Hierarchical regression results for MDT behavior.

Many modern diseases require more than one discipline for effective treatment, making multidisciplinary teamwork (MDT) essential. However, research on MDT in tertiary public hospitals in China is limited. These large healthcare institutions require effective collaboration among various departments to manage complex cases. Therefore, this study examined the effects of hospital culture, team leadership, and participation motivation on the MDT behavior of healthcare professionals to enhance MDT and improve related services. We conducted a questionnaire survey of 425 multidisciplinary team members in tertiary public hospitals in Hangzhou. T-tests, analysis of variance, and hierarchical linear regression were used to analyze the state of healthcare professionals’ MDT behaviors and the associated factors. A path analysis using a Structural Equation Model was used to explore and verify the effects of hospital culture, team leadership, and participation motivation on MDT behavior, as well as their underlying mechanisms. The findings revealed significant positive effects of hospital culture, team leadership, and participation motivation on MDT behavior. An SEM path analysis confirmed that these factors directly influence MDT behavior. Moreover, hospital culture and team leadership indirectly affected MDT behavior through participation motivation. This study demonstrated that a positive hospital culture and team leadership significantly enhanced MDT, with participation motivation mediating this relationship. These findings suggest that hospital leadership should promote a proactive and harmonious hospital culture and facilitate the development of team leaders’ management skills. Furthermore, exploring diverse incentives to increase healthcare professionals’ motivation for participation is essential for advancing MDT.

诸多现代疾病的有效诊疗需多学科协同参与，故而多学科团队协作（multidisciplinary teamwork, MDT）至关重要。然而，当前针对中国三级公立医院开展的多学科团队协作相关研究仍较为匮乏。这类大型医疗救治机构需依托多部门高效协作，方能妥善处置复杂临床病例。鉴于此，本研究旨在探讨医院文化、团队领导力及参与动机对医疗卫生人员多学科团队协作行为的影响，以期推动多学科团队协作发展并优化相关医疗服务。本研究针对杭州市425名三级公立医院的多学科团队成员开展了问卷调查。研究采用t检验、方差分析及分层线性回归法，对医疗卫生人员的多学科团队协作行为现状及其关联影响因素进行了分析。同时，本研究借助结构方程模型（Structural Equation Model, SEM）开展路径分析，以探究并验证医院文化、团队领导力及参与动机对多学科团队协作行为的影响及其内在作用机制。研究结果显示，医院文化、团队领导力及参与动机对医疗卫生人员的多学科团队协作行为均存在显著正向影响。结构方程模型路径分析进一步证实，上述三类因素可直接作用于多学科团队协作行为。此外，医院文化与团队领导力还可通过参与动机对多学科团队协作行为产生间接影响。本研究表明，积极正向的医院文化与卓越的团队领导力可显著提升多学科团队协作水平，且参与动机在二者的关联关系中发挥中介作用。基于上述研究结果，医院管理者应着力塑造积极进取、和谐融洽的医院文化，并助力团队领导者提升管理能力。此外，探索多元化激励机制以提升医疗卫生人员的参与积极性，对推动多学科团队协作发展至关重要。