ArticleBMC health services research2020
The influence of job satisfaction, resilience and work engagement on turnover intention among village doctors in China: a cross-sectional study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 6 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Stress and retention challenges among rural and regional physicians: a mixed-methods systematic review and framework for action.Journal of public health (Oxford, England) · 2026Pooled it
- A global prevalence of turnover intention among doctors: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Pooled it
- The Effect of Work Engagement and Perceived Organizational Support on Turnover Intention among Nurses: A Meta-Analysis Based on the Price-Mueller Model.Journal of nursing management · 2023Pooled it
- Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention.Frontiers in public health · 2022Pooled it
- Counterintuitive consequences of COVID-19 on healthcare workers: A meta-analysis of the relationship between work engagement and job satisfaction.Frontiers in psychology · 2022Pooled it
- The Interplay of Psychological Resilience and Job Satisfaction Among Nurses: A Cross-Sectional Study.International nursing review · 2026Article
- Satisfaction with Job Transfer Training Among Physicians Transitioning to Psychiatric Practice in Guangdong Province, China.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- The Mediating Effect of Perceived Occupational Stress and Job Satisfaction on the Impact of Type D Personality on Turnover Intention Among Chinese General Practitioners.Healthcare (Basel, Switzerland) · 2026Article
- Heterogeneity in job preferences among young physicians in Chinese tertiary hospitals: a discrete choice experiment.BMJ open · 2026Article
- Artificial Intelligence-Empowered "Walking Hospitals": A Narrative Review of Innovative Models and Ecosystem Construction in Rural Healthcare.International journal of general medicine · 2026Review
- Availability of manual therapy in hospitals in the Guangdong province, China: a cross-sectional web-based survey.Journal of chiropractic humanities · 2025Article
- Physician turnover in China, 2011-2021: a nationwide longitudinal study.Human resources for health · 2025Article
- Organizational Wellbeing and Quality of Life in Healthcare Settings: Unexpected Similarities Across Different Roles?Medicina (Kaunas, Lithuania) · 2025Observational
- Factors influencing medical disputes among village doctors from seven provinces in China: a cross-sectional study.Human resources for health · 2025Article
- Impact of clinical pathway implementation satisfaction, work engagement, and hospital-patient relationship on quality of care in Chinese nurses.International nursing review · 2025Article
- The relationship between self-efficacy, learning burnout, willingness to fulfill the contract and empathy of rural-oriented tuition-waived medical students of China: a cross-sectional study.BMC medical education · 2025Article
- Improving rural doctors' professional competence: effectiveness analysis of China's village doctors policy.Frontiers in public health · 2025Article
- Protective and risk factors of social support for healthcare workers in high-pressure occupational settings.Frontiers in psychology · 2025Article
- Analysis of nursing staff job satisfaction and its influencing factors: a cross-sectional study of 38 hospitals/nursing homes in China.Frontiers in public health · 2025Article
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7 authors.
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Abstract
backgroundAs the gatekeepers of rural residents' health, teams of village doctors play a vital role in improving rural residents' health. However, the high turnover of village doctors, both individually and collectively, threaten the stability of village medical teams. This research evaluated the influence of job satisfaction, resilience, and work engagement on the village doctors' turnover intention, and explored the mediating role of work engagement and resilience between job satisfaction and the turnover intention of village doctors in China.
methodsA quantitative study using a self-administered questionnaire containing mostly structured items was conducted among village doctors with a sample size of 2693 from 1345 rural clinics in Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on available literature, and measured on a 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA), and Structural Equation Modelling (SEM) were used.
resultsUp to 46.9% of the subjects had a higher turnover intention and more than 26.3% of them had a medium turnover intention. The job satisfaction of village doctors could not only have a direct negative effect on turnover intention (β = - 0.37, p < 0.001), but also have an indirect effect through work engagement (β = - 0.04,=< 0.001). Meanwhile, work engagement also had a direct negative impact on turnover intention (β = - 0.13, p < 0.001), and resilience had an indirect negative impact on turnover intention through work engagement (β = - 0.09, p < 0.001). The above results of this study strongly confirmed that job satisfaction, resilience, and work engagement were early, powerful predicators of village doctors' turnover intention.
conclusionAccording to the results, the following should be taken seriously to improve job satisfaction: reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, and strong psychological coping mechanisms for work stress. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.
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