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A structural equation model analysis of the influence of learning organization construction for primary care physicians
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Yunlong SUO, Chaoyi CHEN, Zhanchun FENG
Chinese Journal of Public Health | 2025, 41(3) : 303 - 310
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Chinese Journal of Public Health | 2025, 41(3): 303-310
• Epidemiological Research •
A structural equation model analysis of the influence of learning organization construction for primary care physicians
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Yunlong SUO, Chaoyi CHEN, Zhanchun FENG
Affiliations
  • School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Published: 2025-03-10 doi: 10.11847/zgggws1143377
Outline
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Objective

To analyze the influence of primary care physicians′ professional identity and job resilience on the construction of learning organizations, and to provide a reference for the reform of primary healthcare supply-side capacity.

Methods

From August to October 2022, 400 primary care physicians were selected from Yichang in Hubei province, Zhongmu in Henan province, Neijiang in Sichuan province, and Jinan in Shandong province using purposive sampling. Structural equation modeling was constructed using AMOS 28 software to analyze the influencing factors of learning organization construction among primary care physicians.

Results

A total of 387 valid questionnaires were collected from primary care physicians, of which 27.65% (107 individuals) were classified as high-learning primary care physicians. Primary care physicians with senior professional titles (36 individuals), bachelor′s degree or above (212 individuals), monthly income >5 000 yuan (97 individuals), and more than 10 years of working experience (105 individuals) had a higher proportion of high-learning individuals within their respective groups compared to other types, at 36.11%, 29.72%, 31.56%, and 30.48%, respectively, demonstrating stronger active learning awareness and active service behavior. Structural equation analysis showed that primary care physicians′ professional identity and job resilience had direct effects on the construction of learning organizations, with effect values of 0.255 and 0.273, respectively (both P<0.01). Simultaneously, professional identity positively influenced job resilience, with an effect value of 0.637 (P<0.001). Effect decomposition showed that professional identity could partially and positively affect the construction of learning organizations among primary care physicians through the mediating role of job resilience, with an indirect effect value of 0.174 (P<0.001).

Conclusions

Currently, the construction of learning organizations among primary care physicians needs to be further strengthened. Comprehensively cultivating and shaping primary care physicians′ professional identity and job resilience can effectively enhance their active learning awareness and active service behavior, thereby contributing to the overall framework of supply-side structural reform in the primary healthcare system.

primary care physicians  /  professional identity  /  job resilience  /  learning organization
索云龙, 陈超亿, 冯占春. 基层医生学习型组织建设影响结构方程模型分析. 中国公共卫生, 2025 , 41 (3) : 303 -310 . DOI: 10.11847/zgggws1143377
Yunlong SUO, Chaoyi CHEN, Zhanchun FENG. A structural equation model analysis of the influence of learning organization construction for primary care physicians[J]. Chinese Journal of Public Health, 2025 , 41 (3) : 303 -310 . DOI: 10.11847/zgggws1143377
Year 2025 volume 41 Issue 3
83
39
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Article Info
doi: 10.11847/zgggws1143377
  • Receive Date:2023-10-23
  • Online Date:2026-10-25
  • Published:2025-03-10
Article Data
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History
  • Received:2023-10-23
  • Revised:2024-09-18
  • Accepted:2024-11-21
Affiliations
    School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

Corresponding:

FENG Zhanchun, E-mail:
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光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
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