Determinants of village doctors' job satisfaction under China's health sector reform: a cross-sectional mixed methods study.
Background: To strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors' job satisfaction under the context of h...
| Publicado en: | International Journal for Equity in Health Vol. 16; pp. 1 - 13 |
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| Autores principales: | , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
BioMed Central
4/18/2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122625986&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122625986 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14759276 1CR4 jtl: International Journal for Equity in Health issn: 14759276 maglogo: N pubinfo: dt: 4/18/2017 vid: 16 pid: 24147 pub: BioMed Central artinfo: ui: 122625986 122625986 122625986 10.1186/s12939-017-0560-8 122625986 ppf: 1 ppct: 12 formats: tig: atl: Determinants of village doctors' job satisfaction under China's health sector reform: a cross-sectional mixed methods study. aug: au: Tongtong Li Trudy Lei Fiona Sun Zheng Xie affil: School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing 10091, People's Republic of China sug: subj: Job Satisfaction China Physicians Psychosocial Factors Health Care Reform China China Human Surveys Quantitative Studies Questionnaires Multiple Logistic Regression Qualitative Studies Semi-Structured Interview Income Rural Areas Workload Descriptive Statistics Data Analysis Software Cross Sectional Studies ab: Background: To strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors' job satisfaction under the context of health sector reform and investigate the associated factors. Methods: Data was obtained from a survey of village doctors across three Chinese provinces in 2014. Using a multistage sampling process, quantitative data was collected from village doctors through the self-administered questionnaire and analyzed by multilevel logistic regression models. Qualitative data was collected through face-to-face semi-structured interviews on both village doctors and health managers. Theoretical coding was then conducted to analyze qualitative data. Results: Among the 1221 respondents, 48.6% felt satisfied with their job. Older village doctors with less of a workload and under high-level integrated management were more likely to feel satisfied with their job. Village doctors who earned the top level of monthly income felt more satisfied, while on the county level, those who lived in counties with the highest GDP felt less satisfied. However, enrollment in a pension plan showed no significant difference in regards to village doctors' job satisfaction. Among 34 participants of qualitative interviews, most believed that age, income, and integrated management had a positive influence on the job satisfaction, while pension plan and basic public health care policies exhibited negative effects. Also, the increasing in availability of healthcare and health resources along with local economic development had negative effects on village doctors' job satisfaction. Conclusion: Village doctors' job satisfaction was quite low in regards to several determinants including age, income, workload, enrollment in a pension plan, integrated management, and county economic and medical availability development. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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