ArticleBMC health services research2021
Status, causes and consequences of physicians' self-perceived professional reputation damage in China: a cross-sectional survey.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Proactive personality and career crafting in Chinese medical professionals: a conditional process model of occupational stigma and organizational career management.Frontiers in psychology · 2026Article
- Impact of News Portrayals of Physicians as Vulnerable on the Public's Evaluation and Trust in Physicians Under Different Involvement Levels: Quantitative Study.Journal of medical Internet research · 2025Article
- Assessing professional behaviors: a self-administered scale for medical students during clerkships.BMC medical education · 2024Article
- How can physicians' professional reputation be damaged? Patients', nurses' and physicians' viewpoints.Journal of medical ethics and history of medicine · 2024Article
- The Role of Subjective Wellbeing in Mediating Social Trust to the Mental Health of Health Workers.Healthcare (Basel, Switzerland) · 2023Article
- High prevalence and risk factors of dropout intention among Chinese medical postgraduates.Medical education online · 2022Article
- Communication Skills (CS) training of physicians in China and its role in actual challenges of patient-physician relationship: a cross-sectional survey.BMC medical education · 2022Article
- Current Status of Intergroup Threats Perceived by Chinese Physicians and Its Association with Organizational Psychology, Behavior, and Well-Being during the COVID-19 Pandemic: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2022Article
- Antecedents, Consequences, and the Role of Third Parties in the Trust Repair Process: Evidence Taken from Orthodontics.Healthcare (Basel, Switzerland) · 2022Article
- Development of the Chinese Version of the Physician Internalized Occupational Stigma Scale (PIOSS).Psychology research and behavior management · 2022Article
- Patient Trust and Reputation Management in Dental and Ophthalmology Practices.Romanian journal of ophthalmologyArticle
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundConflict between physicians and patients is an increasingly serious problem, leading to the disrepute attached to Chinese physicians' social image and position. This study assesses the status of physicians' self-perceived professional reputation damage and explains it's the adverse outcomes including withdrawal behavior and workplace well-being. Moreover, potential causes of Chinese physicians' disrepute have been outlined.
methodsPrimary data were collected through a cross-sectional online survey of physicians from 10 provinces in China, who were invited to complete an anonymous survey from December 2018 to January 2019. A total of 842 physicians (effective response rate: 92.22%) were recruited as participants.
resultsAbout 83% of the participants self-perceived professional reputation damage from the sense of the public opinion concept. Approach half of participants exhibited the idea of turnover intention (47.3%) and one or more symptoms of burnout (46.4%). About 74.9% of the participants experienced a degree of stress. Additionally, three out of five participants reported low-level subjective well-being. More than 70% of the participants disapproved of their offspring becoming a physician. Four factors leading to physicians' damaged professional reputations are those addressed: conflict transfer, cognitive bias, improper management, and individual deviance. Stigmatised physicians are more likely to practice high-frequent defensive medicine (β = 0.172, P <0.001), intend to leave the profession (β = 0.240, P <0.001), disapprove of their children becoming physicians (β = 0.332, P<0.001) and yield worse levels of workplace well-being, including high levels of perceived stress (β = 0.214, P <0.001), increasing burnout (β = 0.209, P <0.001), and declining sense of well-being (β = - 0.311, P<0.001).
conclusionChinese physicians were aware of damaged professional reputations from the sense of the public opinion concept, which contributes to increasing withdrawal behaviors and decreasing workplace well-being-a worsening trend threatening the entire health system. This novel evidence argues a proposal that Chinese health policy-makers and hospital administrators should promote the destigmatization of physicians immediately.
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