Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey
Abstract Background Conflict between physicians and patients is an increasingly serious problem, leading to the disrepute attached to Chinese physicians’ social image and position. This study assesses the status of physicians’ self-perceived professional reputation damage and explains it’s the adver...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2021-04-01
|
Series: | BMC Health Services Research |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12913-021-06306-6 |
id |
doaj-5f558d586ffd4c47861b183bdfd61aa0 |
---|---|
record_format |
Article |
spelling |
doaj-5f558d586ffd4c47861b183bdfd61aa02021-04-18T11:09:24ZengBMCBMC Health Services Research1472-69632021-04-0121111310.1186/s12913-021-06306-6Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional surveyTao Sun0Jinghui Wang1Shu’e Zhang2Yu Shi3Bei Liu4Xiaohe Wang5Department of Health Management to School of Medicine, Hang Zhou Normal UniversityCollege of Health Management of Harbin Medical UniversityCollege of Health Management of Harbin Medical UniversityCollege of Health Management of Harbin Medical UniversityDepartment of Epidemiology and Health Statistics, School of Public Health, Peking UniversityDepartment of Health Management to School of Medicine, Hang Zhou Normal UniversityAbstract Background Conflict between physicians and patients is an increasingly serious problem, leading to the disrepute attached to Chinese physicians’ social image and position. This study assesses the status of physicians’ self-perceived professional reputation damage and explains it’s the adverse outcomes including withdrawal behavior and workplace well-being. Moreover, potential causes of Chinese physicians’ disrepute have been outlined. Methods Primary data were collected through a cross-sectional online survey of physicians from 10 provinces in China, who were invited to complete an anonymous survey from December 2018 to January 2019. A total of 842 physicians (effective response rate: 92.22%) were recruited as participants. Results About 83% of the participants self-perceived professional reputation damage from the sense of the public opinion concept. Approach half of participants exhibited the idea of turnover intention (47.3%) and one or more symptoms of burnout (46.4%). About 74.9% of the participants experienced a degree of stress. Additionally, three out of five participants reported low-level subjective well-being. More than 70% of the participants disapproved of their offspring becoming a physician. Four factors leading to physicians’ damaged professional reputations are those addressed: conflict transfer, cognitive bias, improper management, and individual deviance. Stigmatised physicians are more likely to practice high-frequent defensive medicine (β = 0.172, P <0.001), intend to leave the profession (β = 0.240, P <0.001), disapprove of their children becoming physicians (β = 0.332, P<0.001) and yield worse levels of workplace well-being, including high levels of perceived stress (β = 0.214, P <0.001), increasing burnout (β = 0.209, P <0.001), and declining sense of well-being (β = − 0.311, P<0.001). Conclusion Chinese physicians were aware of damaged professional reputations from the sense of the public opinion concept, which contributes to increasing withdrawal behaviors and decreasing workplace well-being—a worsening trend threatening the entire health system. This novel evidence argues a proposal that Chinese health policy-makers and hospital administrators should promote the destigmatization of physicians immediately.https://doi.org/10.1186/s12913-021-06306-6Chinese physiciansDeteriorating patient-provider relationshipDamaged professional reputationWithdrawal behaviorWorkplace well-beingCross-sectional design |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tao Sun Jinghui Wang Shu’e Zhang Yu Shi Bei Liu Xiaohe Wang |
spellingShingle |
Tao Sun Jinghui Wang Shu’e Zhang Yu Shi Bei Liu Xiaohe Wang Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey BMC Health Services Research Chinese physicians Deteriorating patient-provider relationship Damaged professional reputation Withdrawal behavior Workplace well-being Cross-sectional design |
author_facet |
Tao Sun Jinghui Wang Shu’e Zhang Yu Shi Bei Liu Xiaohe Wang |
author_sort |
Tao Sun |
title |
Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey |
title_short |
Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey |
title_full |
Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey |
title_fullStr |
Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey |
title_full_unstemmed |
Status, causes and consequences of physicians’ self-perceived professional reputation damage in China: a cross-sectional survey |
title_sort |
status, causes and consequences of physicians’ self-perceived professional reputation damage in china: a cross-sectional survey |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2021-04-01 |
description |
Abstract Background Conflict between physicians and patients is an increasingly serious problem, leading to the disrepute attached to Chinese physicians’ social image and position. This study assesses the status of physicians’ self-perceived professional reputation damage and explains it’s the adverse outcomes including withdrawal behavior and workplace well-being. Moreover, potential causes of Chinese physicians’ disrepute have been outlined. Methods Primary data were collected through a cross-sectional online survey of physicians from 10 provinces in China, who were invited to complete an anonymous survey from December 2018 to January 2019. A total of 842 physicians (effective response rate: 92.22%) were recruited as participants. Results About 83% of the participants self-perceived professional reputation damage from the sense of the public opinion concept. Approach half of participants exhibited the idea of turnover intention (47.3%) and one or more symptoms of burnout (46.4%). About 74.9% of the participants experienced a degree of stress. Additionally, three out of five participants reported low-level subjective well-being. More than 70% of the participants disapproved of their offspring becoming a physician. Four factors leading to physicians’ damaged professional reputations are those addressed: conflict transfer, cognitive bias, improper management, and individual deviance. Stigmatised physicians are more likely to practice high-frequent defensive medicine (β = 0.172, P <0.001), intend to leave the profession (β = 0.240, P <0.001), disapprove of their children becoming physicians (β = 0.332, P<0.001) and yield worse levels of workplace well-being, including high levels of perceived stress (β = 0.214, P <0.001), increasing burnout (β = 0.209, P <0.001), and declining sense of well-being (β = − 0.311, P<0.001). Conclusion Chinese physicians were aware of damaged professional reputations from the sense of the public opinion concept, which contributes to increasing withdrawal behaviors and decreasing workplace well-being—a worsening trend threatening the entire health system. This novel evidence argues a proposal that Chinese health policy-makers and hospital administrators should promote the destigmatization of physicians immediately. |
topic |
Chinese physicians Deteriorating patient-provider relationship Damaged professional reputation Withdrawal behavior Workplace well-being Cross-sectional design |
url |
https://doi.org/10.1186/s12913-021-06306-6 |
work_keys_str_mv |
AT taosun statuscausesandconsequencesofphysiciansselfperceivedprofessionalreputationdamageinchinaacrosssectionalsurvey AT jinghuiwang statuscausesandconsequencesofphysiciansselfperceivedprofessionalreputationdamageinchinaacrosssectionalsurvey AT shuezhang statuscausesandconsequencesofphysiciansselfperceivedprofessionalreputationdamageinchinaacrosssectionalsurvey AT yushi statuscausesandconsequencesofphysiciansselfperceivedprofessionalreputationdamageinchinaacrosssectionalsurvey AT beiliu statuscausesandconsequencesofphysiciansselfperceivedprofessionalreputationdamageinchinaacrosssectionalsurvey AT xiaohewang statuscausesandconsequencesofphysiciansselfperceivedprofessionalreputationdamageinchinaacrosssectionalsurvey |
_version_ |
1721522615337615360 |