Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey

Jiang, Feng; Hu, Linlin; Rakofsky, Jeffrey J.; Liu, Tingfang; Wu, Shuzhen; Zhao, Ping; Hu, Guangyu; Wan, Xia; Liu, Huanzhong; Liu, Yuanli; Tang, Yi-Lang

doi:10.1176/appi.ps.201800197

Cited by 30 publications

(26 citation statements)

References 23 publications

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“…In this survey, medical disputes included all incidents involving complaints or grievances reported by patients or their families regarding medical services, treatment outcome or medical expenses, which may or may not actually represent medical malpractice (10).…”

Section: Resultsmentioning

confidence: 99%

“…Psychiatry residents' training at the largest provincial psychiatric hospital in each capital city within the province were surveyed, except in Beijing where psychiatry residents from 3 hospitals were selected and in the Anhui Province, where those from 2 hospitals were selected. In total, 32 psychiatric hospitals from 29 provinces were selected (10). Psychiatric hospitals in the capital cities of Gansu province and Tibet were not included as none existed at the time of this study.…”

Section: Methodsmentioning

confidence: 99%

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Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors

Jiang

Zhou

et al. 2019

Front. Psychiatry

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Objective: To study the socio-demographic characteristics, the working environment, and the level of career satisfaction among psychiatry residents in China. Method: This was a part of a large-scale, nation-wide online survey of hospitals, healthcare professionals, and patients. Data, including socio-demographics, work hours, income, job satisfaction, and intention to quit were collected anonymously. Respondents also completed the Minnesota Satisfaction Questionnaire (MSQ). Results: One thousand sixty residents nested in 32 psychiatric hospitals in 29 provinces in China completed the survey. Respondents were predominantly female (69.0%), worked an average of 47.8 ± 11.6 h per week, and 28.97% had experienced medical disputes in the previous year. The top three reported reasons for dissatisfaction were low pay (50.1%), contentious doctor-patient relationships (17.6%), and high workload (10.8%). An intention to quit their current job was reported by 18.7% of residents. The overall mean MSQ score was 73.8 ± 13.8, with significant differences across post-graduate training years and regions. A multilevel regression analysis found that a higher MSQ score was significantly associated with fewer years in residency, shorter work hours, higher monthly pay, having medical liability insurance, and feeling satisfied with the level of doctor-nurse cooperation, their hospitals' medical disputes prevention/management, and the healthcare workers' social environment. Conclusion: Psychiatry residents in China are predominantly female and well-educated. They are only moderately satisfied with their career. Poor salaries, contentious doctor-patient relationships and high workload are among their top complaints and may explain why a considerable proportion are intending to leave their current residency. More support from the government regarding residents' salaries, workload and working environment may help improve their job satisfaction and retention, ensuring that China will have a pool of well-trained and engaged psychiatrists for the future.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors

Jiang

Zhou

et al. 2019

Front. Psychiatry

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“…This study was a part of a large research project, the National Survey for the Evaluation of Psychiatric Hospital Performance [23]. We selected one representative provincial psychiatric hospital under the jurisdiction of the Ministry of Health (now incorporated into the new National Health Commission) in each province.…”

Section: Methodsmentioning

confidence: 99%

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

et al. 2020

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Background: The development of child psychiatric services in China has been slow and very limited resources have been allocated to support its growth. This study set out to investigate the child and adolescent inpatient psychiatric resources currently available in top-tier psychiatric hospitals in China and the characteristics of youth patients hospitalized on an adult unit. Methods: As part of an official national survey, 29 provincial tertiary psychiatric hospitals in China were selected. Data from 1975 inpatients discharged from these hospitals from March 19 to 31, 2019 were retrieved and analyzed. Results: The mean number of youth psychiatric beds was 27.7 ± 22.9 in these hospitals and 6/29 hospitals had no youth beds. There were significantly more youth beds in developed regions than in less developed regions (P < 0.05). Most of the discharged youth patients were teenagers with severe mental illnesses, including schizophrenia, depressive disorder and bipolar disorder. 7.5% (149) of the 1975 discharged patients were children or adolescents, however youth beds only accounted for 3.2% (804/25,136) of all psychiatric beds. 45.6% (68) of youth patients were discharged from adult psychiatric units. Conclusion: Our findings highlight the lack of adequate youth psychiatric inpatient services for children and adolescents living in China, especially in less developed regions. There is an urgent need to build more child and adolescent psychiatric units in provinces where there are none, and to increase the number of beds within the units that exist presently.

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“…This study was one part of a larger project, the National Survey for the Evaluation of Psychiatric Hospital Performance [22, 23]. In this project, we included 32 tertiary public psychiatric hospitals, which were in the capital cities of 29 provinces.…”

Section: Methodsmentioning

confidence: 99%

Satisfaction of family members with inpatient psychiatric care and its correlates: a national survey in China

Jiang

Ruiping

et al. 2019

BMC Psychiatry

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BackgroundMeasuring family members’ satisfaction with inpatient psychiatric care may help improve the quality of healthcare in psychiatric hospitals. This survey aimed to investigate the satisfaction of family members with inpatient psychiatric care and to explore its associated factors, using a newly-developed 5-item questionnaire.MethodsThis study included 1598 family members of psychiatric inpatients in 32 tertiary public psychiatric hospitals in 29 provinces of China. Satisfaction and demographic data were collected by research staff while patient and hospital data were retrieved separately.ResultsWe found that the overall satisfaction level was 93.84% (23.46/25). The total satisfaction score in Northeast China was the highest, followed by the East, Middle and West regions (p < 0.001). There was no significant sex difference in total family satisfaction scores. Family members with a lower educational background (elementary school or less) had significantly lower satisfaction. Family members of patients who were diagnosed with schizophrenia were significantly less satisfied with doctor-family communication. In different treatment response subgroups, the marked improvement subgroup had significantly higher total satisfaction scores and subscores. Meanwhile, lower self-payment expenses and a higher number of psychologic treatments offered per day were significantly associated with higher total satisfaction scores and all subscores. Logistic regression showed a higher educational background, more psychologic treatments offered per day, adequacy of professional staffing (higher doctor/bed, nurse/bed and psychologist/bed ratio) were all significantly associated with higher family satisfaction.ConclusionsWe suggest government and hospital managers recruit more mental health professions to improve family satisfaction. If feasible, providing more psychologic treatments to inpatients may also improve families’ satisfaction and involvement.

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Sociodemographic Characteristics and Job Satisfaction of Psychiatrists in China: Results From the First Nationwide Survey

Abstract: The aim of the study was to establish a comprehensive understanding of the sociodemographic characteristics of psychiatrists in China and their working environment and job satisfaction.

Cited by 30 publications

References 23 publications

Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors

Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors

Psychiatric inpatient beds for youths in China: data from a nation-wide survey

Satisfaction of family members with inpatient psychiatric care and its correlates: a national survey in China

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