Job Satisfaction by Chinese Primary Care Doctors Following Health Care Reform
Parole chiave:
China, healthcare reform, job satisfaction, primary careAbstract
The purpose of this study is to compare primary care doctors’ job satisfaction and factors associated with it before and after the latest health care reform in China. Data for the study were obtained from China Primary Care Workforce Surveys conducted in 2008 and 2011. Compared to results from the 2008 survey, primary care doctors (PCDs) in the 2011 survey were more satisfied with their jobs overall as well as work conditions and equipment, but less satisfied with their income. In both surveys rural CHC and village clinic doctors were less satisfied than their urban counterparts with their jobs overall, income, work condition, and equipment. Logistic regressions showed that practice setting (i.e. urban, rural, or village) and educational level were two important factors associated with job satisfaction. These findings demonstrated both significant achievements and further efforts to be made to strengthen primary care workforce and enhance their job satisfaction.
Riferimenti bibliografici
REFERENCES
Ministry of Health C. Health statistics yearbook 2010.
http://www.moh.gov.cn/publicfiles/business/htmlfiles/zwgkzt/ptjnj/year2010/index2010.html. Updated 2010.
Accessed August 30, 2012.
Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within organization
for economic cooperation and development (OECD) countries, 1970–1998. Health Serv Res. 2003;38(3):831-865.
Politzer RM, Yoon J, Shi L, Hughes RG, Regan J, Gaston MH. Inequality in america: The contribution of health
centers in reducing and eliminating disparities in access to care. Medical Care Research and Review.
;58(2):234-248.
Shi L, Starfield B, Politzer R, Regan J. Primary care, self‐rated health, and reductions in social disparities in
health. Health Serv Res. 2008;37(3):529-550
Starfield B, Shi L. The impact of primary care and what states can do. North Carolina Medical Journal.
;68:204-7.
Hung LM, Rane S, Tsai J, Shi L. Advancing primary care to promote equitable health: Implications for china.
International Journal for Equity in Health. 2012;11(1):2.
Wang H, Gusmano MK, Cao Q. 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. 2011;99(1):37-43.
Yip WCM, Hsiao WC, Chen W, Hu S, Ma J, Maynard A. Early appraisal of china's huge and complex healthcare
reforms. The Lancet. 2012;379(9818):833-842.
Yip W, Hsiao WC. The chinese health system at a crossroads. Health Aff. 2008;27(2):460-468.
Liu Q, Wang B, Kong Y, Cheng K. China's primary health-care reform. The Lancet. 2011;377(9783):2064-2066.
Communist Party of China Central Committee. Implementation plan for the recent priorities of the health
care system reform (2009-2011). http://www.china.org.cn/government/scio-press-conferences/2009-
/09/content_17575401.htm. Updated 2009. Accessed August 30, 2012.
Aseltine Jr R, Katz M, Geragosian A. Connecticut 2009 primary care survey: Physician satisfaction, physician
supply and patient access to medical care. Conn Med. 2010;74(5):281-291.
Landon BE. Career satisfaction among physicians. JAMA: the journal of the American Medical Association.
;291(5):634-634.
Levine RB, Harrison RA, Mechaber HF, Phillips C, Gallagher TH. Professional characteristics and job
satisfaction among SGIM members: A comparison of part-time and full-time physician members. Journal of
general internal medicine. 2008;23(8):1218-1221.
Savageau JA, Ferguson WJ, Bohlke JL, Cragin LJ, O'Connell E. Recruitment and retention of primary care
physicians at community health centers: A survey of massachusetts physicians. J Health Care Poor
Underserved. 2011;22(3):817-835.
Schoen C, Osborn R, Doty MM, Squires D, Peugh J, Applebaum S. A survey of primary care physicians in
eleven countries, 2009: Perspectives on care, costs, and experiences. Health Aff. 2009;28(6):w1171-w1183.
Wang S, Jiang R, Ji B. Influencing factors on job satisfaction for community health providers. Wei Sheng
Ruan Ke Xue. 2007;21:251-4.
Zhou X, Yang T, Zhang X. A survey of urban community health providers’ job satisfaction. Chinese Journal of
Health Policy. 2009;11:34-6.
Xing L, Lu X, Tian X, Qiu H, Guo W, He L. A survey of village doctors’ job satisfaction in liaoning province.
Chinese General Practice. 2010;13:397-8.
Yip WCM, Hsiao W, Meng Q, Chen W, Sun X. Realignment of incentives for health-care providers in china.
The Lancet. 2010;375(9720):1120-1130.
Yu Y, Sun X, Zhuang Y, et al. What should the government do regarding health policy‐making to develop
community health care in shanghai? Int J Health Plann Manage. 2011;26(4):379-435.
Scheurer D, McKean S, Miller J, Wetterneck T. US physician satisfaction: A systematic review. Journal of
Hospital Medicine. 2009;4(9):560-568.
