loading page

Impact of Human Resource Management Reform in Public Hospital on Work Performance and Work-home Conflicts of Physicians in China
  • +6
  • Yuan Liang,
  • Liping Han,
  • Xiaoyu Wang,
  • Yimei Zhu,
  • Fang Wang,
  • Jing Liang,
  • Beizhu Ye,
  • Xi Zhu,
  • Zixin Wang
Yuan Liang
Huazhong University of Science and Technology Tongji Medical College

Corresponding Author:[email protected]

Author Profile
Liping Han
Huazhong University of Science and Technology Tongji Medical College
Author Profile
Xiaoyu Wang
Huazhong University of Science and Technology Tongji Medical College
Author Profile
Yimei Zhu
University of Leicester School of Media Communication and Sociology
Author Profile
Fang Wang
Xuzhou Medical University
Author Profile
Jing Liang
Hubei Academy of Forestry
Author Profile
Beizhu Ye
Zhengzhou University
Author Profile
Xi Zhu
University of California Los Angeles Department of Health Policy and Management
Author Profile
Zixin Wang
The Chinese University of Hong Kong The Jockey Club School of Public Health and Primary Care
Author Profile


Objectives To explore the impact of two measures of human resource management reform, namely market-oriented employment status(MOES) and equal pay for equal work(EPEW) with work performance and work-family conflicts among physicians in public hospital in China. Methods We conducted a national cross-sectional survey in 77 public hospitals across seven provinces in China between July 2014 and April 2015, and 2785 physicians involved in this study. Work performance included work engagement, career attrition and patient-centered care. Work-family conflicts were composed of affecting care for family, feeling guilty towards family and receiving complaints from family. RESULTS Participants with MOES only account for 20.25%, those with EPEW only account for 10.36% and those with MOES & EPEW account for 4.35%. After adjusted for potential confounders, compared with those who had no experience of human resource reform measures, participants who had experiences of MOES & EPEW were more likely to report positive work performance (pride in work: aOR = 4.35, 95% CI :2.60–7.28; enjoyment of work: aOR = 4.46, 95% CI :2.71–7.35; turnover intention: aOR = 0.40, 95% CI :0.25–0.65; early retirement: aOR = 0.35, 95% CI: 0.21–0.58; exhaustion: aOR = 0.50, 95% CI :0.31–0.81) and negative work-family conflicts (feeling guilty towards family: aOR = 0.45, 95% CI :0.2810.73; receiving complaints from family: aOR = 0.52, 95% CI :0.32–0.85). Analysis stratified by age ≥35y and <35y showed that the human resource reform measures would have a higher effect on participants age ≥35y compared with those age <35y. CONCLUSIONS The differences stratified by age would reveal that salary system reform may need to be accelerated further and employment system reform may need to be appropriately slowed down, and accordingly, perfecting spiritual incentives measures would be needed to overcome the decline of their effect over time in the future.