ArticleBMJ open2024
Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Occupational Risk Factors for Burnout Syndrome Among Healthcare Professionals: A Global Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2024Pooled it
- Shift Work and Psychological Distress Among Healthcare Workers: The Mediating Role of Sleep Quality and the Association with Job Dissatisfaction.Healthcare (Basel, Switzerland) · 2026Article
- The relationship between medical workers' presence of meaning in life and turnover intention: the mediating role of searching for meaning in life and professional happiness.Scientific reports · 2026Article
- Spatial disparities and dynamic evolution of health human resources in primary healthcare institutions in China: a study from the perspective of aggregation degree.BMC health services research · 2026Article
- Article
- The Prevalence and Factors Associated with Workforce Attrition and Intention-to-Leave Among Healthcare Workers in New Zealand: A Systematic Literature Review and Meta-Analysis.Journal of the Royal Society of New Zealand · 2026Review
- Perceived fulfillment of multilevel psychological contract responsibilities, job burnout, and turnover intention among primary care physicians: a structural equation modeling analysis.Frontiers in public health · 2026Article
- Analysis of the spatial distribution of occupational burnout among mental health professionals at the city, county, and township levels in Guangxi and related influencing factors.Frontiers in public health · 2026Article
- The turnover challenge in centers for disease control and prevention: role of salaries, job satisfaction and burnout-a cross-sectional study in a province of China.Frontiers in public health · 2026Article
- Job Crafting Mediates the Relationship Between Ego-Resiliency and Subjective Well-Being Among Community Nurses in China: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- Mediating effect of work engagement and career success on work-family support and turnover intention of hemodialysis nurses in China: a cross-section study.BMC nursing · 2025Article
- Factors Contributing to the Intention to Leave Among Nursing Home Staff in Singapore: A Cross-Sectional Study.Journal of nursing management · 2025Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPrimary health workers are crucial to the healthcare system, yet China experiences a notable shortage driven by high turnover rates. This study aimed to investigate the prevalence and determinants of turnover intention among primary health workers.
designCross-sectional study.
settingPrimary healthcare facilities across 21 cities in Guangdong province, China.
participantsOnline questionnaires (SurveyStar, Changsha Ranxing Science and Technology) were administered to 16 573 primary health workers in September and October 2022. PRIMARY AND SECONDARY OUTCOME MEASURES: Variables measured included demographics, work-related factors, job satisfaction, emotional exhaustion and turnover intention. Comparisons of turnover intention were made across different categorical groups, and hierarchical regression analysis was used to pinpoint influencing factors.
resultsThe average turnover intention score among participants was 10.49±2.93. Notable positive correlations included those with male gender, single marital status, leadership positions and roles as public health physicians. Emotional exhaustion correlated positively (β=0.108), while job satisfaction showed a significant negative correlation (β=-0.154). Other negative influential factors were observed with tenure lengths of 6-10 years, 11-15 years and ≥16 years, as well as with senior professional titles, lower salary levels and perceptions of fair compensation.
conclusionsTurnover intention is notably prevalent among primary healthcare workers, with emotional exhaustion and job satisfaction identified as primary determinants. Salary, payment justice in compensation and tenure also significantly influence turnover intention. Based on the above analysis, a series of intervention measures can be expectedly unveiled to reduce the turnover intention of primary health workers and maintained the steady development of basic medical resources.
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