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BMC Primary Care
Published in: BMC Primary Care 1/2020

Open Access 01-12-2020 | Care | Research article

Job satisfaction among primary care physicians in western China

Authors: Zhuo Zhang, Guoshuai Shi, Lingui Li, Ying Bian

Published in: BMC Primary Care | Issue 1/2020

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Abstract

Background

There has been great shortage of primary care physicians (PCPs) in China, especially in western areas. Job satisfaction plays a great role in retaining people. The aim of this study is to investigate the job satisfaction of PCPs and associated factors in 11 provinces of western China, thus providing necessary reference values for stabilizing the primary care workforce and improving the quality of primary care services.

Method

A sample of 2103 PCPs working in western China were surveyed using a stratified, multistage and random sampling method in 2011. The characteristics of participants were recorded by a structured questionnaire. A multilevel model (MLM) and quantile regression (QR) were applied to assess the association between job satisfaction and possible risk factors.

Results

Of the 2103 doctors surveyed, the overall satisfaction score was 3.26 ± 0.68 (from 1 to 5). MLM indicated that age group, income satisfaction, unit policy approval, personal planning, career attitude, work value and patient recognition were positively correlated with job satisfaction, while turnover intention was negatively correlated with job satisfaction. QR were not completely consistent with MLM and further explored the differences in different job satisfaction score percentiles on each domains.

Conclusion

This study showed that the job satisfaction of PCPs in western China was not high. The MLM and QR discussed were not entirely consistent, the latter one provided more information and robust results. Measures should be taken in streamlining administration and institute decentralization, creating more opportunities for additional training, raising PCPs’ income, improving the social status of doctors and improving the relationship between doctors and patients.
Literature
1.
Judge TA, Weiss HM, Kammeyer-Mueller JD, Hulin CL. Job attitudes, job satisfaction, and job affect: a century of continuity and of change. J Appl Psychol. 2017;102(3):356.PubMedCrossRef
2.
Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: a literature review. Int J Nurs Stud. 2019;94:21–31.PubMedCrossRef
3.
Zhang X, Fang P. Job satisfaction of village doctors during the new healthcare reforms in China. Aust Health Rev. 2016;40(2):225–33.PubMedCrossRef
4.
Li X, Lu J, Hu S, Cheng K, De Maeseneer J, Meng Q, et al. The primary health-care system in China. Lancet. 2017;390(10112):2584–94.PubMedCrossRef
5.
Yip WC-M, Hsiao WC, Chen W, Hu S, Ma J, Maynard A. Early appraisal of China's huge and complex health-care reforms. Lancet. 2012;379(9818):833–42.PubMedCrossRef
6.
Bonenberger M, Aikins M, Akweongo P, Wyss K. The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Hum Resour Health. 2014;12(1):43.PubMedPubMedCentralCrossRef
7.
Chen MF, Ho CH, Lin CF, Chung MH, Chao WC, Chou HL, et al. Organisation-based self-esteem mediates the effects of social support and job satisfaction on intention to stay in nurses. J Nurs Manag. 2016;24(1):88–96.PubMedCrossRef
8.
Dale J, Potter R, Owen K, Parsons N, Realpe A, Leach J. Retaining the general practitioner workforce in England: what matters to GPs? A cross-sectional study. BMC Fam Pract. 2015;16(1):140.PubMedPubMedCentralCrossRef
9.
Gu J, Zhen T, Song Y, Xu L. Job satisfaction of certified primary care physicians in rural Shandong Province, China: a cross-sectional study. BMC Health Serv Res. 2019;19(1):75.PubMedPubMedCentralCrossRef
10.
Ab Rahman N, Husin M, Dahian K, Noh KM, Atun R, Sivasampu S. Job satisfaction of public and private primary care physicians in Malaysia: analysis of findings from QUALICO-PC. Hum Resour Health. 2019;17(1):1–10.CrossRef
11.
Zhang M, Yang R, Wang W, Gillespie J, Clarke S, Yan F. Job satisfaction of urban community health workers after the 2009 healthcare reform in China: a systematic review. Int J Qual Health Care. 2016;28(1):14–21.PubMedCrossRef
12.
Wen T, Zhang Y, Wang X, Tang G. Factors influencing turnover intention among primary care doctors: a cross-sectional study in Chongqing, China. Hum Resour Health. 2018;16(1):10.PubMedPubMedCentralCrossRef
13.
Gan Y, Gong Y, Chen Y, Cao S, Li L, Zhou Y, et al. Turnover intention and related factors among general practitioners in Hubei, China: a cross-sectional study. BMC Fam Pract. 2018;19(1):74.PubMedPubMedCentralCrossRef
14.
Miao Y, Li L, Bian Y. Gender differences in job quality and job satisfaction among doctors in rural western China. BMC Health Serv Res. 2017;17(1):848.PubMedPubMedCentralCrossRef
15.
Shi C, Zhang T, Luo E, Li L, Bian Y. Study on professional identification and its influential factors of pharmaceutical staff in hospitals of Shaanxi Province at different levels. China Pharmacy. 2018;1(14):2 Chinese.
16.
Dai T, Wang F, Li Y. Effect on primary healthcare comprehensive reform in China. Chinese J Health Policy. 2013;6(5):1–8 Chinese.
17.
Dou W, Zhan F, Gu J, Han Z, Zhen T. Study on job satisfaction of primary medical staffs in Shandong province. Soft Science of Health. 2014;28(9):4 Chinese.
18.
Qin X, Yin W, Huang D, Yu Q, Sun K, Zhao Y. Changes of occupational psychology of primary healthcare doctors after new health care reform: a comparative study among the questionnaire surveys in 2007,2011 and 2013. Chin Gen Pract. 2015;18(26):3203–7 Chinese.
19.
Porter LW, Steers RM. Organizational, work, and personal factors in employee turnover and absenteeism. Psychol Bull. 1973;80(2):151.CrossRef
20.
Spurk D, Kauffeld S, Barthauer L, Heinemann NS. Fostering networking behavior, career planning and optimism, and subjective career success: an intervention study. J Vocat Behav. 2015;87:134–44.CrossRef
21.
Andre L, Peetsma TT, van Vianen AE, in de Wal JJ, Petrović DS, Bunjevac T. Motivated by future and challenges: a cross-cultural study on adolescents’ investment in learning and career planning. J Vocat Behav. 2019;110:168–85.CrossRef
22.
Waqar S, Hamid S. Job satisfaction among nurses in public and private hospitals of Rawalpindi and Islamabad. Pakistan J Public Health. 2016;6(4):44–8.CrossRef
23.
El-Sabaa S. The skills and career path of an effective project manager. Int J Proj Manag. 2001;19(1):1–7.CrossRef
24.
Adams K, Hean S, Sturgis P, Clark JM. Investigating the factors influencing professional identity of first-year health and social care students. Learn Health Soc Care. 2006;5(2):55–68.CrossRef
25.
Çelik S, Hisar F. The influence of the professionalism behaviour of nurses working in health institutions on job satisfaction. Int J Nurs Pract. 2012;18(2):180–7.PubMedCrossRef
26.
Wang H, Gusmano MK, Cao Q. An evaluation of the policy on community health organizations in China: will the priority of new healthcare reform in China be a success? Health Policy. 2011;99(1):37–43.PubMedCrossRef
27.
Chen X, Ran L, Zhang Y, Yang J, Yao H, Zhu S, et al. Moderating role of job satisfaction on turnover intention and burnout among workers in primary care institutions: a cross-sectional study. BMC Public Health. 2019;19(1):1526.PubMedPubMedCentralCrossRef
28.
Scanlan JN, Still M. Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC Health Serv Res. 2019;19(1):62.PubMedPubMedCentralCrossRef
29.
Coomber B, Barriball KL. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. Int J Nurs Stud. 2007;44(2):297–314.PubMedCrossRef
30.
Díaz-Carrión R, Navajas-Romero V, Casas-Rosal J. Comparing working conditions and job satisfaction in hospitality workers across Europe. Int J Hosp Manag. 2020;90:102631.PubMedPubMedCentralCrossRef
31.
Goetz K, Campbell SM, Steinhaeuser J, Broge B, Willms S, Szecsenyi J. Evaluation of job satisfaction of practice staff and general practitioners: an exploratory study. BMC Fam Pract. 2011;12(1):137.PubMedPubMedCentralCrossRef
32.
Tarcan M, Hikmet N, Schooley B, Top M, Tarcan GY. An analysis of the relationship between burnout, socio-demographic and workplace factors and job satisfaction among emergency department health professionals. Appl Nurs Res. 2017;34:40–7.PubMedCrossRef
33.
Lu Y, Hu X-M, Huang X-L, Zhuang X-D, Guo P, Feng L-F, et al. The relationship between job satisfaction, work stress, work–family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study. BMJ Open. 2017;7(5):e014894.PubMedPubMedCentralCrossRef
34.
Scheurer D, McKean S, Miller J, Wetterneck T. U.S. physician satisfaction: a systematic review. J Hosp Med. 2009;4(9):560–8.PubMedCrossRef
35.
36.
Guo Y-j, Yang L, Ji H-x, Zhao Q. Caring characters and professional identity among graduate nursing students in China-a cross sectional study. Nurse Educ Today. 2018;65:150–5.PubMedCrossRef
37.
Lai HH. China’s western development program: its rationale, implementation, and prospects. Modern China. 2002;28(4):432–66.CrossRef
38.
Steinhardt MA, Dolbier CL, Gottlieb NH, McCalister KT. The relationship between hardiness, supervisor support, group cohesion, and job stress as predictors of job satisfaction. Am J Health Promot. 2003;17(6):382–9.PubMedCrossRef
39.
Geleto A, Baraki N, Atomsa GE, Dessie Y. Job satisfaction and associated factors among health care providers at public health institutions in Harari region, eastern Ethiopia: a cross-sectional study. BMC Res Notes. 2015;8(1):394.PubMedPubMedCentralCrossRef
40.
Larson RB. Controlling social desirability bias. Int J Mark Res. 2019;61(5):534–47.CrossRef
Metadata
Title
Job satisfaction among primary care physicians in western China
Authors
Zhuo Zhang
Guoshuai Shi
Lingui Li
Ying Bian
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Care
Published in
BMC Primary Care / Issue 1/2020
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-020-01292-w

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