Mobility of primary health care workers in China

Meng, Qingyue; Yuan, Jing; Jing, Limei; Zhang, Junhua

doi:10.1186/1478-4491-7-24

Cited by 71 publications

(68 citation statements)

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“…Fewer career development opportunities seemed to drive GPs away from primary care. One possible explanation was that few professional development opportunities could reduce their work efficiency, cut job enthusiasm, or even result in turnover . Thus, providing more development opportunities could help attract more GPs.…”

Section: Discussionmentioning

confidence: 99%

A national survey of turnover intention among general practitioners in China

Gan

Jiang

et al. 2019

Health Planning & Management

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Summary Studies on turnover intention among Chinese general practitioners (GPs) at the national level are limited. This study aimed to assess intention to leave and its associated factors among a nationally representative sample of GPs. The participants were selected using a multistage stratified random sampling method. A self‐administered structured questionnaire was used to collect data from 3236 GPs in China between October 2017 and February 2018. A multiple linear stepwise regression analysis was used to identify factors associated with turnover intention. Over 70.0% GPs had a moderate or high turnover intention. GPs who were male, were younger, had a higher education level, had a lower professional title, had a lower income level, and had a temporal work contract had higher turnover intention. In addition, GPs who worked night shifts, had low job satisfaction, and had few opportunities for professional development reported higher turnover intention. Substantial gender and regional differences in predictors of turnover intention among GPs were observed. The study showed that turnover intention in Chinese GPs is high, and the factors influencing turnover intention were low professional title and income level, high education level, having a temporary work contract, working night shifts, and limited opportunities for professional development.

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Section: Discussionmentioning

confidence: 99%

A national survey of turnover intention among general practitioners in China

Gan

Jiang

et al. 2019

Health Planning & Management

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“…Other research also cited low salary as the main reason why Chinese primary health workers switched careers. 13 It is difficult to recruit and retain new health care workers or medical students in village clinics. Therefore, retaining and nurturing local village health workers is of utmost importance.…”

Section: Improving the Income And Social Security Of Village Doctorsmentioning

confidence: 99%

Challenges of Basic Public Health Services Provided by Village Doctors in Guizhou, China

Yin

Chen

Shi

2015

Asia Pac J Public Health

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This study was undertaken to uncover the challenges faced by village doctors in providing basic public health services (BPHS) in western rural areas of China. This field research for BPHS, with 12 managers and 82 village doctors of county Y in Guizhou province, was conducted in July 2012 using a combination of random and purposive sampling methods. Quantitative and qualitative methods were applied for data collection. EpiData 3.1, SPSS 15.0, and NVivo 10.0 were used to analyze the data. The results showed that the main challenges in delivering BPHS include heavy workload, poor working conditions, low income, lack of social security, and insufficient cooperation from rural residents. The Chinese government officials and policy makers can consider these challenges and focus on improving the quality and equity of BPHS by developing relevant strategies.

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“…Primary health workers, who feel unsatisfied with their job, lack the enthusiasm and willingness to make an effort for high-level service provision, thereby indirectly working against health promotion [9, 10]. Additionally, with the Chinese economic development, there are more and more job options for primary health workers.…”

Section: Introductionmentioning

confidence: 99%

Determinants of village doctors’ job satisfaction under China’s health sector reform: a cross-sectional mixed methods study

Lei

Sun

et al. 2017

Int J Equity Health

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BackgroundTo strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors’ job satisfaction under the context of health sector reform and investigate the associated factors.MethodsData was obtained from a survey of village doctors across three Chinese provinces in 2014. Using a multistage sampling process, quantitative data was collected from village doctors through the self-administered questionnaire and analyzed by multilevel logistic regression models. Qualitative data was collected through face-to-face semi-structured interviews on both village doctors and health managers. Theoretical coding was then conducted to analyze qualitative data.ResultsAmong the 1221 respondents, 48.6% felt satisfied with their job. Older village doctors with less of a workload and under high-level integrated management were more likely to feel satisfied with their job. Village doctors who earned the top level of monthly income felt more satisfied, while on the county level, those who lived in counties with the highest GDP felt less satisfied. However, enrollment in a pension plan showed no significant difference in regards to village doctors’ job satisfaction.Among 34 participants of qualitative interviews, most believed that age, income, and integrated management had a positive influence on the job satisfaction, while pension plan and basic public health care policies exhibited negative effects. Also, the increasing in availability of healthcare and health resources along with local economic development had negative effects on village doctors’ job satisfaction.ConclusionVillage doctors’ job satisfaction was quite low in regards to several determinants including age, income, workload, enrollment in a pension plan, integrated management, and county economic and medical availability development.

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Mobility of primary health care workers in China

Cited by 71 publications

References 0 publications

A national survey of turnover intention among general practitioners in China

A national survey of turnover intention among general practitioners in China

Challenges of Basic Public Health Services Provided by Village Doctors in Guizhou, China

Determinants of village doctors’ job satisfaction under China’s health sector reform: a cross-sectional mixed methods study

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