{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T10:15:20Z","timestamp":1769076920904,"version":"3.49.0"},"reference-count":47,"publisher":"Emerald","issue":"1","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JHOM"],"published-print":{"date-parts":[[2017,3,20]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>The purpose of this paper is twofold: first, to develop and test theory on how commitment human resource (HR) practices affect hospital professionals\u2019 job satisfaction that motivates them to generate desirable patient care and subsequently improve doctor-patient relationships (DPR) and second, to examine how commitment HR practices influence hospital managers and clinicians in different ways.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>Using a cross-sectional survey, the authors collected data from 508 clinicians and hospital managers from 33 tertiary public hospitals in China. Structural equation model was employed to test the relationships of the variables in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>Commitment HR practices positively affect the job satisfaction of the healthcare professionals surveyed and a positive relationship is perceived between job satisfaction and DPR. Overall, the model shows a reversal on the strongest path linking job satisfaction and DPR whereby managers\u2019 main association operates through extrinsic job satisfaction while for clinicians it occurs through intrinsic satisfaction only.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title><jats:p>DPR might be improved by applying commitment HR practices to increase healthcare professional\u2019s intrinsic and extrinsic satisfaction. In addition, while recognizing the importance of compensation and benefits to address the underpayment issue of Chinese healthcare professionals, empowerment and autonomy in work, and the use of subjects\u2019 expertise and skills may serve as stronger motivators for clinicians rather than hard economic incentives in achieving DPR improvements.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>This study contributes to the small but growing body of research on human resource management (HRM) in the healthcare sector with new evidence supporting the link between commitment HR practice and work attitudes, as well as work attitudes and patient care from the perspective of clinicians and hospital managers. This study represents an initial attempt to examine the associations among commitment HR practices, job satisfaction and DPR in the Chinese healthcare sector. The findings provide evidence to support the value of commitment HR practices in Chinese hospital context, and demonstrate the importance of effective HRM in improving both hospital managers and clinicians\u2019 work attitudes.<\/jats:p><\/jats:sec>","DOI":"10.1108\/jhom-09-2016-0165","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T04:31:05Z","timestamp":1488774665000},"page":"110-124","source":"Crossref","is-referenced-by-count":33,"title":["Doctor-patient relationships (DPR) in China"],"prefix":"10.1108","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2199-1400","authenticated-orcid":false,"given":"Shaozhuang","family":"Ma","sequence":"first","affiliation":[]},{"given":"Xuehu","family":"Xu","sequence":"additional","affiliation":[]},{"given":"Virginia","family":"Trigo","sequence":"additional","affiliation":[]},{"given":"Nelson J.C.","family":"Ramalho","sequence":"additional","affiliation":[]}],"member":"140","reference":[{"issue":"3","key":"key2020120821290791400_ref001","doi-asserted-by":"crossref","first-page":"670","DOI":"10.2307\/256705","article-title":"Effects of human resource systems on manufacturing performance and turnover","volume":"37","year":"1994","journal-title":"Academy of Management Journal"},{"issue":"16","key":"key2020120821290791400_ref002","doi-asserted-by":"crossref","first-page":"3038","DOI":"10.1080\/09585192.2013.775027","article-title":"Untangling the relationship between HRM and hospital performance: the mediating role of attitudinal and behavioural HR outcomes","volume":"24","year":"2013","journal-title":"International Journal of Human Resource Management"},{"issue":"3","key":"key2020120821290791400_ref003","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1177\/1038411110381667","article-title":"Does psychological empowerment mediate the relationship between high performance work systems and patient care quality in hospitals?","volume":"48","year":"2010","journal-title":"Asia Pacific Journal of Human Resources"},{"issue":"8","key":"key2020120821290791400_ref004","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1080\/0958519032000145828","article-title":"Human resource management, institutionalization and organizational performance: a comparison of hospitals, hotels and local government","volume":"14","year":"2003","journal-title":"International Journal of Human Resource Management"},{"issue":"2","key":"key2020120821290791400_ref005","first-page":"203","article-title":"Understanding HRM \u2013 firm performance linkages: the role of the \u2018strength\u2019 of the HRM system","volume":"29","year":"2004","journal-title":"Academy of Management Review"},{"issue":"1","key":"key2020120821290791400_ref006","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1207\/S15327574IJT0101_4","article-title":"Structural equation modeling with AMOS, EQS, and LISREL: comparative approaches to testing for the factorial validity of a measuring instrument","volume":"1","year":"2001","journal-title":"International Journal of Testing"},{"key":"key2020120821290791400_ref007","volume-title":"Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming","year":"2013"},{"issue":"1","key":"key2020120821290791400_ref008","first-page":"31","article-title":"Quality of worklife in Taiwan: an exploratory study","volume":"19","year":"2000","journal-title":"Management Review"},{"issue":"3","key":"key2020120821290791400_ref009","doi-asserted-by":"crossref","first-page":"544","DOI":"10.5465\/amj.2006.21794671","article-title":"Knowledge exchange and combination: the role of human resource practices in the performance of high-technology firms","volume":"49","year":"2006","journal-title":"Academy of Management Journal"},{"key":"key2020120821290791400_ref010","doi-asserted-by":"crossref","unstructured":"Cooke, F.L. and Bartram, T. 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