Do Challenge Stress and Hindrance Stress Affect Quality of Health Care? Empirical Evidence from China

Tengyang Ma, Tianan Yang, Yilun Guo, Yifei Wang and Jianwei Deng
Additional contact information
Tengyang Ma: School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China
Tianan Yang: School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China
Yilun Guo: School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China
Yifei Wang: School of Humanities, Beijing Institute of Technology, Beijing 100081, China
Jianwei Deng: School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China

IJERPH, 2018, vol. 15, issue 8, 1-11

Abstract: Severe job stress has adverse effects on the health of Chinese healthcare workers. We investigated associations between job stress, health, and quality of health care among Chinese healthcare workers. To analyze associations between stress, health, and quality of health care among healthcare workers in 74 Chinese hospitals, we surveyed 2426 healthcare workers of primary, secondary, and tertiary hospitals in Western, Central, and Eastern China in 2017. Structural equation modelling was used to examine relationships between job stress, health, and quality of health care. The mediating effect of health on the association between job stress and quality of health care was examined with the Sobel test. In the final model, health had a moderate direct positive effect on the quality of health care (β = 0.24; p < 0.001). Challenge stress had a direct inverse effect on health (β = −0.05; p < 0.05) and a significant direct positive effect on the quality of health care (β = 0.26; p < 0.001). Hindrance stress had a significant inverse effect on health (β = −0.37; p < 0.001) and a moderate inverse effect on the quality of health care (β = −0.19; p < 0.001). The correlation between challenge stress and hindrance stress was significant and positive (β = 0.59; p < 0.001). A partial mediation effect was in the final model. The health status of healthcare workers is an important concern at all levels of Chinese hospitals. To improve quality of healthcare, appropriate challenge stress is recommended among young staff, and interventions targeting hindrance stress should be developed and implemented in all hospital departments.

Keywords: challenge stress; hindrance stress; health; quality of health care; Chirurgisches Qualitätssiegel (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/15/8/1628/pdf (application/pdf)
https://www.mdpi.com/1660-4601/15/8/1628/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:15:y:2018:i:8:p:1628-:d:161410

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().