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Job Stress and Healthcare Quality among Chinese Healthcare Workers: The Mediating Effects of Public Service Motivation

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Objectives: This study explored the relationships between challenge stress, hindrance stress, and healthcare quality, and the mediating effect of public service motivation (PSM), among healthcare workers in Chinese public hospitals. Methods: Using widely adopted scales to measure all variables, we used descriptive statistical analysis, analysis of variance, correlation analysis, structural equation modeling and subgroup analysis to investigate data from 2066 healthcare workers in 68 Chinese public hospitals. Results: Challenge stress and hindrance stress were strongly correlated among the participants (β = 0.59; p < .001). Challenge stress was significantly and positively associated with PSM (β = 0.14; p < .001) and healthcare quality (β = 0.16; p < .001), and hindrance stress was significantly and negatively associated with PSM (β = –0.29; p < .001) and healthcare quality (β = –0.10; p < .001). PSM was directly positively associated with healthcare quality (β = 0.59; p < .001) and indirectly mediated the relationship of hindrance stress with healthcare quality. Conclusions: Healthcare quality might be improved by limiting hindrance stress, increasing PSM, and controlling challenge stress.
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Document Type: Research Article

Affiliations: 1: Assistant Professor, School of Management and Economics, Beijing Institute of Technology, Beijing, China 2: Postgraduate Student, School of Management and Economics, Beijing Institute of Technology, Beijing, China 3: Associate Professor, School of Management and Economics, Beijing Institute of Technology, Beijing, China;, Email: [email protected]

Publication date: July 1, 2019

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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