ArticleFrontiers in public health2021
The Awareness and Attitude of Contracted Service Among General Medical Practitioners in Community Health Service Centers in Urban China: A Cross-Sectional Study.
Article in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Enhancing financial stability in healthcare through data-driven risk assessments with machine learning.Scientific reports · 2026Article
- Commentary: Gender differences in job satisfaction and work-life balance among Chinese physicians in tertiary public hospitals.Frontiers in public health · 2025Article
- GP's GP, general practitioner's health and willingness to contract family doctors in China: a national cross-sectional study.BMC primary care · 2024Article
- The impact of family doctor contract services on the utilization of and satisfaction with primary health care among Chinese residents: A cross-sectional study.Journal of family medicine and primary care · 2024Article
- Assessing perceptions of nursing knowledge, attitudes, and practices in diabetes management within Chinese healthcare settings.Frontiers in public health · 2024Article
- Effective analysis of job satisfaction among medical staff in Chinese public hospitals: a random forest model.Frontiers in public health · 2024Article
- Occupational Risk Factors for Physical and Mental Health in Primary Healthcare Providers: A National Cross-Sectional Survey from 62 Urban Communities in China.Journal of multidisciplinary healthcare · 2023Article
- Satisfaction of family physician team members in the context of contract system: A cross-sectional survey from Shandong Province, China.Frontiers in public health · 2022Article
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Authors and funding
8 authors.
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Abstract
This study aims to explore the attitude, willingness, and satisfaction with contracted service (CS) among staff in community health service (CHS) centers in urban China and to explore the associated factors of satisfaction with CS. From August 2016 to July 2017, five CHS centers in three provinces of China were selected. Setting-level information was collected by official document review; and personal information on demographic characteristics, awareness, willingness, and attitude of CS among staff was collected by questionnaire survey. Univariate and multivariable logistic regression models were fitted to explore the associated factors of satisfaction with CS. Multiple correspondence analysis (MCA) was used to visually demonstrate the correlations among category data related with satisfaction with CS. The CS signing rates were 30.78, 12.72, 22.20, 14.32, and 21.19% in the five CHS centers. A total of 286 staff included family doctors (40.91%), nurses (31.12%), and others (27.97%) completed the survey. For the sense of self-worth, 86.01% (246/286) participants hold a positive attitude. The predominant barrier of CS signing was caused by the work pressure due to CS performance assessment (48.60%, 139/286). About 30% of family doctors and nurses reported a heavy work pressure, and more than 30% of doctors had great feeling of fatigue. Notably, 51.69% family doctors would like to change their job in the future. Compared with other staff, family doctors were more likely to be unsatisfied with CS (OR: 2.793, 95% CI: 1.155-6.754,
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