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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2022

Open Access 01-12-2022 | Care | Research

Analysis of factors affecting medical personnel seeking employment at primary health care institutions: developing human resources for primary health care

Authors: Huanhuan Jia, Xihe Yu, Hairui Jiang, Jianxing Yu, Peng Cao, Shang Gao, Panpan Shang, Bayuzhen Qiang

Published in: International Journal for Equity in Health | Issue 1/2022

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Abstract

Background

The serious shortage of human resources for primary health care (PHC) is a common issue in health reforms worldwide. China has proposed that it is an effective way to encourage and guide qualified medical personnel to work in primary health care institutions (PHCIs). However, few studies have been conducted on the willingness and influencing factors of medical personnel to seek employment at PHCIs.

Methods

Based on implicit theory and lexical approach, pre-investigation was conducted to collect the items that influence the medical personnel to seek employment at PHCIs from the perspective of guided objects. Through a three-phase investigation of 1160 doctors in 29 public hospitals in 9 cities, the items were categorized, and a structural equation model was established and verified to explore the interrelationship of influencing factors.

Results

A total of 6 factors were rotated, including Sense of Gain (SG), Internal Organization Development (IOD), Remuneration and Development (RD), Condition of the City Where the PHCI Is Located (CCPL), Job Responsibilities (JR) and Family Support (FS). The results of the model showed that IOD, RD, JR and FS had a significantly positive effect on the SG. In addition, the FS, RD and JR significantly mediated the relationship between the internal and external environment of PHCIs and SG. The values of the fit index indicated an acceptable-fitting model.

Conclusion

Family, remuneration, individual development, and job responsibility are closely related to the willingness of medical personnel to seek employment at PHCIs, and the internal and external environment of PHCIs is also an important factor. Therefore, the development of PHC providers can be promoted by paying attention to the family members of medical personnel, establishing a reasonable remuneration system, providing suitable development opportunities, arranging work rationally and improving the internal construction of PHCIs.
Footnotes
1
In China, the medical service system is mainly divided into hospitals, professional public health institutions and primary health care institutions. The hospital’s function lies in the provision of medical service, the diagnosis and treatment of critical and difficult diseases, as well as personnel training and medical scientific research. Professional public health institutions provide professional public health service, including disease prevention and control, health education, maternal and child health care, mental health, first aid, blood collection and supply, comprehensive supervision and enforcement, food safety risk assessment and standard management, family planning, birth defect prevention and treatment, etc. The primary health care institutions are mainly responsible for providing basic services such as prevention, health care, health education and family planning, as well as diagnosis and treatment services for common and frequently encountered diseases, and rehabilitation, nursing services and referral services for some diseases.
 
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Metadata
Title
Analysis of factors affecting medical personnel seeking employment at primary health care institutions: developing human resources for primary health care
Authors
Huanhuan Jia
Xihe Yu
Hairui Jiang
Jianxing Yu
Peng Cao
Shang Gao
Panpan Shang
Bayuzhen Qiang
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Care
Published in
International Journal for Equity in Health / Issue 1/2022
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-022-01638-z

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