Leiyu Shi1, Kuimeng Song2, Sarika Rane3, Xiaojie Sun4, Hui Li5, Qingyue Meng6. 1. 1Adjunct Professor of China Center for Health Development Studies, Peking University, Beijing, China. 2. 3Research Associate of Center for Health Management and Policy, Shangdong University, Jinan, China. 3. 4Research Associate at Johns Hopkins Primary Care Policy Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 4. 5Lecturer of Health Economics, Center for Health Management and Policy, Shangdong University, Jinan, China. 5. 6Lecturer, Center for Health Management and Policy, Shangdong University, Jinan, China. 6. 7Professor and Executive Director of China Center for Health Development Studies, Peking University, Beijing, China.
Abstract
OBJECTIVES: This study provides a snapshot of the current state of primary care workforce (PCW) serving China's grassroots communities and examines the factors associated with their job satisfaction. METHODS: Data for the study were from the 2011 China Primary Care Workforce Survey, a nationally representative survey that provides the most current assessment of community-based PCW. Outcome measures included 12 items on job satisfaction. Covariates included intrinsic and extrinsic factors associated with job satisfaction. In addition, PCW type (i.e., physicians, nurses, public health, and village doctors) and practice setting (i.e., rural versus urban) were included to identify potential differences due to the type of PCW and practice settings. RESULTS: The overall satisfaction level is rather low with only 47.6% of the Chinese PCW reporting either satisfied or very satisfied with their job. PCW are least satisfied with their income level (only 8.6% are either satisfied or very satisfied), benefits (12.8%), and professional development (19.5%). They (particularly village doctors) are also dissatisfied with their workload (37.2%). Lower income and higher workload are the two major contributing factors toward job dissatisfaction. CONCLUSION: To improve the general satisfaction level, policymakers must provide better pay and benefits and more opportunities for career development, particularly for village doctors.
OBJECTIVES: This study provides a snapshot of the current state of primary care workforce (PCW) serving China's grassroots communities and examines the factors associated with their job satisfaction. METHODS: Data for the study were from the 2011 China Primary Care Workforce Survey, a nationally representative survey that provides the most current assessment of community-based PCW. Outcome measures included 12 items on job satisfaction. Covariates included intrinsic and extrinsic factors associated with job satisfaction. In addition, PCW type (i.e., physicians, nurses, public health, and village doctors) and practice setting (i.e., rural versus urban) were included to identify potential differences due to the type of PCW and practice settings. RESULTS: The overall satisfaction level is rather low with only 47.6% of the Chinese PCW reporting either satisfied or very satisfied with their job. PCW are least satisfied with their income level (only 8.6% are either satisfied or very satisfied), benefits (12.8%), and professional development (19.5%). They (particularly village doctors) are also dissatisfied with their workload (37.2%). Lower income and higher workload are the two major contributing factors toward job dissatisfaction. CONCLUSION: To improve the general satisfaction level, policymakers must provide better pay and benefits and more opportunities for career development, particularly for village doctors.
Authors: Mo Yi; Di Jiang; Jingjing Wang; Zeyi Zhang; Yuanmin Jia; Baosheng Zhao; Lei Guo; Ou Chen Journal: BMJ Open Date: 2022-06-07 Impact factor: 3.006
Authors: Min Su; Zhongliang Zhou; Yafei Si; Sean Sylvia; Gang Chen; Yanfang Su; Scott Rozelle; Xiaolin Wei Journal: Int J Environ Res Public Health Date: 2021-05-11 Impact factor: 3.390