Primary care provider's job satisfaction and organizational commitment after COVID-19 restrictions ended: A mixed-method study using a mediation model

Frontiers in Psychology

article

Quan Wang¹  Xinyu Liu⁴  Ting Wang⁵  Zemeng Zhu⁶  Li Yang⁵  Shasha Guo¹  Hui Li¹  Qiang Sun¹ 

[1] Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University;National Health Commission ,(NHC) Key Lab of Health Economics and Policy Research, Shandong University;Institute of Health Policy, Management and Evaluation ,(IHPME), Dalla Lana School of Public Health, University of Toronto;Jinan Municipal Center for Disease Control and Prevention;School of Public Health, Peking University;School of Basic Medicine Science, Shandong University;School of Integrated Traditional Chinese and Western Medicine, Binzhou Medical University

关键词: Primary care provider;    Job Satisfaction;    organizational commitment;    COVID-19;    mixed method;    Mediation model;   

DOI  :  10.3389/fpsyg.2022.873770

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objectives: More and more countries have decided to cancel most even all COVD-19 restriction. However, how ending of restrictions will impact primary care providers’ job satisfaction and organizational commitment is still unclear. Our objectives are to explore the current status and possible change of primary care providers’ job satisfaction and organizational commitment after massive restriction policies ended in China. Methods: This was a mixed-method study that utilized structured questionnaires and semi-structured qualitative individual interviews. The 20-item Minnesota Satisfaction Questionnaire (MSQ) and 25-item organizational commitment survey were adopted to assess job satisfaction and organization commitment. Descriptive statistics and mediation models, as well as inductive thematic analysis, were used to analyze quantitative and qualitative data. Results: A total 18 interviews and 435 valid survey responses were included in our analysis. The average scores for job satisfaction and organizational commitment were 80.6 and 90.8. One major theme emerged from the thematic analysis, ethical and moral responsibility to providing care as primary care providers, which we established a mediation model on. The mediation analysis revealed that normative commitment could positively affect other 4 dimensions of organizational commitment and job satisfaction. The direct effect of affective commitment on job satisfaction was significant (LLCI=0.11, ULCI=0.31), the mediators identified to have a partial mediating effect instead of total mediating effect. Conclusions: After COVID-19 restrictions end, the job satisfaction and organizational commitment of primary care providers will return to levels before the pandemic and during this estimated process, a brief rise in resignation is predictable. The normative commitment positively affects the other 4 dimensions of organizational commitment and job satisfaction for primary care providers, which suggests a possible way to motivate primary care providers when restrictions end.

【 授权许可】

CC BY