Exploring Doctors’ Motivation of Value-based Health Care Services in Public Hospitals in China——Concept, Structure and Measurement

Corresponding author: Yang Yongzheng, yongzheng_yang@ruc.edu.cn

DOI: 10.12201/bmr.202403.00004

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  Abstract: The Healthy China construction initiative highlights the concept of patient-centered value-based health care, and the value appeal of doctors medical service is also increasing. This study attempts to introduce the concept of public service motivation in general public organizations into professional public healthcare organizations——public hospitals, and proposes the concept of value-based medical service motivation as an expression of public service motivation for doctors in public hospitals. Through qualitative analysis and quantitative measurement, this paper constructs the concept of public hospital doctors value-based medical service motivation, finds its conceptual structure, namely responsibility commitment, professional adherence, reputation maintenance, and norm compliance, and finally forms a value-based medical service motivation scale. This paper confirms that doctors in public hospitals in China have multi-dimensional value-based medical service motivation, present different motivational expressions or behavioral tendencies, and constantly deal with and balance the public value tensions in the practice of realizing the patient-centered value-based medical goal. This scale provides an effective tool for measuring doctors value-based service motivation, and provides theoretical and practical support for further investigating the influencing factors of doctors motivation for value-based medical services, improving the medical service capacity of public hospitals, adjusting medical behavior, and advancing doctor-patient trust.

  Key words: Value-based Medical Services; Doctors in Public Hospitals; Public Service Motivation; Scale Development; Mixed Research

  Submit time: 7 March 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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