Link of Patient Care Outcome to Occupational Differences in Response to Human Resource Management: A Cross-Sectional Comparative Study on Hospital Doctors and Nurses in China.
This study assessed the link of patient care outcome to occupational differences in response to human resource management. A cross-sectional survey was conducted in three large regional hospitals in China. A total of 700 questionnaires were distributed to doctors, nurses, allied health workers, and managers and 499 (71%) were completed. Data were analyzed using a final sample of 193 doctors and 180 nurses. Quality of patient care was rated by the participants using a modified version of the Victorian Patient Satisfaction Questionnaire. Human resource management was measured on seven aspects: job security, recruitment, training, transformational leadership, information sharing, job quality, and teams. The differences between doctors and nurses in response to the human resource management practices and their associations with quality of care were compared through independent samples t-tests, correlational analyses, and moderator regressions. Doctors gave a higher rating on quality of patient care than their nurse counterparts. 'Training', 'transformational leadership', and 'information sharing' were more likely to be associated with higher ratings on quality of patient care in nurses. By contrast, a greater association between 'teams' and quality of patient care was found in doctors. Although doctors and nurses in China are exposed to the same hospital management environment, professional differences may have led them to respond to management practices in different ways.
['Liu|Chaojie|C|0000-0003-0877-0424', 'Bartram|Timothy|T|', 'Leggat|Sandra G|SG|0000-0002-2252-4302']
D000328:Adult D002681:China D003430:Cross-Sectional Studies D005260:Female D006801:Humans D007588:Job Satisfaction D008297:Male D008875:Middle Aged D009726:Nurses D009741:Nursing Staff, Hospital D005791:Patient Care D010559:Personnel Management D010820:Physicians D011795:Surveys and Questionnaires D000078329:Workforce D055815:Young Adult
China quality of care health professionals health services management high performance work systems