Evidence map›Paper›PMID 41462208›Full record

ArticleBMC health services research2025

The dual benefits of professional values on income and health among healthcare workers in China: a cross-sectional study.

Yang Lu, Xiumei Tang, Meiru Chen, Shengxin Pei, Ke Ju, Tao Gu, Weimin Li, Ma Li

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yang Lu *Business School, Sichuan University, Chengdu, 610064, P.R. China.
Xiumei Tang *Business School, Sichuan University, Chengdu, 610064, P.R. China.
Meiru Chen *Department of Orthopedics, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, P.R. China.
Shengxin PeiDepartment of Ultrasound, The TCM Hospital of Qinghai Province, Xining, 810000, P.R. China.
Ke JuSchool of Public Health and Preventive Medicine, Monash University, Melbourne, 3004, Australia.
Tao GuHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University/Institute of Hospital Management, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, P.R. China. gutao@swufe.edu.cn.
Weimin LiDepartment of Respiratory and Critical Care Medicine, Med-X Center for Manufacturing, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, 610041, P.R. China. weimi003@scu.edu.cn.
Ma LiHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University/Institute of Hospital Management, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, P.R. China. 1004500237@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChina’s healthcare system faces critical challenges with medical staff experiencing dual pressures of insufficient income and poor health status. Despite extensive research on professional values guiding ethical practice in healthcare, their economic benefits and impact on healthcare workers’ self-rated health remain significantly underexplored.

objectivesTo examine how professional values influence income and health outcomes among Chinese healthcare workers, addressing potential endogeneity through instrumental variable approaches and exploring heterogeneity across different demographic and professional subgroups.

methodsA multi-center survey was conducted from October 2022 to March 2023 across 25 regional secondary and tertiary healthcare hospitals in China, involving 4,267 healthcare workers. An ordinal logit model was used for baseline analysis, with two-stage least-squares instrumental variable regression addressing potential endogeneity.

results.Professional values significantly increased both income (β=1.349, p<0.01) and health status (β=4.939, p<0.01). Each unit increase in professional values increased the probability of high income by 19.0% and healthy status by 77.5%, while decreasing the probability of lower income and health categories. Instrumental variable analysis confirmed these relationships were causal rather than reverse caused. Heterogeneity analysis revealed stronger effects for men versus women, highly educated versus less educated, and permanent versus contract employees. Among professional value dimensions, altruistic values showed the strongest association with both income (β=0.075) and health (β=0.248).

conclusionsProfessional values significantly influence both economic wellbeing and health status of healthcare workers in China, with differential effects across value dimensions, demographic characteristics, and professional roles. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Health PersonnelHealth StatusIncomeAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesChinaHealthHealthcare workersIncomeProfessional value

Identifiers

PMID41462208
PMCPMC12750820

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.