Top

International Journal for Equity in Health

Published in:

Open Access 01-12-2014 | Research

Factors that influence the turnover intention of Chinese village doctors based on the investigation results of Xiangyang City in Hubei Province

Authors: Pengqian Fang, Xiangli Liu, Lingxiao Huang, Xiaoyan Zhang, Zi Fang

Published in: International Journal for Equity in Health | Issue 1/2014

Abstract

Introduction

This study analyzes the factors that influence the turnover intention of village doctors by investigating village clinic workers in rural areas, particularly in Xiangyang City, Hubei Province.

Methods

A total of 1184 village clinics were sampled randomly in Xiangyang City. The research assistants distributed 1930 questionnaires to village doctors. This study had a response rate of 97.88%. A total of 1889 village doctors completed the questionnaires.

Results

The results of the investigation conducted in Xiangyang City indicated that 63.2% of the village doctors did not plan to leave the organization where they were currently employed. However, more than one-third (36.8%) of the village doctors considered leaving their posts voluntarily. Some job satisfaction indexes affect their intention to resign. The results showed that income satisfaction and the way organization policies are put into practice, in addition, my pay and the amount of work I do, the chances for advancement on this job and the work conditions are significant factors that contribute to the turnover intention of village doctors.

Conclusions

This study may interest heath care management administrator and highlight the influence of job satisfaction on turnover intention of village doctors. Our findings outline some issues that contribute to these problems and suggest an approach for health care policy maker to implement a broader national process and organizational strategies to improve the job satisfaction and stability of the village doctors.

Li X, Chongsuvivatwong V, Xia X, Sangsupawanich P, Zheng W, Ma K: Revisiting current "barefoot doctors" in border areas of China: system of services, financial issue and clinical practice prior to introducing integrated management of childhood. BMC Public Health. 2012, 12 (1): 620-10.1186/1471-2458-12-620.PubMedCentralPubMedCrossRef

Zhang D, Unschuld PU: China´s barefoot doctor: past, present, and future. Lancet. 2008, 372: 1865-1867. 10.1016/S0140-6736(08)61355-0.PubMedCrossRef

Xu H, Zhang W, Zhang X, Qu Z, Wang X, Sa Z, Li Y, Zhao S, Qi X, Tian D: Longitudinal study of rural health workforce in five counties in China: research design and baseline description. Hum Resour Health. 2013, 11: 17-10.1186/1478-4491-11-17.PubMedCentralPubMedCrossRef

Wen C: Barefoot doctors in China. Nurs Dig. 1975, 3 (1): 26-28.PubMed

Zhang RX, Zhang W: The rise and demise of the Chinese barefoot doctor. Zhonghua Yi Shi Za Zhi. 2009, 39 (6): 327-330.PubMed

2012 China Health Statistics Yearbook (In Chinese). 2012, Beijing Union Medical University Press, Beijing

Wang C, Rao K, Wu S, Liu Q: Health care in China: improvement, challenges, and reform. Chest. 2013, 143 (2): 524-531. 10.1378/chest.12-1839.PubMedCrossRef

Ding Y, Smith HJ, Fei Y, Xu B, Nie S, Yan W, Diwan VK, Rainer S: Factors influencing the provision of public health services by village doctors in Hubei and Jiangxi provinces. China Bull World Health Organ. 2013, 91: 64-69. 10.2471/BLT.12.109447.CrossRef

Shi L, Hung LM, Song K, Sarika R, Jenna T, Sun X, Li H, Meng Q: Chinese primary care physicians and work attitudes. Int J Health Serv. 2013, 43 (1): 167-181. 10.2190/HS.43.1.k.PubMedCrossRef

10.

Colwill JM, Cultice JM, Kruse RL: Will generalist physician supply meet demands of an increasing and aging population?. Health Aff (Millwood). 2008, 27 (4): 232-241. 10.1377/hlthaff.27.3.w232.CrossRef

11.

Hann M, Gravelle H: The maldistribution of general practitioners in England and Wales: 1974-2003. Br J Gen Pract. 2004, 54: 894-898.PubMedCentralPubMed

12.

Yip WC, 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): 833-842. 10.1016/S0140-6736(11)61880-1.PubMedCrossRef

13.

Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E, Habte D, Hanvoravongchai P, Jacobs M, Kurowski C, Michael S, Pablos-Mendez A, Sewankambo N, Solimano G, Stilwell B, de Waal A, Wibulpolprasert S: Human resources for health: overcoming the crisis. Lancet. 2004, 364 (9449): 1984-1990. 10.1016/S0140-6736(04)17482-5.PubMedCrossRef

14.

Anand S, Barnighausen T: Human resources and health outcomes: cross-country econometric study. Lancet. 2004, 364 (9445): 1603-1609. 10.1016/S0140-6736(04)17313-3.PubMedCrossRef

15.

Zhang Y, Feng X: The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sactional study. BMC Health Ses. 2011, 11: 235-10.1186/1472-6963-11-235.CrossRef

16.

March JG, Simon HA: Organizations. 1958, Wiley, New York

17.

Mobley WH, William H: Intermediate linkages in the relationship between job satisfaction and employee turnover. J Appl Psychol. 1977, 62 (2): 237-240. 10.1037/0021-9010.62.2.237.CrossRef

18.

Mosadeghrad AM, Ferlie E, Rosenberg D: A study of the relationship between job satisfaction, organizational commitment and turnover intention among hospital employees. Health Serv Manage Res. 2008, 21 (4): 211-227. 10.1258/hsmr.2007.007015.PubMedCrossRef

19.

Gauci Borda R, Norman I: Factors influencing turnover and absence of nurses: a research review. Int J Nurs Stud. 1997, 34 (6): 385-394. 10.1016/S0020-7489(97)00031-X.PubMedCrossRef

20.

Wang J, Su J, Zuo H, Jia M, Zeng Z: What interventions do rural doctors think will increase recruitment in rural areas: a survey of 2778 health workers in Beijing?. Hum Resour Health. 2013, 11: 40-10.1186/1478-4491-11-40.PubMedCentralPubMedCrossRef

21.

Shi L, Song K, Rane S, Sun X, Li H, Meng Q: Factors associated with job satisfaction by Chinese primary care providers. Primary Health Care Res Dev. 2013, 2: 1-12.

22.

Chen Z, Wang Y, Cui X, Sun M, Li C, Wang H, Zhong X, Zhang W, Sun X, Hao M: The origin, development and status quo of rural doctors in China. Chinese Primary Health Care. 2009, 23 (9): 1-3.

23.

Ladouceur R: What has become of family physicians?. Can Fam Physician. 2012, 58 (12): 1322-PubMedCentralPubMed

24.

Lee FJ, Stewart M, Brown JB: Stress, burnout, and strategies for reducing them: What´s the situation among Canadian family physicians?. Can Fam Physician. 2008, 54: 234-235. e1-5PubMedCentralPubMed

25.

Mohr DC, Bauer MS, Penfold RB: Changes in VA psychiatrists´ attitudes about work environment and turnover during mental health service enhancement. Psychiatr Serv. 2013, 64 (6): 563-569. 10.1176/appi.ps.201200337.PubMedCrossRef

26.

Mosadeghrad AM, Ferlie E, Rosenberg D: A study of relationship between job stress, quality of working life and turnover intention among hospital employees. Health Serv Manage Res. 2011, 24 (4): 170-181. 10.1258/hsmr.2011.011009.PubMedCrossRef

27.

Cutchin MP, Norton JC, Quan MM, Bolt D, Hughes S, Lindeman B: To stay or not to stay: issues in rural primary care physician retention in Eastern Kentucky. J Rural Health. 1994, 10: 273-278. 10.1111/j.1748-0361.1994.tb00241.x.PubMedCrossRef

28.

Pathman DE, Konrad TR, Dann R, Koch G: Retention of primary care physicians in rural health professional shortage areas. Am J Public Health. 2004, 94 (10): 1723-1729. 10.2105/AJPH.94.10.1723.PubMedCentralPubMedCrossRef

29.

O´Neill JL, Gaither CA: Investigating the relationship between the practice of pharmaceutical care, construed external image, organizational identification, and job turnover intention of community pharmacists. Res Soc Adm Pharm. 2007, 3 (4): 438-463. 10.1016/j.sapharm.2006.10.006.CrossRef

30.

Buchbinder SB, Wilson M, Melick CF, Powe NR: Estimates of costs of primary care physician turnover. Am J Manag Care. 1999, 5: 1431-1438.PubMed

31.

Price JL, Mueller CW: Absenteeism and Turnover of Hospital Employees. 1986, JAI Press, Greenwich, CT

32.

Pathman DE, Konrad TR, Williams ES, Scheckler WE, Linzer M, Douglas J: Physician job satisfaction, job dissatisfaction, and physician turnover. J Fam Pract. 2002, 51: 593-PubMed

33.

Beasley JW, Karsh BT, Sainfort F, Hagenauer ME, Marchand L: Quality of work life of family physicians in Wisconsin´s health care organizations: a WReN study. Wis Med J. 2004, 103: 51-55.

34.

Behmann M, Schmiemann G, Lingner H, Kuhne F, Hummers-Pradier E, Schneider N: Job satisfaction among primary care physicians. : Results of a survey. Dtsch Arztebl Int. 2012, 109 (11): 193-200.PubMedCentralPubMed

35.

Greenberg J, Baron A: Behavior in Organizations. 2000, Prentice Hall, New Jersey

36.

Ching-I T, Yea-Ing LS, Hao-Yuan C: Moderating effects of professional commitment on hospital nurses in Tai-wan original research article. J Prof Nurs. 2007, 23 (1): 47-54. 10.1016/j.profnurs.2006.10.002.CrossRef

Title: Factors that influence the turnover intention of Chinese village doctors based on the investigation results of Xiangyang City in Hubei Province
Authors: Pengqian Fang
Xiangli Liu
Lingxiao Huang
Xiaoyan Zhang
Zi Fang
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: International Journal for Equity in Health / Issue 1/2014
Electronic ISSN: 1475-9276
DOI: https://doi.org/10.1186/s12939-014-0084-4

ACC 2024 Congress

Springer Medicine

Factors that influence the turnover intention of Chinese village doctors based on the investigation results of Xiangyang City in Hubei Province

Abstract

Introduction

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2014

“No one says ‘No’ to money” – a mixed methods approach for evaluating conditional cash transfer schemes to improve girl children’s status in Haryana, India

Annotated bibliography on participatory consultations to help aid the inclusion of marginalized perspectives in setting policy agendas

Cultural continuity, traditional Indigenous language, and diabetes in Alberta First Nations: a mixed methods study

Indicators for Universal Health Coverage: can Kenya comply with the proposed post-2015 monitoring recommendations?

Changes in social inequalities in disability-free life expectancy in Southern Europe: the case of the Basque Country

Long-term survival among older patients with myocardial infarction differs by educational level: results from the MONICA/KORA myocardial infarction registry