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Factors associated with job satisfaction by Chinese primary care providers

  • Leiyu Shi (a1) (a2), Kuimeng Song (a3), Sarika Rane (a4), Xiaojie Sun (a5), Hui Li (a6) and Qingyue Meng (a7) (a8)...

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 (ie, physicians, nurses, public health, and village doctors) and practice setting (ie, 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.

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Copyright

Corresponding author

Correspondence to: Dr. Qinyue Meng, Professor and Executive Director of China Cener for Health Development Studies, Peking University, No.38 Xueyuan Road, Haidian District, Beijing China 100191. Email: qmeng@bjmu.edu.cn

References

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Agency for Healthcare Research and Quality 2012: Primary care workforce facts and stats no. 3: distribution of the U.S. primary care workforce. Rockville, MD: U.S. Department of Health and Human Services.
Aseltine, R., Katz, M.Geragoslan, A. 2010: Connecticut 2009 primary care survey: physician satisfaction, physician supply and patient access to medical care. Connecticut Medicine 74, 281291.
Dong, Z.Phillips, M. 2008: Evolution of China's health-care system. Lancet 372, 17151716.
Franks, P., Clancy, C.Nutting, P. 1992: Gatekeeping revisited – protecting patients from overtreatment. The New England Journal of Medicine 327, 424429.
Landon, B. 2004: Career satisfaction among physicians. The Journal of the American Medical Association 291, 634.
Levine, R., Harrison, R., Mechaber, H., Phillips, C.Gallagher, T. 2008: Professional characteristics and job satisfaction among SGIM members: a comparison of part-time and full-time physician members. Journal of General Internal Medicine 23, 12181221.
Liu, Q., Wang, B., Kong, Y.Cheng, K. 2011: China's primary health-care reform. Lancet 377, 20642066.
Ministry of Health 2010: The 2009 digest of health statistics. Beijing, China: Ministry of Health.
Pan, X., Dib, H., Wang, X.Zhang, H. 2006: Service utilization in community health centers in China: a comparison analysis with local hospitals. BMC Health Services Research 6, 93.
Politzer, R., Yoon, J., Shi, L., Hughes, R., Regan, J.Gaston, M. 2001: Inequality in America: the contribution of health centers in reducing and eliminating disparities in access to care. Medical Care Research and Review 58, 234248.
Rechel, B., Dubois, C.McKee, M. (editors) 2006: The health care workforce in Europe: learning from experience. United Kingdom: European Observatory on Health Systems and Policies.
Salive, M. 1997: Preventive medicine physician satisfaction and its relation to practice characteristics. American Journal of Preventive Medicine 13, 303308.
Savageau, J., Ferguson, W., Bohike, J., Cragin, L.O'Connell, E. 2011: Recruitment and retention of primary care physicians at community health centers: a survey of Massachusetts physicians. Journal of Health Care for the Poor and Underserved 22, 817835.
Scheurer, D., McKean, S., Miller, J.Wetterneck, T. 2009: U.S. physician satisfaction: a systematic review. Journal of Hospital Medicine 4, 560568.
Schoen, C., Ostorn, R., Doty, M., Squires, D., Peugh, J.Applebaum, S. 2009: A survey of primary care physicians in eleven countries, 2009: perspectives on care, costs, and experiences. Health Affairs 28, w1171w1183.
Shaw, K. 2006: The 2003 SARS outbreak and its impact on infection control practices. Public Health 120, 814.
Shi, L. 1994: Primary care, specialty care, and life chances. International Journal of Health Services 24, 431458.
Shi, L.Starfield, B. 2000: Primary care, self-rated health care, and reductions in social disparities in health: a mixed-level analysis. International Journal of Health Services 30, 541555.
Shi, L.Starfield, B. 2001: The effect of primary care physician supply and income inequality on racial mortality among blacks and whites in US metropolitan areas. American Journal of Public Health 91, 12461250.
Shi, L., Stevens, G.Polizer, R. 2007: Access to care for U.S. health center patients and patients nationally: how do the most vulnerable populations fare. Medical Care 45, 206213.
Shi, L., Starfield, B., Kennedy, B.Kawachi, I. 1999: Income inequality, primary care, and health indicators. The Journal of Family Practice 48, 275284.
Shi, L., Starfield, B., Politzer, J.Regan, R. 2002: Primary care, self-rated health care, and reductions in social disparities in health. Health Services Research 37, 529550.
Starfield, B.Shi, L. 2007: The impact of primary care and what states can do. North Carolina Medical Journal 68, 204207.
Starfield, B., Shi, L.Macinko, J. 2005: Contribution of primary care to health systems and health. The Milbank Quarterly 83, 457502.
Wagstaff, A., Lindelow, M., Wang, S.Zhang, S. 2009: Reforming China's rural health system. Washington, DC: The World Bank.
Wang, H., Gusmono, M.Cao, Q. 2011: 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 99, 3743.
Wang, J., Kushner, K., Frey, J., Ping, D.Qian, N. 2007: Primary care reform in the Peoples’ republic of China: implications for training family physicians for the world's largest country. Family Medicine 39, 639643.
World Health Organization (WHO) 1978: Declaration of Alma-Ata: International Conference on Primary Health Care, Alma-Ata. Geneva: World Health Organization.
Yip, W., Hsiao, W., Chen, W., Hu, S., Ma, J.Maynard, A. 2012: Early appraisal of China's huge and complex health-care reforms. Lancet 379, 833842.

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Factors associated with job satisfaction by Chinese primary care providers

  • Leiyu Shi (a1) (a2), Kuimeng Song (a3), Sarika Rane (a4), Xiaojie Sun (a5), Hui Li (a6) and Qingyue Meng (a7) (a8)...

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