激励机制对疾控工作者敬业度的影响研究  

Impact of incentive mechanisms on the engagement of infection control and prevention workers

作　　者：周卓钊 王文伶 林严 Zhou Zhuozhao;Wang Wenling;Lin Yan(Hainan Provincial Health Commission,Haikou 570000,Hainan Province,China;Hunan Normal University;Hainan Provincial Anning Hospital;Center for Disease Control and Prevention of Hainan)

机构地区：[1]海南省卫生健康委员会,海口570000 [2]湖南师范大学 [3]海南省安宁医院 [4]海南省疾控中心

出　　处：《中国医疗管理科学》2024年第5期31-37,共7页Chinese Journal Of Medical Management Sciences

基　　金：海南省哲学社会科学规划课题基金项目[HNSK(ZC)21-123]。

摘　　要：目的探索激励机制对疾控工作者敬业度的影响及作用机制。方法对海南省各级疾控中心549人进行问卷调查和统计分析。结果回归和中介效应分析结果显示,自我效能感在激励机制间与疾控工作者敬业度之间起部分中介作用;有调节的中介模型分析结果显示,自我效能感对激励机制与敬业度的中介作用显著(B=0.161,95%CI=0.074~0.247,P<0.05),即中介模型成立;组织公正感对激励机制和自我效能感关系的调节作用显著(B=0.026,95%CI=0.039~0.090,P<0.05),使用PROCESS程序进行事后检验,只有在高组织公正感的情况下(得分高于一个标准差)自我效能感的中介作用显著,低组织公正感的情况下中介效应也显著(P<0.05),即有调节的中介模型成立。结论激励机制不仅能直接影响疾控工作者敬业度,还能通过自我效能感间接影响敬业度,高水平的组织公正感能增强激励机制对疾控工作者敬业度的影响。Objective To investigate the impact and mechanisms of incentive mechanisms on the engagement of infection control and prevention workers(ICPWs).Methods A total of 549 ICPWs at Hainan Provincial Center for Disease Control and Prevention were surveyed,and the results were statistically analyzed.Results Regression and mediation analyses revealed that selfefficacy functioned as a partial mediator between incentive mechanisms and engagement.The moderated mediation model indicated that self-efficacy exhibited a significant mediating effect on the relationship between incentive mechanisms and engagement(B=0.161,95%CI=0.074~0.247,P<0.05),suggesting the establishment of a mediation model.The moderating effect of organizational justice on the association between incentive mechanisms and engagement was found to be significant(B=0.026,95%CI=0.039~0.090,P<0.05).The mediating effect of self-efficacy was observed to be significant only under conditions of high organizational justice(where the score exceeds one standard deviation)and low organizational justice(both P<0.05),indicating the establishment of a moderated mediation model.Conclusion The incentive mechanisms not only directly influence the engagement of ICPWs but also indirectly affects engagement through self-efficacy.A high level of organizational justice can amplify the impact of the incentive mechanisms on the engagement of ICPWs.

关 键 词：激励机制 敬业度 疾控工作者 自我效能感 组织公正感 海南省 

分 类 号：R19[医药卫生—卫生事业管理]