SynthesisBMJ open2019
Motivating factors on performance of primary care workers in China: a systematic review and meta-analysis.
Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Turnover intention among primary health workers in China: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- Dilemmas in the development of the general practitioner workforce in primary care: a qualitative study in Beijing, China.BMJ open · 2026Article
- Training needs and service capacity gaps among primary healthcare workers in Henan Province, China: a large cross-sectional study.BMC primary care · 2026Article
- A study on the relationship between work stress and turnover intentions among critical care nurses: mediating roles of job satisfaction and burnout.Frontiers in public health · 2026Article
- Using the COM-B model to explore factors influencing influenza vaccination among the elderly: Insights from primary healthcare workers in China.Human vaccines & immunotherapeutics · 2025Article
- Article
- Incentives on the motivation and job performance; insights from community health workers in Iran.BMC health services research · 2025Article
- Article
- The migration of South African emergency care practitioners to the Middle East.Health SA = SA Gesondheid · 2025Article
- Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study.BMJ open · 2024Article
- A predictive model for readmission within 1-year post-discharge in patients with schizophrenia.BMC psychiatry · 2024Article
- Barriers and strategies for primary health care workforce development: synthesis of evidence.BMC primary care · 2024Review
- The association of social networks with the job performance of primary health care professionals: the mediating effect of knowledge sharing.Frontiers in medicine · 2024Article
- Healthcare providers' perceptions and experiences of kangaroo mother care for preterm infants in four neonatal intensive care units in China: a qualitative descriptive study.Frontiers in public health · 2024Article
- Demands for Community Services and Associated Factors among Residents in Smart Communities: A Case Study of Xuzhou City.International journal of environmental research and public health · 2023Article
- Correlation between input on public health services and work motivation among primary health workers in China.BMC primary care · 2023Article
- Job Performance of Medical Graduates With Compulsory Services in Underserved Rural Areas in China: A Cohort Study.International journal of health policy and management · 2022Article
- 'You say you are a TB doctor, but actually, you do not have any power': health worker (de)motivation in the context of integrated, hospital-based tuberculosis care in eastern China.Human resources for health · 2022Article
- The Association Between Financial Incentives and Job Performance Among Primary Care Providers in Six Provinces of China.Risk management and healthcare policy · 2022Article
- Primary care provider's job satisfaction and organizational commitment after COVID-19 restrictions ended: A mixed-method study using a mediation model.Frontiers in psychology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAlthough China has made remarkable progress in strengthening its primary healthcare system, lack of well-performed primary health workforce is still the bottleneck of deepening the reform. The objective of this review is to understand the current profile of Chinese primary care workers (PCWs) and their motivating factors of performance and propose targeted policy suggestions on improving their work performance.
designSystematic review.
methodsA systematic search of PubMed and MEDLINE was conducted to identify articles published from January 1, 2000, to June 2, 2018. Quality assessment and data extraction for the studies closely relevant to performance of PCWs in China were conducted by two reviewers independently. A preliminary framework containing different levels of factors influencing PCWs' motivation based on existence, growth and relatedness (ERG) theory guided the synthesis analysis. In addition, we used a random-effects model to pool individual studies on job satisfaction and estimate the overall job satisfaction of PCWs.
resultsA total of 36 articles were included; 16 (23 882 participants) in the meta-analysis. Regarding the individual level of motivation, 3 overarching themes and 12 subthemes were developed. The subthemes of financial incentives, career advancement and work itself were frequently mentioned and have more influences on PCWs' performance. Moreover, the healthcare system reform policies have inevitable and complex impacts on different levels of human needs, and then influences on the motivation and performance of PCWs. Meta-analysis showed that the overall job satisfaction score among PCWs was 3.30, just reaching a satisfied rating and varied in different regions.
conclusionsThis study suggests low work satisfaction among PCWs in China, with financial incentives and career advancement being two most important motivating factors. Efforts to improve the work performance in PCWs should give priority to these motivating factors and systematically take into account the health policy's impacts on performance of PCWs.
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