ArticleHuman resources for health2021
Effect of healthcare system reforms on job satisfaction among village clinic doctors in China.
Article in Human resources for health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention.Frontiers in public health · 2022Pooled it
- Systematic and meta-based evaluation on job satisfaction of village doctors: An urgent need for solution issue.Frontiers in medicine · 2022Pooled it
- From coverage to care: how basic medical insurance shapes patients' experiences of primary care in China.Frontiers in epidemiology · 2026Article
- Impact of the compact county medical service community policy on healthcare resource allocation and healthcare service utilization in village clinics: a difference-in-differences analysis in rural Sichuan, China.Frontiers in public health · 2026Article
- The effect of Effort-Reward imbalance on job performance among primary healthcare professionals: the mediating roles of social support and resilience.Scientific reports · 2025Article
- Turnover intention and continuing professional development of rural doctors from targeted admission medical education program in China: a cross-sectional study in the post-COVID-19 era.BMC primary care · 2024Article
- An inverted U-shaped relationship between work-family conflict and job burnout among village clinic doctors: the moderating effect of information and communication technology use.BMC psychiatry · 2024Article
- Policy perception, job satisfaction and intentions to remain in rural area: evidence from the National Compulsory Service Programme in China.Global health research and policy · 2024Article
- Comparative analysis of village doctors' relative deprivation: based on two cross-sectional surveys.BMC primary care · 2024Article
- Prevalence of depression, anxiety, and stress and associated reasons among Iranian primary healthcare workers: a mixed method study.BMC primary care · 2024Article
- Expanded-multidimensional turnover intentions: scale development and validation.BMC psychology · 2023Article
- How surface acting affects turnover intention among family doctors in rural China: the mediating role of emotional exhaustion and the moderating role of occupational commitment.Human resources for health · 2023Article
- The status of emotional labour and its influence on job burnout among village doctors during the COVID-19 pandemic in China: a cross-sectional study.BMC primary care · 2023Article
- High response rate and low cost of WeChat-based data collection of infant and young child feeding data in rural Qinghai Province, China.Journal of global health · 2022Article
- Global Insights Into Rural Health Workers' Job Satisfaction: A Scientometric Perspective.Frontiers in public health · 2022Article
- Association of individual resilience with organizational resilience, perceived social support, and job performance among healthcare professionals in township health centers of China during the COVID-19 pandemic.Frontiers in psychology · 2022Article
- How does the turnover intention of village clinic doctors change after China's new health care system reform? A comparison based on three surveys in a province in eastern China.Frontiers in public health · 2022Article
- Levels, trends, and determinants of effectiveness on the hierarchical medical system in China: Data envelopment analysis and bootstrapping truncated regression analysis.Frontiers in public health · 2022Article
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Authors and funding
13 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundVillage clinic doctors (VCDs) are part of the health service force in rural China. VCDs' job satisfaction (JS) is important to the stability of the three-tiered health service system. Since 2009, the Chinese government launched a new health care system reform (NHCSR) which affected VCDs significantly. This study aimed to analysing the effect of NHCSR on JS among VCDs.
methodsAll the data came from three surveys in Shandong Province conducted in 2012, 2015 and 2018. In 2012, an originally designed questionnaire was used to conduct a baseline survey of 405 VCDs from 27 townships in nine counties. In 2015 and 2018, 519 and 223 VCDs in the same counties were surveyed with the same questionnaire. Descriptive analysis and ANOVA were used to analyse the level and changes in VCDs' JS.
resultsThe mean scores of VCDs' total JS were 2.664 ± 1.069, 3.121 ± 0.931 and 2.676 ± 1.044 in 2012, 2015 and 2018, respectively, with a significant difference (F = 28.732, P < 0.001). The mean scores of the medical practice environment and the job itself showed a continuous downward trend. The trends of the mean scores for job reward, internal work environment and organizational management were consistent with the trend for total JS.
conclusionThe NHCSR had a partly negative impact on VCDs' JS. Policy-makers should pay more attention to VCDs' job reward and medical practice environment. With the implementation of new reform policies, VCDs' JS should be the subject of more systematic and detailed research.
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