurs Pract, 29 (3): 226-44.

Chahal H, Mehta S (2010). Antecedents and consequences of organisational citizenship behaviour (OCB): A conceptual framework in reference to health care sector. Journal of Services Research, 10 (2): 25-44.

Chu CI, Lee MS, Hsu HM, Chen IC (2005). Clarification of the antecedents of hospital nurse organizational citizenship behavior-An example from a Taiwan regional hospital. J Nurs Res, 13(4): 313-24.

Organ DW, Podsakoff PM, MacKenzie SB (2005). Organizational citizenship behavior: Its nature, antecedents, and consequences: Sage Publications.

Podsakoff NP, Whiting SW, Podsakoff PM, Blume BD (2009). Individual- and organizational-level consequences of organizational citizenship behaviors: A meta-analysis. J Appl Psychol, 94 (1): 122-41.

Bahrami MA, Montazeralfaraj R, Gazar SH, Tafti AD (2014). Relationship between Organizational Perceived Justice and Organizational Citizenship Behavior among an Iranian Hospital's Employees, 2013. Electron Physician, 6 (2): 838-44.

Heritage J, Maynard DW (2006). Problems and prospects in the study of physician-patient interaction: 30 years of research. Annu Rev Sociol, 32: 351-74.

Marvel MK, Epstein RM, Flowers K, Beckman HB (1999). Soliciting the patient's agenda: Have we improved? JAMA, 281 (3): 283-7.

Alamo MM, Moral RR, Perula de Torres LA (2002). Evaluation of a patient-centred approach in generalized musculoskeletal chronic pain/fibromyalgia patients in primary care. Patient Educ Couns, 48 (1): 23-31.

Judge TA, Kammeyer-Mueller JD (2012). Job attitudes. Annu Rev Psychol, 63: 341-67.

Scheurer D, McKean S, Miller J, Wetterneck T (2009). U.S. physician satisfaction: A systematic review. J Hosp Med, 4 (9): 560-8.

Wallace JE, Lemaire J (2007). On physician well being-you'll get by with a little help from your friends. Soc Sci Med, 64 (12): 2565-77.

Solomon J (2008). How strategies for managing patient visit time affect physician job satisfaction: A qualitative analysis. J Gen Intern Med, 23 (6): 775-80.

Zhang YM, Feng XS (2011). Empirical study on determinants of physicians’ job satisfaction in urban public medical institutions. Chin Health Resources, 14: 77-9.

Bolon DS (1997). Organizational citizenship behavior among hospital employees: A multidimensional analysis involving job satisfaction and organizational commitment. Hosp Health Serv Adm, 42(2): 221-41.

Intaraprasong B, Dityen W, Krugkrunjit P, Subhadrabandhu T (2012). Job satisfaction and organizational citizenship behavior of personnel at one university hospital in Thailand. J Med Assoc Thai, 95(6): S102-8.

Williams ES, Manwell LB, Konrad TR, Linzer M (2007). The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: Results from the MEMO study. Health Care Manage Rev, 32 (3): 203-12.

Podsakoff PM, MacKenzie SB, Moorman RH, Fetter R (1990). Transformational leader behaviors and their effects on followers' trust in leader, satisfaction, and organizational citizenship behaviors. The Leadership Quarterly, 1 (2): 107-42.

Hahn S, Kroenke K, Spitzer R (1996). The difficult patient: Prevalence, psychopathology, and functional impairment (vol 11, pg 1, 1996). BLACKWELL SCIENCE INC 238 MAIN ST, CAMBRIDGE, MA 02142. pp. 191.

Zhang YM, Feng XS (2011). Confirmatory factor analysis of job satisfaction structure of physicians from public medical institutions. Chinese Journal of Health Statistics, 28 (1): 29-32.

Baron RM, Kenny DA (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol, 51 (6): 1173-82.

Dargahi H, Alirezaie S, Shaham G (2012). Organizational citizenship behavior among Iranian nurses. Iran J Public Health, 41 (5): 85-90.

Mo XT, Xu LZ, Luo HW, et al (2015). Medical professional perceived doctor-patient relationship, job satisfaction and turnover intention. Chin J Clin Psychol, 23: 141-6.

Daghio MM, Ciardullo AV, Cadioli T et al (2003). GPs’ satisfaction with the doctor–patient encounter: Findings from a community-based survey. Fam Pract, 20(3): 283-8.

Lu Y, Hu XM, Huang XL et al (2016). Job satisfaction and associated factors among healthcare staff: A cross-sectional study in Guangdong Province, China[J]. BMJ Open, 6(7): e011388.

Wang XQ, Wang XT, Zheng JJ (2012). How to end violence against doctors in China. Lancet, 380 (9842): 647-8.

Hou X, Xiao L (2012). An analysis of the changing doctor-patient relationship in China. J Int Bioethique, 23 (2): 83-94.

Banerjee A, Sanyal D (2012). Dynamics of doctor-patient relationship: A cross-sectional study on concordance, trust, and patient enablement. J Family Community Med, 19 (1): 12-9.

Wu H, Zhao X, Fritzsche K et al (2015). Quality of doctor-patient relationship in patients with high somatic symptom severity in China. Complement Ther Med, 23 (1): 23-31.

Keldbari SB, Alipour HR (2011). Organizational citizenship behavior and employees social capital case study Rasht Hospitals. Australian Journal of Basic and Applied Sciences, 5 (8): 1185-93.

Dormohammadi T, Asghari F, Rashidian A (2010). What do patients expect from their physicians? Iran J Public Health, 39 (1): 70-77.

Baker WE, Bulkley N (2014). Paying it forward vs. rewarding reputation: Mechanisms of generalized reciprocity. Organization Science, 25 (5): 1493-1510.

McNeely BL, Meglino BM (1994). The role of dispositional and situational antecedents in prosocial organizational behavior: An examination of the intended beneficiaries of prosocial behavior. J Appl Psychol, 79 (6): 836-44.

Ziegler R, Schlett C, Casel K, Diehl M (2012). The role of job satisfaction, job ambivalence, and emotions at work in predicting organizational citizenship behavior. Journal of Personnel Psychology, 11 (4): 176-90.


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