Current Status of Intergroup Threats Perceived by Chinese Physicians and Its Association with Organizational Psychology, Behavior, and Well-Being during the COVID-19 Pandemic: A Cross-Sectional Survey
Abstract
:1. Introduction
2. Materials and Methods
2.1. Subjects and Procedures
2.2. Measurement of Intergroup Threats Perceived by Physicians
2.3. Measurement of the State of Physicians’ Organizational Psychology
2.4. Measurement of Physicians’ Organizational Behavior and Well-Being
2.5. Statistical Analysis
3. Results
3.1. Demographic Information of Participants
3.2. Exploratory Factor Analysis and Reliability Analysis of the Construct of Intergroup Threats Perceived by Physicians
3.3. The Average Scores of Different Types of Intergroup Threats Perceived by Physicians
3.4. Relationships among Study Variables
3.5. Hierarchical Linear Regression Analysis
4. Discussion
4.1. Chinese Physicians’ Exposure to High-Level Perception of Intergroup Threats
4.2. The Negative Association between Intergroup Threats and Physicians’ Organizational Psychology
4.3. The Negative Association between Intergroup Threats and Physicians’ Organizational Behavior and Well-Being
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | n | % |
---|---|---|
Gender | ||
Male | 199 | 47.04 |
Female | 224 | 52.96 |
Marital status | ||
Married/Cohabitation | 333 | 78.72 |
Unmarried/Single | 81 | 19.15 |
Divorced/Widowed/Other | 9 | 2.13 |
Age (years) | ||
≤30 | 86 | 20.33 |
31–35 | 152 | 35.93 |
36–40 | 94 | 22.22 |
41–45 | 55 | 13.00 |
46–50 | 25 | 5.91 |
≥51 | 11 | 2.60 |
Education | ||
College degree or below | 6 | 1.42 |
Bachelor’s degree | 119 | 28.13 |
Master’s degree | 170 | 40.19 |
Doctoral degree | 128 | 30.26 |
Title | ||
Without professional title | 25 | 5.91 |
Resident physician | 100 | 23.64 |
Attending physician | 190 | 44.92 |
Associate chief physician | 82 | 19.39 |
Chief physician | 26 | 6.15 |
Monthly income (CNY) | ||
≤5000 | 83 | 19.62 |
5001–9000 | 189 | 44.68 |
9001–15,000 | 97 | 22.93 |
15,001–20,000 | 38 | 8.98 |
>20,000 | 16 | 3.78 |
Years of Service | ||
≤3 | 73 | 17.26 |
4–10 | 177 | 41.84 |
11–15 | 84 | 19.86 |
16–20 | 46 | 10.87 |
21–30 | 37 | 8.75 |
≥31 | 6 | 1.42 |
Daily working hours | ||
<8 | 130 | 30.73 |
8–10 | 214 | 50.59 |
>10 | 79 | 18.68 |
Hospital level | ||
Tertiary hospital | 342 | 80.85 |
Non-tertiary hospital | 81 | 19.15 |
Items | Factor Loading |
---|---|
Factor 1: Interest Damage | |
In physician–patient conflicts, physicians are prone to face the stress of financial compensation | 0.848 |
Patients and their family members are prone to claim extra financial benefits from the physicians through practices out of various “ulterior motives” (e.g., making trouble, “YINAO”) | 0.786 |
In physicians–patient conflicts, patients and their family members are prone to threaten the physicians’ personal safety | 0.606 |
Factor 2: Performance Impairment | |
In the work, physicians’ professional suggestions are prone to be questioned or even repudiated by patients and their family members | 0.467 |
Patient and their family members are prone to propose various unreasonable requests in the process of treatment, leading to an increase in physicians’ unnecessary workload | 0.715 |
Patients and their families deliberately make difficulties for physicians, which will increase the difficulty of physicians’ work | 0.762 |
Patients and their families are prone to misrepresent the situation of disease, making it harder for physicians to make a diagnosis | 0.761 |
Exposure to physician–patient disputes is prone to hinder physicians’ career development, such as interrupted professional title and career promotion | 0.489 |
Factor 3: Value Derogation | |
Patients and their family members believe that the hospital provides services under the incentive only derived by economic interest, thereby contributing to the derogation of physicians’ occupational values | 0.645 |
Patients and their family members are prone to spreading malicious message about physicians, such as taking kickbacks and red envelopes, and poor morality | 0.719 |
To date, the career image of physicians in the mind of patients and their family members is becoming worse than before | 0.757 |
In the process of physician–patient disputes, patients and family members are prone to choosing to smear physicians’ reputation by using not physician-friendly information in social media | 0.708 |
Patients and their family members are prone to distrusting physicians’ technical and professional skills during diagnosis and treatment | 0.716 |
Patients and their family members are prone to distrusting physicians’ professional ethics or the code of conduct | 0.701 |
Patients and their family members are prone to exhibit less empathy to doctors by ignoring physicians’ survival needs and respectable needs | 0.533 |
Patients and their family members are prone to show some disrespect behaviors towards physicians during diagnosis and treatment | 0.623 |
Factor 4: Unjust Sentiment | |
Media reports about workplace violence towards physicians contribute to increased risk of threats to physician’s safety through the imitation effect of violence phenomenon | 0.592 |
In the news and public opinion, the standpoints and suggestions tend to appeal to the patients’ rights and interests rather than those of physicians | 0.770 |
Patients are prone to being seen as a vulnerable group in the news and public opinion, which contributes to unfair preference for physicians | 0.812 |
Medical service capacity and technology are prone to being exaggerated by media reports, leading to increased physicians’ stress from the comment of public opinion in medical practice | 0.765 |
In the news and public opinion, people are prone to forcing physicians’ behavior choices by proposing moral coercion, then overlooking physicians’ essential needs | 0.819 |
In Chinese media, there are a lot of false news for slandering physicians, including untruthful statements, accusations or irrational complaints | 0.778 |
Media coverage tends to report unfavorable images about physicians rather than positive images, resulting in the worsening of the public reputation of physicians | 0.683 |
The unfavorable media coverage about physicians destroys patients’ trust in physicians’ professional ethics and code of conduct | 0.783 |
The media coverage tends to report physicians’ profit-seeking behaviors even if it is a minority phenomenon, but seldom or never discuss physicians’ professional value | 0.774 |
Dimensions | Cronbach’s α |
---|---|
Overall intergroup threat | 0.947 |
Interest damage | 0.756 |
Performance impairment | 0.797 |
Value derogation | 0.910 |
Unjust sentiment | 0.941 |
Threat styles | Mean ± SD | Range Min–Max |
---|---|---|
Overall intergroup threat | 4.35 ± 0.51 | 2.60–5.00 |
Interest damage | 4.24 ± 0.73 | 1.00–5.00 |
Performance impairment | 4.33 ± 0.58 | 2.00–5.00 |
Value derogation | 4.22 ± 0.65 | 2.13–5.00 |
Unjust sentiment | 4.53 ± 0.55 | 2.56–5.00 |
Variables | Means | SD | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
---|---|---|---|---|---|---|---|---|---|
Intergroup threat | 4.35 | 0.51 | 1 | ||||||
Subjective well-being | 3.05 | 0.75 | −0.249 ** | 1 | |||||
Emotional exhaustion | 3.05 | 1.41 | 0.347 ** | 0.544 ** | 1 | ||||
Psychological stress | 3.15 | 0.89 | 0.269 ** | 0.498 ** | 0.584 ** | 1 | |||
Job satisfaction | 2.94 | 0.82 | −0.198 ** | 0.668 ** | −0.474 ** | −0.430 ** | 1 | ||
Defensive medical behavior | 2.13 | 0.92 | 0.225 ** | 0.227 ** | 0.303 ** | 0.276 ** | 0.205 ** | 1 | |
Turnover intention | 2.42 | 1.07 | −0.515 ** | 0.515 ** | 0.560 ** | 0.515 ** | 0.534 ** | 0.309 ** | 1 |
Variables | Subjective Well-Being | Emotional Exhaustion | Psychological Stress | |||
---|---|---|---|---|---|---|
M1(β) | M2(β) | M3(β) | M4(β) | M5(β) | M6(β) | |
Control variables | ||||||
Gender | −0.033 | −0.016 | −0.011 | −0.036 | −0.070 | −0.089 |
Marital status | 0.032 | 0.027 | −0.094 | −0.087 | −0.081 | −0.076 |
Age | −0.125 | −0.132 | −0.082 | −0.072 | −0.037 | −0.030 |
Service years | 0.046 | 0.073 | 0.053 | 0.015 | 0.062 | 0.032 |
Education | −0.153 ** | −0.159 ** | 0.093 | 0.102 | 0.101 | 0.108 |
Title | 0.020 | 0.029 | 0.084 | 0.071 | 0.067 | 0.057 |
Monthly income | 0.184 * | 0.169 ** | −0.034 | −0.012 | −0.107 | −0.090 |
Independent variable | ||||||
Intergroup threat | −0.245 ** | 0.351 ** | 0.270 ** | |||
F | 2.605 * | 5.802 ** | 1.725 | 9.099 ** | 2.255 * | 6.291 ** |
R2 | 0.026 * | 0.083 ** | 0.012 | 0.133 ** | 0.020 * | 0.091 ** |
ΔR2 | 0.042 * | 0.059 ** | 0.028 | 0.121 ** | 0.037 * | 0.072 ** |
Variables | Job Satisfaction | Defensive Medical Behavior | Turnover Intention | |||
---|---|---|---|---|---|---|
M7(β) | M8(β) | M9(β) | M10(β) | M11(β) | M12(β) | |
Control variables | ||||||
Gender | −0.046 | −0.032 | −0.095 | −0.111 * | 0.104 * | 0.085 * |
Marital status | 0.021 | 0.017 | −0.053 | −0.049 | −0.119 * | −0.114 * |
Age | −0.311 ** | −0.317 ** | −0.005 | 0.001 | −0.114 | −0.107 |
Service years | 0.182 | 0.204 | 0.096 | 0.072 | 0.104 | 0.074 |
Education | −0.187 ** | −0.192 ** | 0.014 | 0.019 | 0.083 | 0.090 |
Title | 0.069 | 0.075 | 0.073 | 0.065 | 0.085 | 0.075 |
Monthly income | 0.210 ** | 0.198 ** | 0.029 | 0.043 | −0.093 | −0.077 |
Independent variable | ||||||
Intergroup threat | −0.194 ** | 0.224 ** | 0.268 ** | |||
F | 4.676 ** | 6.393 ** | 3.158 ** | 5.730 ** | 2.362 * | 6.313 ** |
R2 | 0.057 ** | 0.093 ** | 0.035 ** | 0.082 ** | 0.022 * | 0.092 ** |
ΔR2 | 0.073 ** | 0.037 ** | 0.051 ** | 0.049 ** | 0.038 * | 0.070 ** |
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Sun, T.; Yin, H.-y.; Zhang, S.-e.; Huang, X.-h.; Liu, B. Current Status of Intergroup Threats Perceived by Chinese Physicians and Its Association with Organizational Psychology, Behavior, and Well-Being during the COVID-19 Pandemic: A Cross-Sectional Survey. Healthcare 2022, 10, 1972. https://doi.org/10.3390/healthcare10101972
Sun T, Yin H-y, Zhang S-e, Huang X-h, Liu B. Current Status of Intergroup Threats Perceived by Chinese Physicians and Its Association with Organizational Psychology, Behavior, and Well-Being during the COVID-19 Pandemic: A Cross-Sectional Survey. Healthcare. 2022; 10(10):1972. https://doi.org/10.3390/healthcare10101972
Chicago/Turabian StyleSun, Tao, Hong-yan Yin, Shu-e Zhang, Xian-hong Huang, and Bei Liu. 2022. "Current Status of Intergroup Threats Perceived by Chinese Physicians and Its Association with Organizational Psychology, Behavior, and Well-Being during the COVID-19 Pandemic: A Cross-Sectional Survey" Healthcare 10, no. 10: 1972. https://doi.org/10.3390/healthcare10101972