Research on influence mechanism of Performance Management on the work performance of primary health workers: the mediation role of work motivation

Corresponding author: Mahuifen, mahuifen21@126.com

DOI: 10.12201/bmr.202207.00023

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  Abstract: Objective: Analyze the current situation of performance management system in primary health institutions, and investigate the impact and influence mechanism of performance management on the performance of primary health workers. Methods: A muti-stage cluster sampling was used to conduct questionnaires and in-depth interviews with the primary health workers in 18 community health service centers and 20 township hospitals in Qingdao, Dongying and Zaozhuang of Shandong Province, with a total of 870 valid questionnaires and 175 interviews. Results: The proportion of medium and bad evaluation of each performance management dimension is approximately 50%, and the score of distribution justice is relatively lowest. The performance management has non-significant effect on task performance and significant weak effect on relationship performance and learning performance. The dominant type of primary health work’s motivation is controlled motivation. Work motivation plays a fully mediation role between performance management and work performance, and the effect of autonomous motivation on contextual performance and learning performance is stronger than that of controlled motivation. Conclusions: The current performance management of primary health institutions has many problems such as unreasonable indicator settings, informal assessment process and slow feedback of evaluation results, which leads to limited incentive effect on health workers’ work performance. Therefore, some measures should be taken to improve primary performance management and promote work motivation and performance of primary health workers by setting reasonable appraisal index, strengthening communication and feedback of evaluation results, promoting the incentive effect of performance pay and cultivating the growth performance management culture.

  Key words: primary health workers; performance management; work performance; work motivation; mediating effect

  Submit time: 11 July 2022

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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