Factors Associated with Hospital Culture Perception Among Medical Staff at Tertiary Healthcare Institutions in Xinjiang, China: A Cross-Sectional Study

@article{keranmu2026factors,
  title = {{Factors Associated with Hospital Culture Perception Among Medical Staff at Tertiary Healthcare Institutions in Xinjiang, China: A Cross-Sectional Study}},
  author = {Keranmu A and Kadeer G and Arif MI and Iqbal J and Ailimu M and Zhilong G and Liangliang Y and Yuetong C},
  journal = {Patient Preference and Adherence},
  year = {2026},
  month = oct,
  doi = {10.2147/ppa.s653791},
  url = {https://www.dovepress.com/factors-associated-with-hospital-culture-perception-among-medical-staf-peer-reviewed-fulltext-article-PPA},
  note = {CC BY-NC 4.0},
}

TY  - JOUR
TI  - Factors Associated with Hospital Culture Perception Among Medical Staff at Tertiary Healthcare Institutions in Xinjiang, China: A Cross-Sectional Study
AU  - Keranmu A
AU  - Kadeer G
AU  - Arif MI
AU  - Iqbal J
AU  - Ailimu M
AU  - Zhilong G
AU  - Liangliang Y
AU  - Yuetong C
PY  - 2026
DA  - 2026/10/27
JO  - Patient Preference and Adherence
DO  - 10.2147/ppa.s653791
UR  - https://www.dovepress.com/factors-associated-with-hospital-culture-perception-among-medical-staf-peer-reviewed-fulltext-article-PPA
AB  - Aliya Keranmu,1 Gulibahaer Kadeer,1 Muhammad imran Arif,2 Junaid Iqbal,1 Maierdang Ailimu,3 Guo Zhilong,4 Yao Liangliang,5 Cui Yuetong11Department of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, 830054, People’s Republic of China; 2Department of Pediatrics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 3Human Organ Donation and Transplantation Management Center, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, 830001, People’s Republic of China; 4Department of Society Management, Health Commission of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, 830004, People’s Republic of China; 5Department of Medical Affairs, The Eighth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830054, People’s Republic of ChinaCorrespondence: Gulibahaer Kadeer, Email [email protected]/ Objective: Hospital organizational culture is a key contributing factor influencing medical quality, staff satisfaction, and patient outcomes, but empirical research on this topic remains very limited in Xinjiang, a region characterized by uneven distribution of resources. The study investigated demographic and occupational contributing factors associated with each hospital culture dimension and used structural equation modeling (SEM) to examine the structural relationships between 10 dimensions of hospital culture and the overall cultural perception.Methods: A stratified sampling method was used to survey 1500 medical staff at 7 tertiary Grade-A medical institutions in Xinjiang (effective response rate 96.1% (1,442). The questionnaire covered 10 dimensions, including hospital spiritual culture, moral culture, thinking culture, psychological culture, service culture, technological culture, environmental culture, organizational culture, institutional culture, and management culture, comprising 47 items in total (14 for demographics and 32 for 10 dimensions, and one question regarding suggestions). Cronbach’s α coefficient was used for validity and reliability of the dimensions. Bartlett’s test, the Kruskal–Wallis H-test, multiple linear regression, and Pearson correlation analysis were used for other statistical analyses. For SEM analysis, the ten dimensions of hospital culture served as first-order latent variables, and overall hospital culture served as a second-order latent variable.Results: Females were predominantly higher (1034, 71.7%) than males, and most medical staff members were aged 30– 39 years (445, 30.9%), had a bachelor’s degree (842, 58.4%), and had a junior professional title or below (788, 54.6%). Nursing staff formed the largest occupational group (515, 35.7%), mostly working in non-surgical departments (895, 62.1%) and had 9– 15 years of experience (520, 36.1%). Multivariate Regression analysis revealed significantly higher hospital spiritual culture scores among respondents aged 30– 39 (B = 0.432, p = 0.034), 40– 49 (B = 0.829, p = 0.003), and > 50 years (B = 0.950, p = 0.004), while service > 15 years was negatively associated (B = − 1.161, p < 0.001). Higher education and senior professional titles were positively associated with spiritual and moral cultures, and 9– 15 years of service was also positively associated with moral culture. Bachelor’s and master’s degree holders reported lower thinking culture (B = − 0.482, p < 0.001; B = − 0.485, p = 0.028) and psychological culture scores (B = − 0.491, p < 0.001; B = − 0.655, p < 0.001), respectively, whereas administrative/logistics staff and employees with > 15 years of service reported higher psychological culture scores. However, the explanatory performance of the regression model was very limited, with R2 ranging from 0.004 to 0.084. The SEM model showed that hospital technological culture (λ = 0.80), psychological culture (λ = 0.70), and management culture (λ = 0.68) were the three dimensions with the strongest associated factor loading on overall cultural perception. The scale showed good reliability and validity (Cronbach’s α = 0.877; Bartlett’s test P < 0.001).Conclusion: Hospital culture development may adopt tiered, tailored strategies based on the demographic characteristics of medical staff, leverage the leading roles of technological, psychological, and management culture, address the shortfall in spiritual culture, and promote the coordinated development of overall hospital culture.Keywords: public hospitals, hospital culture, medical staff, xinjiang
SN  - 1177-889X
ER  -