重大公共卫生事件下付出—回报失衡对基层医务人员韧性的影响研究  

The Influence of Cost-Return Imbalance on Grassroots Health Workers'Resilience in the Context of Major Public Health Events

作　　者：王冬 史卢少博 WANG Dong;SHI Lushaobo

机构地区：[1]南方医科大学卫生管理学院

出　　处：《暨南学报（哲学社会科学版）》2023年第5期99-114,共16页Jinan Journal(Philosophy and Social Sciences)

基　　金：国家社会科学基金重大项目“完善重大疫情防控救治体系研究”(22ZDA104)。

摘　　要：重大公共卫生事件下,员工韧性对于组织应对外部环境冲击具有重要意义。基层医务人员韧性的培育对于医疗系统良性健康发展愈发关键。利用769份基层医务人员调查数据实证分析重大公共卫生事件情境下基层医务人员工作付出—回报失衡与韧性关系,结果发现:工作付出—回报失衡直接负向作用于韧性;社会支持在工作付出—回报失衡与韧性之间发挥正向中介作用;工作风险感知在工作付出—回报失衡与韧性之间发挥着正向调节作用。即与低工作风险感知相比,高工作风险感知会一定程度缓和疫情防控工作付出—回报失衡对基层医务人员韧性的负向影响。重大公共卫生事件下,需通过政策有效干预基层医务人员的工作—付出回报失衡状况,并从组织和社会提供支持性环境,辅以心理素质和技能素养培训,全方位培育基层医务人员韧性。The cultivation of employee resilience is increasingly critical to the long-term development of organizations.As a characteristic factor of work,work cost-return imbalance has been confirmed to affect staff resilience.However,there are few literature on the resilience behavior mechanism of medical staff in the context of public health events.Especially,there is a lack of studies on the resilience of grassroots health workers in the context of epidemic prevention and control.Based on 769 survey data of grassroots health workers,this paper empirically analyzed the relationship between the imbalance of work cost-return and resilience of grassroots health workers in the context of major public health events.The results showed that the disequilibrium of work cost-return directly negatively affected resilience.Social support plays a positive mediating role in the relationship between work cost-return imbalance and resilience.Job risk perception plays a positive role in moderating the relationship between work cost-return imbalance and job resilience.That is,compared with low job risk perception,high job risk perception can mitigate the negative impact of the disequilibrium of work cost-return in epidemic prevention and control work on the resilience of grassroots medical staff to some extent.Compared with the existing studies,this paper expands in three aspects:First,it integrates the theory of cost-return imbalance and the theory of resilience,explores the work characteristic factors affecting the resilience of grassroots health workers,and expands the previous research on the mechanism of staff resilience behavior from a new perspective.The second is to reveal the protective role of social support in the process of work cost-return imbalance affecting the resilience of grassroots health workers,and propose suggestions to strengthen workplace support and social network construction to improve the resilience of medical staff in response to major public health events.Third,different from most previous studies,this paper

关 键 词：基层医务人员 付出—回报失衡 员工韧性 社会支持 工作风险感知 

分 类 号：C93[经济管理—管理学]