ArticleInternational journal of environmental research and public health2021
Satisfaction of Township Hospitals Health Workers on How They Are Paid in China.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Factors Influencing Physicians' Perceived Compensation Satisfaction in China: Cross-Sectional Study.JMIR formative research · 2026Article
- The Association Between Financial Incentives and Job Performance Among Primary Care Providers in Six Provinces of China.Risk management and healthcare policy · 2022Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundTownship Hospitals (THs) are crucial providers in China's primary health delivery system. Low job satisfaction of THs health workers has been one of biggest challenges to strengthening the health system in China. Even huge amounts of studies confirmed low remuneration level as a key demotivating factor though few studies have explored the feelings of health workers on how they were paid.
objectiveTo analyze how the key design of Performance-based Salary System (PBS) influences the satisfaction of health workers on the payment system in China's THs.
methodA cross-sectional study was conducted in 47 THs in Shandong China, and a total of 1136 participants were recruited. Expectancy theory was applied to design the measurements on designs of PBS. The associations between PBS design and satisfaction of health workers were analyzed by logistic regression.
resultsThree key components of PBS design were all related to the satisfaction of health workers. Those health workers who were aware of assessment methods were more likely to be satisfied with how they were paid (OR = 2.44,
conclusionsWhen policymakers or managers apply performance-related payment to incentivize certain work behavior, they should pay attention to the design details, including keeping transparency in the performance assessment criteria, clear performance feedback, and setting the proportion of the performance-related part based on the preference of health workers in certain cultural settings.
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