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Published in: Journal of Public Health 4/2021

01-08-2021 | Addiction | Original Article

Turnover intention among service providers in Chinese methadone maintenance treatment clinics

Authors: Jun Chen, Chunqing Lin, Wei Cao, Zunyou Wu, Li Li

Published in: Journal of Public Health | Issue 4/2021

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Abstract

Aim

High turnover rates among service providers have burdened addiction treatment clinics and affected patient care and treatment outcome. In this study, we identified factors associated with providers’ turnover intention in Chinese methadone maintenance treatment (MMT) clinics.

Subjects and methods

This study used the baseline data from a randomized controlled trial conducted in 68 MMT clinics in five provinces in China. Service providers’ turnover intention, perceived risk at work, job satisfaction, years working in the clinic as well as sociodemographic characteristics were collected in the assessment. A logistic mixed-effects model was used to identify factors associated with providers’ turnover intention.

Results

Approximately one-third of these 418 service providers intended to change their job in this study. The findings of regression analysis showed that perceived risk at work was positively associated with the turnover intention (OR = 1.28; 95% CI: 1.17, 1.41) and job satisfaction was negatively related to the turnover intention (OR = 0.97; 95% CI: 0.95, 0.99).

Conclusion

Study findings highlighted the importance of addressing service providers’ perceived risk at work and job satisfaction to reduce turnover intention. Intervention strategies that focus on occupation safety and job satisfaction could be integrated into current training programs to maintain a stable workforce in the MMT programs.

Clinical trial registration details

This trial was registered at ClinicalTrials.gov.
Registration date: January 4, 2013. Identifier: NCT01760720.
Literature
go back to reference Bellingham R (2004) Job satisfaction survey. Absolute Adavantage 3(5):28–31. https://www.welcoa.org/wp/wp-content/uploads/2014/06/job_satisfaction_survey.pdf. Accessed 3 Feb 2020. Bellingham R (2004) Job satisfaction survey. Absolute Adavantage 3(5):28–31. https://​www.​welcoa.​org/​wp/​wp-content/​uploads/​2014/​06/​job_​satisfaction_​survey.​pdf.​ Accessed 3 Feb 2020.
go back to reference Bennett L, Kelaher M, Ross M (1994) The impact of working with HIV/AIDS on health care professionals: development of the AIDS impact scale. Psychol Health 9(3):221–232CrossRef Bennett L, Kelaher M, Ross M (1994) The impact of working with HIV/AIDS on health care professionals: development of the AIDS impact scale. Psychol Health 9(3):221–232CrossRef
go back to reference Bride BE, Choi YJ, Olin IW, Roman PM (2015) Patient violence towards counselors in substance use disorder treatment programs: prevalence, predictors, and responses. J Subst Abus Treat 57:9–17CrossRef Bride BE, Choi YJ, Olin IW, Roman PM (2015) Patient violence towards counselors in substance use disorder treatment programs: prevalence, predictors, and responses. J Subst Abus Treat 57:9–17CrossRef
go back to reference Cartwright WS, Solano PL (2003) The economics of public health: financing drug abuse treatment services. Health Policy 66(3):247–260CrossRef Cartwright WS, Solano PL (2003) The economics of public health: financing drug abuse treatment services. Health Policy 66(3):247–260CrossRef
go back to reference Chen S, Lin S, Ruan Q, Li H, Wu S (2016) Workplace violence and its effect on burnout and turnover attempt among Chinese medical staff. Arch Environ Occup Health 71(6):330–337CrossRef Chen S, Lin S, Ruan Q, Li H, Wu S (2016) Workplace violence and its effect on burnout and turnover attempt among Chinese medical staff. Arch Environ Occup Health 71(6):330–337CrossRef
go back to reference Cho YJ, Lewis GB (2012) Turnover intention and turnover behavior: implications for retaining federal employees. Rev Public Pers Adm 32(1):4–23CrossRef Cho YJ, Lewis GB (2012) Turnover intention and turnover behavior: implications for retaining federal employees. Rev Public Pers Adm 32(1):4–23CrossRef
go back to reference Duraisingam V, Pidd K, Roche AM (2009) The impact of work stress and job satisfaction on turnover intentions: a study of Australian specialist alcohol and other drug workers. Drugs 16(3):217–231 Duraisingam V, Pidd K, Roche AM (2009) The impact of work stress and job satisfaction on turnover intentions: a study of Australian specialist alcohol and other drug workers. Drugs 16(3):217–231
go back to reference Eby LT, Burk H, Maher CP (2010) How serious of a problem is staff turnover in substance abuse treatment? A longitudinal study of actual turnover. J Subst Abus Treat 39(3):264–271CrossRef Eby LT, Burk H, Maher CP (2010) How serious of a problem is staff turnover in substance abuse treatment? A longitudinal study of actual turnover. J Subst Abus Treat 39(3):264–271CrossRef
go back to reference Garner BR, Hunter BD (2014) Predictors of staff turnover and turnover intentions within addiction treatment settings: change over time matters. Subst Abus 8:S17133 Garner BR, Hunter BD (2014) Predictors of staff turnover and turnover intentions within addiction treatment settings: change over time matters. Subst Abus 8:S17133
go back to reference Garner BR, Knight K, Simpson DD (2007) Burnout among corrections-based drug treatment staff: impact of individual and organizational factors. Int J Offender Ther Comp Criminol 51(5):510–522CrossRef Garner BR, Knight K, Simpson DD (2007) Burnout among corrections-based drug treatment staff: impact of individual and organizational factors. Int J Offender Ther Comp Criminol 51(5):510–522CrossRef
go back to reference Han G, Jekel M (2011) The mediating role of job satisfaction between leader-member exchange and turnover intentions. J Nurs Manag 19(1):41–49CrossRef Han G, Jekel M (2011) The mediating role of job satisfaction between leader-member exchange and turnover intentions. J Nurs Manag 19(1):41–49CrossRef
go back to reference Jackson TR (2002) Treatment practice and research issues in improving opioid treatment outcomes. Sci Pract Perspect 1(1):22CrossRef Jackson TR (2002) Treatment practice and research issues in improving opioid treatment outcomes. Sci Pract Perspect 1(1):22CrossRef
go back to reference Knight DK, Broome KM, Simpson DD, Flynn PM (2008) Program structure and counselor–client contact in outpatient substance abuse treatment. Health Serv Res 43(2):616–634CrossRef Knight DK, Broome KM, Simpson DD, Flynn PM (2008) Program structure and counselor–client contact in outpatient substance abuse treatment. Health Serv Res 43(2):616–634CrossRef
go back to reference Knudsen HK, Johnson JA, Roman PM (2003) Retaining counseling staff at substance abuse treatment centers: effects of management practices. J Subst Abus Treat 24(2):129–135CrossRef Knudsen HK, Johnson JA, Roman PM (2003) Retaining counseling staff at substance abuse treatment centers: effects of management practices. J Subst Abus Treat 24(2):129–135CrossRef
go back to reference Knudsen HK, Ducharme LJ, Roman PM (2007) Research participation and turnover intention: an exploratory analysis of substance abuse counselors. J Subst Abus Treat 33(2):211–217CrossRef Knudsen HK, Ducharme LJ, Roman PM (2007) Research participation and turnover intention: an exploratory analysis of substance abuse counselors. J Subst Abus Treat 33(2):211–217CrossRef
go back to reference Li L, Lin C, Wu Z, Wu S, Rotheram-Borus MJ, Detels R, Jia M (2007) Stigmatization and shame: consequences of caring for HIV/AIDS patients in China. AIDS Care 19(2):258–263CrossRef Li L, Lin C, Wu Z, Wu S, Rotheram-Borus MJ, Detels R, Jia M (2007) Stigmatization and shame: consequences of caring for HIV/AIDS patients in China. AIDS Care 19(2):258–263CrossRef
go back to reference Li J, Wang C, McGoogan JM, Rou K, Bulterys M, Wu Z (2013a) Human resource development and capacity-building during China's rapid scale-up of methadone maintenance treatment services. Bull World Health Organ 91:130–135CrossRef Li J, Wang C, McGoogan JM, Rou K, Bulterys M, Wu Z (2013a) Human resource development and capacity-building during China's rapid scale-up of methadone maintenance treatment services. Bull World Health Organ 91:130–135CrossRef
go back to reference Li L, Wu Z, Liang LJ et al (2013b) An intervention targeting service providers and clients for methadone maintenance treatment in China: a cluster-randomized trial. Addiction 108(2):356–366CrossRef Li L, Wu Z, Liang LJ et al (2013b) An intervention targeting service providers and clients for methadone maintenance treatment in China: a cluster-randomized trial. Addiction 108(2):356–366CrossRef
go back to reference Li L, Comulada WS, Lin C, Hsieh J, Luo S, Wu Z (2017) Factors related to client satisfaction with methadone maintenance treatment in China. J Subst Abus Treat 77:201–206CrossRef Li L, Comulada WS, Lin C, Hsieh J, Luo S, Wu Z (2017) Factors related to client satisfaction with methadone maintenance treatment in China. J Subst Abus Treat 77:201–206CrossRef
go back to reference Li L, Liang LJ, Lin C, Feng N, Cao W, Wu Z (2019) An intervention to improve provider-patient interaction at methadone maintenance treatment in China. J Subst Abus Treat 99:149–155CrossRef Li L, Liang LJ, Lin C, Feng N, Cao W, Wu Z (2019) An intervention to improve provider-patient interaction at methadone maintenance treatment in China. J Subst Abus Treat 99:149–155CrossRef
go back to reference Lin C, Wu Z, Rou K, Pang L, Cao X, Shoptaw S, Detels R (2010) Challenges in providing services in methadone maintenance therapy clinics in China: service providers’ perceptions. Int J Drug Policy 21(3):173–178CrossRef Lin C, Wu Z, Rou K, Pang L, Cao X, Shoptaw S, Detels R (2010) Challenges in providing services in methadone maintenance therapy clinics in China: service providers’ perceptions. Int J Drug Policy 21(3):173–178CrossRef
go back to reference Lin C, Tuan NA, Li L (2018) Commune health Workers' methadone maintenance treatment (MMT) knowledge and perceived difficulties providing decentralized MMT Services in Vietnam. Subst Use Misuse 53(2):194–199CrossRef Lin C, Tuan NA, Li L (2018) Commune health Workers' methadone maintenance treatment (MMT) knowledge and perceived difficulties providing decentralized MMT Services in Vietnam. Subst Use Misuse 53(2):194–199CrossRef
go back to reference Lu H, Zhao Y, While A (2019) Job satisfaction among hospital nurses: a literature review. Int J Nurs Stud 94:21–39CrossRef Lu H, Zhao Y, While A (2019) Job satisfaction among hospital nurses: a literature review. Int J Nurs Stud 94:21–39CrossRef
go back to reference McKay JR (2009) Continuing care research: what we have learned and where we are going. J Subst Abus Treat 36(2):131–145CrossRef McKay JR (2009) Continuing care research: what we have learned and where we are going. J Subst Abus Treat 36(2):131–145CrossRef
go back to reference Pang L, Hao Y, Mi G et al (2007) Effectiveness of first eight methadone maintenance treatment clinics in China. Aids 21:S103–S107CrossRef Pang L, Hao Y, Mi G et al (2007) Effectiveness of first eight methadone maintenance treatment clinics in China. Aids 21:S103–S107CrossRef
go back to reference Price JL, Mueller CW (1981) A causal model of turnover for nurses. Acad Manag J 24(3):543–565 Price JL, Mueller CW (1981) A causal model of turnover for nurses. Acad Manag J 24(3):543–565
go back to reference Rothrauff TC, Abraham AJ, Bride BE, Roman PM (2011) Occupational turnover intentions among substance abuse counselors. J Subst Abus Treat 40(1):67–76CrossRef Rothrauff TC, Abraham AJ, Bride BE, Roman PM (2011) Occupational turnover intentions among substance abuse counselors. J Subst Abus Treat 40(1):67–76CrossRef
go back to reference Tang S (2015) Factors associated with effectiveness of methadone maintenance treatment in Yunnan Province of China. Dissertation, University of California Los Angeles Tang S (2015) Factors associated with effectiveness of methadone maintenance treatment in Yunnan Province of China. Dissertation, University of California Los Angeles
go back to reference Wu LX, Qi L, Li Y (2016) Challenges faced by young Chinese doctors. Lancet 387(10028):1617CrossRef Wu LX, Qi L, Li Y (2016) Challenges faced by young Chinese doctors. Lancet 387(10028):1617CrossRef
go back to reference Yin W, Hao Y, Sun X et al (2010) Scaling up the national methadone maintenance treatment program in China: achievements and challenges. Int J Epidemiol 39(suppl_2):ii29–ii37PubMedPubMedCentral Yin W, Hao Y, Sun X et al (2010) Scaling up the national methadone maintenance treatment program in China: achievements and challenges. Int J Epidemiol 39(suppl_2):ii29–ii37PubMedPubMedCentral
go back to reference Zhang L, Zhang D, Chen W, Zou X, Ling L (2013) High prevalence of HIV, HCV and tuberculosis and associated risk behaviours among new entrants of methadone maintenance treatment clinics in Guangdong Province, China. PLoS One 8(10):e76931CrossRef Zhang L, Zhang D, Chen W, Zou X, Ling L (2013) High prevalence of HIV, HCV and tuberculosis and associated risk behaviours among new entrants of methadone maintenance treatment clinics in Guangdong Province, China. PLoS One 8(10):e76931CrossRef
go back to reference Zhang F, Luo Z, Chen T, Min R, Fang P (2017) Factors affecting turnover intentions among public hospital doctors in a middle-level city in Central China. Aust Health Rev 41(2):214–221CrossRef Zhang F, Luo Z, Chen T, Min R, Fang P (2017) Factors affecting turnover intentions among public hospital doctors in a middle-level city in Central China. Aust Health Rev 41(2):214–221CrossRef
go back to reference Zhuang X, Liang Y, Chow EP, Wang Y, Wilson DP, Zhang L (2012) HIV and HCV prevalence among entrants to methadone maintenance treatment clinics in China: a systematic review and meta-analysis. BMC Infect Dis 12(1):130CrossRef Zhuang X, Liang Y, Chow EP, Wang Y, Wilson DP, Zhang L (2012) HIV and HCV prevalence among entrants to methadone maintenance treatment clinics in China: a systematic review and meta-analysis. BMC Infect Dis 12(1):130CrossRef
Metadata
Title
Turnover intention among service providers in Chinese methadone maintenance treatment clinics
Authors
Jun Chen
Chunqing Lin
Wei Cao
Zunyou Wu
Li Li
Publication date
01-08-2021
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 4/2021
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-020-01211-4

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