ArticleInternational journal of health policy and management2022
Job Performance of Medical Graduates With Compulsory Services in Underserved Rural Areas in China: A Cohort Study.
Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Risk Factors Associated With Tuberculosis Diagnostic Delay in the Jiangsu Province, China (2011-2021): Spatiotemporal Database Analysis Study.JMIR public health and surveillance · 2026Article
- Training needs and influencing factors among rural-oriented general practitioners in Chongqing, China: a cross-sectional survey and latent profile analysis.Frontiers in public health · 2026Article
- Maximising the potential of the National Compulsory Service Programme in rural China: a mixed methods study.BMJ open · 2025Article
- Trends in the mobility of primary healthcare human resources in underdeveloped regions of western China from 2000 to 2021: Evidence from Nanning.BMC primary care · 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
- Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020.BMJ global health · 2024Article
- The effect of sense of security on job performance of medical staff: the mediating effect of psychological capital.Frontiers in psychology · 2024Article
- Supporting and retaining competent primary care workforce in low-resource settings: lessons learned from a prospective cohort study.Family medicine and community health · 2023Article
- The role of different educational programs in specialty preference among Chinese medical students: a cross-sectional study.BMC medical education · 2023Article
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Authors and funding
6 authors.
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Abstract
backgroundChina started a national program in 2010 to train qualified general practitioners with compulsory services program (CSP) in rural and remote areas. While the program has shown positive effects on staffing primary healthcare (PHC) in rural areas, very little is known about how well they perform. This study aims to evaluate the job performance of medical graduates from this program and the influence of program design on job performance.
methodsA cohort study was conducted with graduates from CSP and non-CSP (NCSP) from four medical universities in central and western China. Baseline and three waves of follow-up surveys were conducted from 2015-2020. The pass rate of China National Medical Licensing Examinations (NMLE) and self-reported job performance were used as measurements. Multivariable regressions were used to identify factors affecting job performance.
results2154 medical graduates were included, with 1586 CSP and 568 NCSP graduates. CSP (90.6%) and NCSP (87.5%) graduates showed no difference in passing the NMLE (
conclusionCSP graduates have demonstrated as good job performance as NCSP, proving the competency to provide high-quality care for remote and rural areas. The contracted township health centers (THCs) should provide guidance for CSP graduates, especially in the first few years after graduation. The local government should provide formally funded positions on time and prioritize signing contracts with hometowns or places nearby.
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