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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Gan, Yong Gong, Yanhong Chen, Yawen Cao, Shiyi Li, Liqing Zhou, Yanfeng Herath, Chulani Li, Wenzhen Song, Xingyue Li, Jing Yang, Tingting Yin, Xiaoxv Lu, Zuxun |
| Abstract | Background High turnover among general practitioners (GPs) is a significant challenge in China’s efforts to build a sustainable, effective primary care system, but little data is available to help understand and address this issue. The study was aiming at assessing the intention to leave their posts among a sample of GPs and investigating associated factors. Methods A cross-sectional survey was conducted between December 12, 2014 and March 10, 2015 in Hubei Province, Central China. A total of 1016 GPs (response rate, 85.67%) were investigated by using a structured self-administered questionnaire. A generalized linear regression model was used to identify the associated factors with turnover intention among GPs. Results Based on a full score of 24, the average score for GPs’ turnover intention was 15.40 (SD = 3.43). 78.35% of the GPs had a moderate or higher level of turnover intention. Six hundred and thirty one (62.37%) GPs had ever been exposed to abuse of any kind (physical assault, 18.92%; verbal abuse, 54.38%; threat, 33.79%; verbal sexual harassment, 22.66%; and physical sexual harassment, 7.59%). Generalized linear regression analysis indicated that GPs who were male; who had a vocational school or higher; who had a temporary work contract; who were with lower level of job satisfaction; who reported higher scores on emotional exhaustion; who had been exposed to higher frequency of workplace violence were expressed higher intention to leave their present positions. Conclusion This study shows that GP’s intention to leave general practices is high in Hubei, China. In addition, the prevalence of workplace violence is high among GPs, particularly in the verbal abuse and threat. Measures such as offering permanent contract status, increasing overall job satisfaction, and improving doctor-patient relationship, are needed to moderate GP’s turnover intention in order to maintain the foundation of China’s three-tier health system. |
| Related Links | https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-018-0752-3.pdf |
| Ending Page | 9 |
| Page Count | 9 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 27314553 |
| DOI | 10.1186/s12875-018-0752-3 |
| Journal | BMC Primary Care |
| Issue Number | 1 |
| Volume Number | 19 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2018-05-24 |
| Access Restriction | Open |
| Subject Keyword | General Practice Family Medicine Primary Care Medicine Personnel turnover Primary care Epidemiology General practitioners China |
| Content Type | Text |
| Resource Type | Article |
| Subject | Family Practice |
| Journal Impact Factor | 3.2/2023 |
| 5-Year Journal Impact Factor | 3.3/2023 |
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