Research on the Impact of Hospital Organizational Behavior on Physicians' Patient-centered Care

Research on the Impact of Hospital Organizational Behavior on Physicians' Patient-centered Care | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Research on the Impact of Hospital Organizational Behavior on Physicians' Patient-centered Care Pengwei Zhang Zhang, Haotong Zhang, Angyang Wang Wang This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-5750756/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 11 Jun, 2025 Read the published version in Archives of Public Health → Version 1 posted 6 You are reading this latest preprint version Abstract Objectives This study seeks to examine the impact of hospital organizational behavior on Physicians' Patient-centered care and aims to offer innovative insights and strategies for enhancing the quality of healthcare services. Methods A conceptual model was developed based on organizational behavior theory. Data were collected via questionnaires from 10 large public hospitals in China, encompassing eight independent variables, including hospital organizational culture, change behavior, and motivational behavior, as well as moderating variables like physician title and control variables such as personality traits. SPSS software was used for descriptive statistics, correlation analysis, covariance testing, and multiple linear regression analysis. Results (1) The study of the 10 large public hospitals revealed a coexistence of four types of organizational cultures. Support-oriented and innovation-oriented cultures were dominant, followed by rule-oriented cultures, while goal-oriented cultures scored relatively low. Additionally, these hospitals showed effective organizational change behaviors in technology and resource optimization, as well as inter-professional teamwork. Incentives related to employee welfare systems and development programs also demonstrated high implementation effectiveness. (2) Supportive and innovation-oriented hospital cultures positively influence Physicians' Patient-centered care, while goal-oriented cultures negatively impact Physicians' Patient-centered care. (3) In public hospitals, organizational change behaviors such as technology and resource optimization, along with inter-professional teamwork, positively influence Physicians' Patient-centered care. Additionally, organizational incentives like employee welfare systems and training programs enhance Physicians' Patient-centered care. (4) The moderating variable of physician title negatively affects the relationship between the employee welfare system and Physicians' Patient-centered care, as well as the relationship between the staff development program and Physicians' Patient-centered care. Conclusions Hospital organizational behavior significantly impacts Physicians’ Patient-centered care. Supportive and innovative cultures, effective change behaviors, and incentives enhance Physicians’ Patient-centered care. Addressing limited resources and high demand is essential for optimizing healthcare service quality. Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 11 Jun, 2025 Read the published version in Archives of Public Health → Version 1 posted Editorial decision: Revision requested 15 Apr, 2025 Reviews received at journal 15 Apr, 2025 Reviewers agreed at journal 15 Apr, 2025 Reviewers invited by journal 15 Apr, 2025 Submission checks completed at journal 09 Apr, 2025 First submitted to journal 06 Apr, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5750756","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":443061536,"identity":"36ba0a6c-6995-4f28-bac8-d0f5d14b8fe9","order_by":0,"name":"Pengwei Zhang Zhang","email":"","orcid":"","institution":"","correspondingAuthor":false,"prefix":"","firstName":"Pengwei","middleName":"Zhang","lastName":"Zhang","suffix":""},{"id":443061537,"identity":"665ad790-c38b-44d5-8747-c4223c39eb54","order_by":1,"name":"Haotong Zhang","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAy0lEQVRIiWNgGAWjYBAC++PNBx98qJCQ42dvIFbPmWPJhjPOWBhL9hwgVssNHzNp3paKxA03EojUwTiDAailQYJx5szHG28w1NhEE9TCLN2QbDl3hwQzv3RasQXDsbTcBkJa2GQOHLzx9owEm+TsHDMJxobDhLXwSCQ2SPC2SfAY3DxDpBYJiWQmSaAWCYMbPERqMeA5xgwMZAkDyR6gXxKI8YsBe/9HYFTW1fezH95440ONDWEtKNolEkhRDtFCqo5RMApGwSgYGQAAGipBUKHoZtEAAAAASUVORK5CYII=","orcid":"","institution":"","correspondingAuthor":true,"prefix":"","firstName":"Haotong","middleName":"","lastName":"Zhang","suffix":""},{"id":443061538,"identity":"1f8af9e7-e5c0-408b-b253-ca4b6b97994d","order_by":2,"name":"Angyang Wang Wang","email":"","orcid":"","institution":"","correspondingAuthor":false,"prefix":"","firstName":"Angyang","middleName":"Wang","lastName":"Wang","suffix":""}],"badges":[],"createdAt":"2025-01-02 09:53:45","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-5750756/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-5750756/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s13690-025-01620-5","type":"published","date":"2025-06-11T15:57:22+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":84726474,"identity":"724e5ec3-26fa-466b-a706-fef70f058540","added_by":"auto","created_at":"2025-06-16 16:05:27","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":436316,"visible":true,"origin":"","legend":"","description":"","filename":"ResearchontheImpactofHospitalOrganizationalBehavioronPhysiciansPatientcenteredcare.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5750756/v1_covered_6bef4aa0-3572-4cfb-9782-e4251927399e.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Research on the Impact of Hospital Organizational Behavior on Physicians' Patient-centered Care","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"archives-of-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"aoph","sideBox":"Learn more about [Archives of Public Health](http://archpublichealth.biomedcentral.com/)","snPcode":"13690","submissionUrl":"https://submission.nature.com/new-submission/13690/3","title":"Archives of Public Health","twitterHandle":"@Archpubhealth","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-5750756/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5750756/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eObjectives\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study seeks to examine the impact of hospital organizational behavior on Physicians' Patient-centered care and aims to offer innovative insights and strategies for enhancing the quality of healthcare services.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA conceptual model was developed based on organizational behavior theory. Data were collected via questionnaires from 10 large public hospitals in China, encompassing eight independent variables, including hospital organizational culture, change behavior, and motivational behavior, as well as moderating variables like physician title and control variables such as personality traits. SPSS software was used for descriptive statistics, correlation analysis, covariance testing, and multiple linear regression analysis.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e(1) The study of the 10 large public hospitals revealed a coexistence of four types of organizational cultures. Support-oriented and innovation-oriented cultures were dominant, followed by rule-oriented cultures, while goal-oriented cultures scored relatively low. Additionally, these hospitals showed effective organizational change behaviors in technology and resource optimization, as well as inter-professional teamwork. 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Additionally, organizational incentives like employee welfare systems and training programs enhance Physicians' Patient-centered care.\u003c/p\u003e\n\u003cp\u003e(4) The moderating variable of physician title negatively affects the relationship between the employee welfare system and Physicians' Patient-centered care, as well as the relationship between the staff development program and Physicians' Patient-centered care.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eHospital organizational behavior significantly impacts Physicians’ Patient-centered care. Supportive and innovative cultures, effective change behaviors, and incentives enhance Physicians’ Patient-centered care. 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