Evidence map›Paper›PMID 40380101›Full record

ArticleBMC primary care2025

The influence of professional identification and organizational incentives on turnover intentions: a hierarchical linear model in Beijing's family doctors.

Ziyan Zhai, Chengsen Cui, Kai Meng

Abstract read
In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ziyan ZhaiSchool of Public Health, Capital Medical University, No. 10, Xitoutiao, Youanmenwai Street, Fengtai District, Beijing, 10069, China.
Chengsen CuiChina Center for Health Development Studies, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, China.
Kai MengSchool of Public Health, Capital Medical University, No. 10, Xitoutiao, Youanmenwai Street, Fengtai District, Beijing, 10069, China. mengkai@ccmu.edu.cn.

Funding

The National Natural Science Foundation of China 72274128
6 · The paper itself

Abstract

backgroundThe high turnover intentions among family doctos (FDs) in China have impacted the stability of teams and the quality of healthcare services in community health centers (CHCs). The factors influencing FDs' turnover intentions include not only individual characteristics but also organizational environmental factors within CHCs. This study aims to explore the mechanism of the impact of FDs' professional identification and organizational incentives on their turnover intentions.

methodsThis study selected 3 397 FDs from 102 CHCs in six districts of Beijing as the research subjects. Multiple scales were used to quantify FDs' professional identity, turnover intention, and organizational incentives. A Hierarchical Linear Model (HLM) was employed to investigate the effects of organizational-level and individual-level factors on turnover intentions and to analyze the interaction between individuals and organizations.

resultsThe study found that FDs' professional identification has a significant negative impact on turnover intentions (Beta=-0.242, P < 0.001). The level of organizational incentives in CHCs had a significant negative impact on turnover intentions (Beta=-0.173, P < 0.001), and the level of organizational incentives played a significant negative moderating role in the process of individual professional identification influencing turnover intentions (Beta = 0.004, P < 0.05).

conclusionsEnhancing FDs' professional identity can lower their turnover intention, and the impact of personal identity on turnover intention diminishes in institutions with strong organizational incentives. During the training stage of FDs, it is essential to foster a strong personal professional identity value the role of organizational incentives, and optimize the overall organizational environment.

Indexed as

Community Health CentersIntentionMotivationPersonnel TurnoverPhysicians, FamilyAdultBeijingChinaFemaleHumansJob SatisfactionLinear ModelsMaleMiddle AgedOrganizational CultureSurveys and QuestionnairesFamily doctorHLM modelInfluencing factorsTurnover intention

Identifiers

PMID40380101
PMCPMC12082948

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.