Objective To analyze the influence of primary care physicians′ professional identity and job resilience on the construction of learning organizations, and to provide a reference for the reform of primary healthcare supply-side capacity.

Methods From August to October 2022, 400 primary care physicians were selected from Yichang in Hubei province, Zhongmu in Henan province, Neijiang in Sichuan province, and Jinan in Shandong province using purposive sampling. Structural equation modeling was constructed using AMOS 28 software to analyze the influencing factors of learning organization construction among primary care physicians.

Results A total of 387 valid questionnaires were collected from primary care physicians, of which 27.65% (107 individuals) were classified as high-learning primary care physicians. Primary care physicians with senior professional titles (36 individuals), bachelor′s degree or above (212 individuals), monthly income >5 000 yuan (97 individuals), and more than 10 years of working experience (105 individuals) had a higher proportion of high-learning individuals within their respective groups compared to other types, at 36.11%, 29.72%, 31.56%, and 30.48%, respectively, demonstrating stronger active learning awareness and active service behavior. Structural equation analysis showed that primary care physicians′ professional identity and job resilience had direct effects on the construction of learning organizations, with effect values of 0.255 and 0.273, respectively (both P<0.01). Simultaneously, professional identity positively influenced job resilience, with an effect value of 0.637 (P<0.001). Effect decomposition showed that professional identity could partially and positively affect the construction of learning organizations among primary care physicians through the mediating role of job resilience, with an indirect effect value of 0.174 (P<0.001).

Conclusions Currently, the construction of learning organizations among primary care physicians needs to be further strengthened. Comprehensively cultivating and shaping primary care physicians′ professional identity and job resilience can effectively enhance their active learning awareness and active service behavior, thereby contributing to the overall framework of supply-side structural reform in the primary healthcare system.