ArticleGlobal health action2024
Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China.
Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- Factors and a configurational pathway associated with lower turnover intention among high-level medical professionals in county-level hospitals in China: a multicenter cross-sectional study.Frontiers in public health · 2026Article
- Effects of authentic leadership on the experiences of burnout and Turnover Intention among healthcare professionals.Pakistan journal of medical sciences · 2026Article
- Perceptions of organizational culture among non-patient-facing health system employees.Journal of health organization and management · 2025Article
- The relationship between community workers' occupational stress, social support and psychological health: an empirical study in Liaoning Province, China.Frontiers in psychology · 2024Article
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Authors and funding
7 authors.
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Abstract
backgroundPrimary health care plays an important role in providing populations with access to health care. However, it is currently facing unprecedented workforce shortages and high turnover worldwide.
objectiveThis study examined the relationship between organizational culture and turnover intention among primary care providers in China.
methodsA cross-sectional survey was administered in four large cities in China, Tianjin, Jinan, Shanghai, and Shenzhen, comprising 38 community health centers and 399 primary care providers. Organizational culture was measured using the Competing Value Framework model, which is divided into four culture types: group, development, hierarchy, and rational culture. Turnover intention was measured using one item assessing participants' intention to leave their current position in the following year. We compared the turnover intention among different organizational culture types using a Chi-square test, while the hierarchical logistic regression was used to examine the relationship between organizational culture and turnover intention.
resultsThe study found that 32% of primary care providers indicated an intention to leave. Primary care providers working in a hierarchical culture reported higher turnover intention (43.18%) compared with those in other cultures (
conclusionsOur findings inform organizational management strategies to retain a healthy workforce in primary health care.
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