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Human Resources for Health
Published in: Human Resources for Health 1/2021

Open Access 01-12-2021 | Care | Research

Effect of healthcare system reforms on job satisfaction among village clinic doctors in China

Authors: Zhongming Chen, Lifang Zhou, Haiyuan Lv, Kui Sun, Hongwei Guo, Jinwei Hu, Qianqian Yu, Dongmei Huang, Dongping Ma, Zhiqiang Feng, Changhai Tang, Mengna Dai, Wenqiang Yin

Published in: Human Resources for Health | Issue 1/2021

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Abstract

Background

Village clinic doctors (VCDs) are part of the health service force in rural China. VCDs’ job satisfaction (JS) is important to the stability of the three-tiered health service system. Since 2009, the Chinese government launched a new health care system reform (NHCSR) which affected VCDs significantly. This study aimed to analysing the effect of NHCSR on JS among VCDs.

Methods

All the data came from three surveys in Shandong Province conducted in 2012, 2015 and 2018. In 2012, an originally designed questionnaire was used to conduct a baseline survey of 405 VCDs from 27 townships in nine counties. In 2015 and 2018, 519 and 223 VCDs in the same counties were surveyed with the same questionnaire. Descriptive analysis and ANOVA were used to analyse the level and changes in VCDs’ JS.

Results

The mean scores of VCDs’ total JS were 2.664 ± 1.069, 3.121 ± 0.931 and 2.676 ± 1.044 in 2012, 2015 and 2018, respectively, with a significant difference (F = 28.732, P < 0.001). The mean scores of the medical practice environment and the job itself showed a continuous downward trend. The trends of the mean scores for job reward, internal work environment and organizational management were consistent with the trend for total JS.

Conclusion

The NHCSR had a partly negative impact on VCDs’ JS. Policy-makers should pay more attention to VCDs’ job reward and medical practice environment. With the implementation of new reform policies, VCDs’ JS should be the subject of more systematic and detailed research.
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Metadata
Title
Effect of healthcare system reforms on job satisfaction among village clinic doctors in China
Authors
Zhongming Chen
Lifang Zhou
Haiyuan Lv
Kui Sun
Hongwei Guo
Jinwei Hu
Qianqian Yu
Dongmei Huang
Dongping Ma
Zhiqiang Feng
Changhai Tang
Mengna Dai
Wenqiang Yin
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
Human Resources for Health / Issue 1/2021
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-021-00650-8

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