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The organization-level and physician-level factors associated with primary care physicians’ confidence in pandemic response: A multilevel study in China

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  • Haiming Chen
  • Tiange Xu
  • Rebecca Mitchell
  • Huiyun Yang
  • Zhongliang Zhou
  • Xiaolin Wei
  • Wenhua Wang

Abstract

Primary care physicians (PCPs) suffered from heavy workloads and health problems during COVID-19 pandemics, and building their confidence in pandemic response has great potential to improve their well-being and work performance. We identified the organizational factors associated with their confidence in pandemic response and proposed potential management levers to guide primary care response for the pandemic. We conducted a cross-sectional survey with 224 PCPs working in 38 community health centers in China. Guided by self-efficacy theory, organization-level factors (organizational structure and organizational culture) and physician-level factors (job skill variety, perceived organizational support, work-family conflict, and professional fulfillment) were selected, and two-level ordinal logit models were built to examine their association with PCPs’ confidence in pandemic response. We found that hierarchical culture (OR = 3.51, P

Suggested Citation

  • Haiming Chen & Tiange Xu & Rebecca Mitchell & Huiyun Yang & Zhongliang Zhou & Xiaolin Wei & Wenhua Wang, 2024. "The organization-level and physician-level factors associated with primary care physicians’ confidence in pandemic response: A multilevel study in China," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-13, February.
    • Handle: RePEc:plo:pone00:0295570
    DOI: 10.1371/journal.pone.0295570
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    1. Chan, Kwok Bun & Lai, Gina & Ko, Yiu Chung & Boey, Kam Weng, 2000. "Work stress among six professional groups: the Singapore experience," Social Science & Medicine, Elsevier, vol. 50(10), pages 1415-1432, May.
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