Advanced search
1 file | 662.94 KB Add to list

The impact of economic and noneconomic exchange on physicians' organizational attitudes: the moderating effects of the Chief Medical Officer

Jeroen Trybou (UGent) , Paul Gemmel (UGent) and Lieven Annemans (UGent)
Author
Organization
Abstract
Background: Hospital-physician relationships are critical to hospitals’ organizational success. A distinction can be drawn between economic and noneconomic physician-hospital exchange. Physician senior leadership could be an important component of managerial strategies aimed at optimizing HPRs. Purpose: The purpose of this study was to investigate the moderating role of the quality of eXchange with the Chief Medical Officer (CMO) in the relationship between economic and noneconomic exchange and physicians’ key organizational attitudes. Methodology: Self-employed physicians practicing at six Belgian hospitals were surveyed. Economic exchange was conceptualized by the concepts of distributive and procedural justice, noneconomic exchange was conceptualized by the concepts of administrative and professional psychological contract. Our outcomes comprise three key organizational attitudes identified in the literature (job satisfaction, affective organizational commitment and intention to leave). The moderating role of Leader-Member eXchange (LMX) with the CMO in these relationships was assessed. Findings: Our results showed a relationship between both psychological contract breach and organizational justice and physicians’ organizational attitudes. Quality of exchange with the CMO buffered the negative effect of psychological contract breach and reinforces the positive effects of organizational justice with respect to physicians’ organizational attitudes. Practice Implications Our results demonstrate that both economic and noneconomic aspects are important when considering physicians’ key organizational attitudes. The reciprocity dynamic between physician and hospital can be enhanced by high-quality exchange with the CMO.
Keywords
hospital-physician relationships, Chief Medical Officer, organizational attitudes, organizational justice, psychological contract, LEADER-MEMBER EXCHANGE, PSYCHOLOGICAL CONTRACT, SOCIAL-EXCHANGE, NORMATIVE COMMITMENT, JUSTICE, PERFORMANCE, SUPPORT, PERSPECTIVES, CONTINUANCE, EMPLOYEES

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 662.94 KB

Citation

Please use this url to cite or link to this publication:

MLA
Trybou, Jeroen, Paul Gemmel, and Lieven Annemans. “The Impact of Economic and Noneconomic Exchange on Physicians’ Organizational Attitudes: The Moderating Effects of the Chief Medical Officer.” HEALTH CARE MANAGEMENT REVIEW 41.1 (2016): 75–85. Print.
APA
Trybou, J., Gemmel, P., & Annemans, L. (2016). The impact of economic and noneconomic exchange on physicians’ organizational attitudes: the moderating effects of the Chief Medical Officer. HEALTH CARE MANAGEMENT REVIEW, 41(1), 75–85.
Chicago author-date
Trybou, Jeroen, Paul Gemmel, and Lieven Annemans. 2016. “The Impact of Economic and Noneconomic Exchange on Physicians’ Organizational Attitudes: The Moderating Effects of the Chief Medical Officer.” Health Care Management Review 41 (1): 75–85.
Chicago author-date (all authors)
Trybou, Jeroen, Paul Gemmel, and Lieven Annemans. 2016. “The Impact of Economic and Noneconomic Exchange on Physicians’ Organizational Attitudes: The Moderating Effects of the Chief Medical Officer.” Health Care Management Review 41 (1): 75–85.
Vancouver
1.
Trybou J, Gemmel P, Annemans L. The impact of economic and noneconomic exchange on physicians’ organizational attitudes: the moderating effects of the Chief Medical Officer. HEALTH CARE MANAGEMENT REVIEW. 2016;41(1):75–85.
IEEE
[1]
J. Trybou, P. Gemmel, and L. Annemans, “The impact of economic and noneconomic exchange on physicians’ organizational attitudes: the moderating effects of the Chief Medical Officer,” HEALTH CARE MANAGEMENT REVIEW, vol. 41, no. 1, pp. 75–85, 2016.
@article{5724139,
  abstract     = {Background: Hospital-physician relationships are critical to hospitals’ organizational success. A distinction can be drawn between economic and noneconomic physician-hospital exchange. Physician senior leadership could be an important component of managerial strategies aimed at optimizing HPRs.
Purpose: The purpose of this study was to investigate the moderating role of the quality of eXchange with the Chief Medical Officer (CMO) in the relationship between economic and noneconomic exchange and physicians’ key organizational attitudes.
Methodology: Self-employed physicians practicing at six Belgian hospitals were surveyed. Economic exchange was conceptualized by the concepts of distributive and procedural justice, noneconomic exchange was conceptualized by the concepts of administrative and professional psychological contract. Our outcomes comprise three key organizational attitudes identified in the literature (job satisfaction, affective organizational commitment and intention to leave). The moderating role of Leader-Member eXchange (LMX) with the CMO in these relationships was assessed.
Findings: Our results showed a relationship between both psychological contract breach and organizational justice and physicians’ organizational attitudes. Quality of exchange with the CMO buffered the negative effect of psychological contract breach and reinforces the positive effects of organizational justice with respect to physicians’ organizational attitudes. 
Practice Implications Our results demonstrate that both economic and noneconomic aspects are important when considering physicians’ key organizational attitudes. The reciprocity dynamic between physician and hospital can be enhanced by high-quality exchange with the CMO.},
  author       = {Trybou, Jeroen and Gemmel, Paul and Annemans, Lieven},
  issn         = {0361-6274},
  journal      = {HEALTH CARE MANAGEMENT REVIEW},
  keywords     = {hospital-physician relationships,Chief Medical Officer,organizational attitudes,organizational justice,psychological contract,LEADER-MEMBER EXCHANGE,PSYCHOLOGICAL CONTRACT,SOCIAL-EXCHANGE,NORMATIVE COMMITMENT,JUSTICE,PERFORMANCE,SUPPORT,PERSPECTIVES,CONTINUANCE,EMPLOYEES},
  language     = {eng},
  number       = {1},
  pages        = {75--85},
  title        = {The impact of economic and noneconomic exchange on physicians' organizational attitudes: the moderating effects of the Chief Medical Officer},
  url          = {http://dx.doi.org/10.1097/HMR.0000000000000047},
  volume       = {41},
  year         = {2016},
}

Altmetric
View in Altmetric
Web of Science
Times cited: