21:I[432972,["/_next/static/chunks/bb923814e1f4d2e9.js","/_next/static/chunks/dd3ee9f5b7716ca6.js","/_next/static/chunks/4204a0ae82542ca8.js","/_next/static/chunks/1270dead247da766.js","/_next/static/chunks/6e1aa89a642f40be.js","/_next/static/chunks/b3eb9795ffa7b0d3.js","/_next/static/chunks/8ffd0b71567920d8.js","/_next/static/chunks/67ea6dfd21f16c5f.js","/_next/static/chunks/24eb4379f68013fd.js","/_next/static/chunks/b8cd775ffdf935bd.js","/_next/static/chunks/983103cd9eb7b428.js","/_next/static/chunks/263f2cdcb9aa2341.js","/_next/static/chunks/294b9525248c8e5f.js"],"default"] 22:T4eb,Healthcare workers in China are exposed to extremely high job stress and inequitable work conditions, and the Healthy China 2030 blueprint has made them an important focus of policymakers. To examine the importance of distributive justice in Chinese medical reform, we analyzed data from 1542 healthcare workers employed in 64 primary, secondary and tertiary hospitals in 28 Chinese cities in Western, Central and Eastern China in 2018. Supervisor support, coworker support, distributive justice, and presenteeism were assessed with the supervisor support scale, coworker support scale, distributive justice scale and perceived ability to work scale, respectively. Structural equation modeling was used to examine relationships among variables. The mediating effect of distributive justice on associations between supervisor support, coworker support, and presenteeism was examined with the Sobel test. The results revealed that significant indirect effects between supervisor support and presenteeism and between coworker support and presenteeism were significantly mediated by distributive justice. Better supervisor and coworker support might improve distributive justice among healthcare workers in Chinese hospitals, thereby increasing their performance.23:T4da,Objectives: This study explored the relationships between challenge stress, hindrance stress, and healthcare quality, and the mediating effect of public service motivation (PSM), among healthcare workers in Chinese public hospitals. Methods: Using widely adopted scales to measure all variables, we used descriptive statistical analysis, analysis of variance, correlation analysis, structural equation modeling and subgroup analysis to investigate data from 2066 healthcare workers in 68 Chinese public hospitals. Results: Challenge stress and hindrance stress were strongly correlated among the participants (β = 0.59; p < .001). Challenge stress was significantly and positively associated with PSM (β = 0.14; p < .001) and healthcare quality (β = 0.16; p < .001), and hindrance stress was significantly and negatively associated with PSM (β = -0.29; p < .001) and healthcare quality (β = -0.10; p < .001). PSM was directly positively associated with healthcare quality (β = 0.59; p < .001) and indirectly mediated the relationship of hindrance stress with healthcare quality. Conclusions: Healthcare quality might be improved by limiting hindrance stress, increasing PSM, and controlling challenge stress.

#	Concept	H-Index	Publications	Citations
1	Business	1	1	52
2	Management	1	1	52
3	Medicine	1	1	15
4	Nursing	1	1	52
5	Public Health	1	1	15

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