Job satisfaction of village doctors during the new healthcare reforms in China.

Objective. China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors' income, training and duties. The aim of the present study was to assess village doctors' job satisfaction during the reforms and to explore factors affecting job sa...

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Publicado en:Australian Health Review Vol. 40; no. 2; pp. 225 - 234
Autores principales: Xiaoyan Zhang, Pengqian Fang
Formato: research tables/charts Journal Article
Publicado: CSIRO Publishing 2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Job satisfaction of village doctors during the new healthcare reforms in China.
      aug:
        au:
          Xiaoyan Zhang
          Pengqian Fang
        affil: School of Health and Medicine Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan 430030, China
      sug:
        subj:
          Job Satisfaction
          Consanguinity
          Health Care Reform
          Physicians
          Patient Satisfaction
          Health
          China
      ab: Objective. China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors' income, training and duties. The aim of the present study was to assess village doctors' job satisfaction during the reforms and to explore factors affecting job satisfaction. Methods. Using a stratified multistage cluster sampling process, 935 village doctors in Jiangxi Province were surveyed with a self-administered questionnaire that collected demographic information and contained a job satisfaction scale and questions regarding their work situation and individual perceptions of the new healthcare reforms. Descriptive analysis, Pearson's Chi-squared test and binary logistic regression were used to identify village doctors' job satisfaction and the factors associated with their job satisfaction. Results. Only 12.72% of village doctors were either satisfied or very satisfied with their jobs and the top three items leading to dissatisfaction were pay and the amount of work that had to be done, opportunities for job promotion and work conditions. Marriage, income, intention to leave, satisfaction with learning and training, social status, relationship with patients and satisfaction with the new healthcare reforms were significantly associated with job satisfaction (P < 0.05). Conclusions. China is facing critical challenges with regard to village doctors because of their low job satisfaction. For future healthcare reforms, policy makers should pay more attention to appropriate remuneration and approaches that incentivise village doctors to achieve the goals of the health reforms.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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