The Influence of Job satisfaction, Resilience and Work engagement on Turnover Intention among Village Doctor in China:a cross-sectional study

Abstract

Background As the gatekeepers of rural residents ‘health, the team of village doctors plays a vital role in improving the health level of rural residents. However, a large number of village doctor’s turnover, or even dozens of them turnover collectively, threatening the stability of the village medical team. This research evaluated the influence of job satisfaction, resilience, work engagement on turnover intention of village doctor and explored the mediating role of resilience and work engagement between job satisfaction and turnover intention among village doctor in China.Methods A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among the village doctors with a sample size of 2693 from 1345 rural hospitals or clinics of Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on literature and measured on 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA) and Structural Equation Modeling (SEM) were used.Results As high as 46.9% of the participants had a high turnover intention and no less than 26.3% of the participants had a medium turnover intention. Job satisfaction not only has a direct negative effect on turnover intention(β=-0.37, p < 0.001), but also has an indirect effect on it through work engagement(β= -0.04, p < 0.001), work engagement has a direct negative impact on turnover intention(β= -0.13, p < 0.002), and resilience had an indirect negative effect on turnover intention through the mediating effect of work engagement(β= -0.09, p < 0.001). The results of this study strongly verified that job satisfaction, resilience, work engagement were early, powerful predicators of turnover intention.Conclusion According to the results, reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, strong psychological coping mechanism for work stress, should be taken seriously to improve job satisfaction. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.

The influence of personality, alexithymia and work engagement on burnout among village doctors in China: a cross-sectional study

“…With the implementation of the new medical reform and the hierarchical medical system, the service mode of village doctors has changed from the passive “patient seeking medical treatment” to the active “health management service”, and from the combination of prevention and treatment to the comprehensive and whole-of-the-life-cycle health services [ 4 ]. The working mode of village doctors in village clinics is facing new and unprecedented challenges, they not only need to carry out daily medical treatment, but also public health, family doctor contract, family planning, chronic disease management and other services, which requires village doctors to update their knowledge and skills, and constantly improve the ability and quality of primary medical services [ 5 ]. However, in recent years, the situation of village doctors in China is facing severe challenges, including the difficulty of obtaining the qualification certificate of practicing doctors due to the low level of overall education, the poor level of wages and treatment, the difficulty of ensuring old-age insurance, the low social status, the difficulty of introducing young talents, and the overall instability of the ranks.…”

“…In 2019, there were two shocking and noticeable resignation incidents of village doctors, once 36 and once 28, in Henan province [ 5 ]. As a result, the total number of village doctors and the number of rural clinics in China is experiencing a sharp decline year by year.…”

Factors influencing turnover intention among healthcare employees during the COVID-19 pandemic in the private hospitals of Bahrain

“…The findings showed that polychronicity significantly affected turnover intention. Many researchers have highlighted the effect of polychronicity on turnover intention in the hospitality industry (Asghar et al, 2021;Jang, 2008;Jang and George, 2012;Zhang, 2015). However, studies on this topic are scarce in the health-care sector.…”