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Effect of public hospital managers' risk and gain perception on their attitude towards physician dual practice: a cross-national study in 31 provinces of China.
Yu, Yuanyuan; Cho, William C S; Liu, Qiaoman; Fan, Xiaojing; Chen, Xiaolin; Yu, Xihe; Lv, Yijun; Zhang, Xiumin.
Afiliação
  • Yu Y; School of public health, Jilin University, No.1163 Xinmin Street, Chaoyang District, Changchun, 130000, Jilin Province, China.
  • Cho WCS; First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang, Ouhai District, Wenzhou, 325000, Zhejiang Province, China.
  • Liu Q; Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong, SAR, China.
  • Fan X; Jiangsu Vocational Institute of Commerce, No.180 Longmian Street, Jiangning District, Nanjing, 210012, China.
  • Chen X; School of Public Policy and Administration, Xi'an Jiaotong University, No. 28 Xianning West Road, Xi'an, 710049, Shaanxi, China.
  • Yu X; Wenzhou Medical University, Nanbaixiang, Ouhai District, Wenzhou, 325000, Zhejiang Province, China.
  • Lv Y; School of public health, Jilin University, No.1163 Xinmin Street, Chaoyang District, Changchun, 130000, Jilin Province, China.
  • Zhang X; Wenzhou Medical University, Nanbaixiang, Ouhai District, Wenzhou, 325000, Zhejiang Province, China.
BMC Public Health ; 20(1): 1099, 2020 Jul 13.
Article em En | MEDLINE | ID: mdl-32660464
ABSTRACT

BACKGROUND:

This study aims to explore the effect of public hospital managers' risk and gain perception on their attitude towards physician dual practice (PDP).

METHODS:

A cross-sectional study enrolling 1513 managers from public hospitals in the East, Middle and West of China was conducted. Generalized linear mixed models (GLMM) were used to identify the determinants of managers' support for PDP.

RESULTS:

The rate of managers' support for allowing PDP or implementing PDP with restriction, was 94.3% (95% CI 0.93, 0.95). The mean score of managers' risk perception was 67.7 ± 14.46, and the mean score of managers' gain perception was 24.0 ± 5.56. After controlling for individual and institutional characteristics, the GLMM presented the score for risk perception increased 1 score and the rate of managers' support for PDP decreased by 5% (OR = 0.95, 95% CI 0.93, 0.97); while the score for gain perception increased 1 score and the rate of managers' support increased by 18% (OR = 1.18, 95% CI 1.12, 1.24).

CONCLUSIONS:

Our data demonstrate that the majority of Chinese public hospital managers are in favor of allowing or implementing PDP with restrictions. Although gain perception is comparatively weaker than risk perception, a stronger influence in determining public hospital managers' support for PDP is demonstrated.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Médicos / Setor Público / Setor Privado / Administradores Hospitalares / Hospitais Públicos Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Médicos / Setor Público / Setor Privado / Administradores Hospitalares / Hospitais Públicos Idioma: En Ano de publicação: 2020 Tipo de documento: Article