Title: A Study on Influencing Factors of Health Management for Clinical Doctors in Tertiary Medical Institutions Based on Structural Equation Modeling

This study employs structural equation modeling to investigate the health status of clinicians in tertiary medical institutions and its influencing factors. A questionnaire survey was conducted on 743 clinicians from five hospitals selected through random sampling, collecting data on their physical health, mental health, social health, and overall health. The analysis examined influencing factors and their interrelationships. Results revealed significant differences (P< 0.001) in physicians' scores across physical, mental, social, and overall health scores, with mental health scoring the lowest (58.85 ). Factors such as age, years of service, professional title, medical conditions, sleep duration, and exercise duration significantly influenced clinicians' health status. Among the 108 physicians (14.5%) diagnosed with medical conditions, mental health scores were significantly lower (P< 0.05). Clinicians aged 25~45 years, with 4~10 years of experience, and holding the title of Associate Chief Physician generally scored lower. Physicians with longer sleep duration and exercise duration scored higher in mental and social health. Structural equation modeling analysis revealed that physical health significantly positively influenced social health (P< 0.001). Good physical health significantly enhanced positive emotions and reduced negative emotions; social support improved cognitive function and alleviated negative emotions; and enhanced social adaptation significantly improved cognitive function and emotional state. This study recommends paying particular attention to the health status of clinicians, especially the mental health of young physicians. It is suggested that comprehensive interventions be implemented across three dimensions : physical, social, and psychological, to enhance psychological resilience and perceptions of well-being.