DOI: https://doi.org/10.21203/rs.3.rs-506574/v1
Background: With the continuous deepening of the new medical reform, the hospital management system has changed, and there have been corresponding changes at the organisational and individual levels. As the main body of medical services, how to effectively motivate physicians is an important issue for hospital management.
Purpose: the purpose of this research was to investigate the correlation mechanism between psychological contract violation and the EVLN behavior of physicians in tertiary public hospitals and explore new ideas for encouraging physicians, and provides governance and intervention strategies for management in hospitals.
Methodology: Based on related theories such as psychological contract, this research used the stratified cluster sampling method to survey a total of 321 physicians in four public hospitals in Beijing, established an Excel database, and used Stata15.0 to construct regression models to analyse the correlation mechanism between psychological contract violation and the EVLN behavior of physicians in tertiary public hospitals.
Findings: Psychological contract violation has a positive effect on exit behavior and neglect behavior, and a negative effect on voice behavior and loyalty behavior. Organisational justice has a mediating effect on the direct correlation mechanism models.
Practice Implications: Our results suggest that it is necessary to pay attention to the psychological contract violation of physicians, build a good psychological contract relationship between public hospitals and physicians, and make full use of the role of organisational justice to promote positive behaviors of physicians, and moreover to prevent and curb negative behaviors of physicians.