基于结构方程的社区全科团队长管理能力与团队工作成效的关系分析  

Analysis of the relationship between management capability of general practice team leaders and the team performance in community health service centers based on structural equation model

作　　者：戴慧敏[1] 周慧宁 石建伟 王朝昕 张胜冰 张芳[1] 朱敏[1] 唐岚 Dai Huimin;Zhou Huining;Shi Jianwei;Wang Chaoxin;Zhang Shengbing;Zhang Fang;Zhu Min;Tang Lan(Weifang Community Health Service Center of Pudong New District,Shanghai 200122,China;School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;School of Management,Hainan Medical University,Hainan 571199,China)

机构地区：[1]上海市浦东新区潍坊社区卫生服务中心,上海200122 [2]上海交通大学医学院公共卫生学院,上海200025 [3]海南医学院管理学院,海南571199

出　　处：《中华全科医师杂志》2023年第6期620-625,共6页Chinese Journal of General Practitioners

基　　金：浦东新区卫生系统学科带头人培养计划(PWRd2022-06);浦东新区卫生系统优势全科医学学科(PWYq2020-02);浦东新区卫生系统社区示范学科(PWYsf2021-02);上海市卫生健康委员会卫生行业临床研究专项(20204Y0476)。

摘　　要：目的探索社区全科团队长管理能力与团队成员工作成效的关联性。方法本研究为横断面调查。于2021年11—12月,采用分层抽样,先抽取上海市城区和郊区共18家社区卫生服务中心,然后再基于标准纳入全科团队长和团队成员,采用个人信息调查表、全科团队长管理能力评价量表、全科团队成员工作成效量表(包括工作满意度、组织忠诚、工作绩效和职业倦怠)进行问卷调查,根据调查结果,构建结构方程模型分析全科团队长管理能力与团队成员工作成效的关联机制。结果共发放问卷944份,有效问卷859份,有效回收率为91.00%。结构方程建模结果显示,全科团队长管理能力部分维度对员工组织忠诚(组织管理:β=0.37、教学科研管理:β=-0.29、战略及文化建设:β=0.23、个人品质:β=0.11)及工作绩效(专项业务管理:β=0.95,组织管理:β=0.54)有显著效应(P<0.05),团队成员的组织忠诚在团队长管理能力对工作绩效的影响过程中起部分中介作用(中介效应为39.50%)。结论全科团队长的管理能力不仅直接能作用于团队成员的工作绩效,还可通过团队成员组织忠诚的部分中介作用影响团队成员的工作绩效。Objective To analyze the relationship between capacity of general practice team leaders and the team performance in community health service centers.Methods This study was a cross-sectional study.A questionnaire survey was conducted between November and December 2022,among general practice team leaders and general practitioners(GPs)from 18 community health service centers in the urban and suburban areas of shanghai selected by stratified sampling method.The personal information questionnaire,leadership of general practice team leader questionnaire,and work performance scale of general team members were used for the survey.The relationship between leadership of general practice team leaders and team performance was analyzed based on structural equation model(SEM).Results A total of 944 questionnaires were distributed and 856 valid ones were returned with a response rate of 91.0%,including 110 general practice team leaders and 749 were GPs.The SEM analysis showed that some dimensions of the management ability of the general practice team leader had significant effect on the employee organization loyalty(organizational management:β=0.37,teaching and research management:β=-0.29,strategy and cultural construction:β=0.23,personal quality:β=0.11)and work performance(special business management:β=0.95,organizational management:β=0.54)(all P<0.05);and employee organization loyalty played a partial mediator role in relationship between leadership of general practice team leaders and work performance with a mediating effect of 39.50%.Conclusion The management ability of the general practice team leader directly affect or indirectly affect the work performance of team members through team members′organizational loyalty.

关 键 词：社区卫生中心 全科团队长 管理能力 组织忠诚 工作绩效 结构方程模型 

分 类 号：R195[医药卫生—卫生统计学]