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Factors Influencing the Turnover Intention of Chinese Community Health Service Workers Based on the Investigation Results of Five Provinces

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Abstract

After the implementation of the new health reform, the Chinese government paid increasing attention to developing its community health service (CHS). The focus is mainly on cultivating community general medical practitioners but paying less attention to the working status and occupational demands of in-service CHS workers. CHS requires a stable team that can provide good service to community residents. At present, the demission rate of CHS workers is high. Studying how to increase the stability of CHS workers is noteworthy. The goal of this study is to ascertain the key factors that influence the CHS worker turnover intention to increase their work satisfaction and stability. A total of 100 CHS organizations were sampled randomly in 10 cities from 5 Chinese provinces for this study. All CHS workers from these organizations took a questionnaire survey. In total, 3,212 valid answer sheets were collected. Pearson Chi square test and Binary logistic regression were used to analyze the related influencing factors that result in CHS worker turnover intention. A total of 38.7 % of those who accomplished the questionnaire intended to quit. The influencing factors that result in CHS worker turnover intention are (1) socio-demographic factors such as age, post of duty, professional title, and working seniority, and (2) other work-related factors such as pay packets, learning and training opportunities, promotion and personal development space, and working stress. CHS workers were less satisfied with the balance between payment and work quantity, promotion opportunity, and working conditions. Based on the results, the government should pay more attention to the various demands of CHS workers in service, especially by increasing their income, providing more learning and training opportunities, and increasing the degree of their work satisfaction to avoid turnover intention and ensure the stability of the CHS workforce.

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References

  1. Murthy, N. R., & Okunade, A. A. (2000). Managed care, deficit financing, and aggregate health care expenditure in the United States: A co-integration analysis. Health Care Management Science, 3(4), 283–290.

    Article  Google Scholar 

  2. Bao, Y., Zhu, P. H., Wang, J. Z., & Du, X. L. (2013). Health gatekeeper system and China’s health care reform. Chinese Journal of General Practice, 11(3), 333–340.

    Google Scholar 

  3. Liu, S. M. (2012). Comparison between domestic CHS mode and abroad CHS mode and reference from abroad CHS mode. Chinese Primary Health Care, 26(10), 21–23.

    CAS  Google Scholar 

  4. Dupuit, S., Collins, E., & Shergill, S. (1998). Computer-based assistance in family medicine. Computer Methods and Programs in Biomedicine, 55, 201–203.

    Google Scholar 

  5. Martinc, M. R., Menab, J., & Sketris, I. S. (2004). Collaborative practice in health systems change: The Nova Scotia experience with the Strengthening Primary Care Initiative. Canada Journal of Nursing Leadership, 17(2), 33–45.

    Article  Google Scholar 

  6. Shi, P., Wu, J. Y., Fu, X. B., Li, P., Song, R. Q., & Gu, Y. (2012). Investigation on opinions about the establishment of general practitioner system among general practitioners. Chinese General Practice, 15(2A), 362–366.

    Google Scholar 

  7. Han, P. F., & Zhang, X. (2012). Adjustment on Chinese CHS Policy. Chinese Journal of Public Health Management, 28(2), 132–134.

    Google Scholar 

  8. Liang, H., Yu, X., & Chou, Y. B. (2010). Analysis on policy issues of community health services in the context of new health care reform. Chinese Journal of Health Policy, 3(7), 2–8.

    Google Scholar 

  9. Huang, Y., Wamg, Q., & Li, C. Q. (2010). The development, current situation and problems of the community health services in China. Progress in Modern Biomedicine, 10(14), 2795–2800.

    Google Scholar 

  10. The National Health Service in June. (2012). Ministry of Health of the People’s Republic of China.

  11. Liang, W. N., Li, J., Guan, J., & Yang, X. H. (2005). The investigation of the present situation of the national community health service: The present situation of health workforce of national community health service centers and comparison in different areas. Chinese General Practice, 8(13), 1038–1041.

    Google Scholar 

  12. Zhu, L. N., Dai, S., Lou, Y., & Guo, Q. (2012). A satisfaction and demand survey on community health service after health care reform in Hangzhou. Health Research, 32(1), 51–54.

    CAS  Google Scholar 

  13. Yang, H. F., & He, H. (2013). Investigation of the utilization of community health services and satisfaction degree of community residents in Urumqi City. Modern Preventive Medicine, 40(2), 259–261.

    Google Scholar 

  14. Luo, W. Z. (2013). Study development on improving Chinese urban CHS countermeasures. Today Nurse, 2(2), 9–10.

    Google Scholar 

  15. Chen, C. (2012). Simple analysis on urban CHS work. Journal of Community Medicine, 10(19), 23–24.

    Google Scholar 

  16. Shi, C. C. (2012). Factors influencing degree of satisfaction of community residents with CHS. Chinese Community Doctors, 14(22), 395–396.

    Google Scholar 

  17. Zhao, L. Y., Hao, J., Niu, L., Li, R. X., & Tan, K. (2012). Investigation and analysis on stability of CHS station medical workers in Taiyuan City. Soft Science of Health, 26(4), 352–367.

    Google Scholar 

  18. Fan, C. P., Sun, S. X., Gong, X., & Li, J. (2010). Staff’s satisfaction and their stability in community health service institutions of 3 piloting cities in China. Chinese General Practice, 13(11A), 3497–3499.

    Google Scholar 

  19. Zhang, L. L., Li, X., & Ding, H. Y. (2013). Investigation and analysis of health human resources in the community health service under the framework of medical reformation. Chinese Journal of General Practice, 11(3), 452–453.

    Google Scholar 

  20. Li, L. Q., & Zhou, X. J. (2013). Analysis on system archetype of developing community health services: Based on a field research in Jiangxi Province. Chinese General Practice, 16(3A), 720–726.

    Google Scholar 

  21. Jang, P., Zhao, W., Lu, Y., & Mao, Z. F. (2007). Problems and countermeasures in urban CHS development. Journal of Mathematical Medicine, 20(4), 574.

    Google Scholar 

  22. Kun, L. (2006). Talent team building is key for CHS development. Chinese Community Doctors, 22(11), 3.

    Google Scholar 

  23. Zhang, E. Y., & Chen, J. (2011). Analysis on satisfaction degree of CHS medical workers in a district in Beijing. Chinese Journal of Health Policy, 4(8), 44–47.

    Google Scholar 

  24. Steel, R. P., & Ovalle, N. K. (1984). A review and meta-analysis of research on the relationship between behavioral intentions and employee turnover. Journal of Applied Psychology, 69, 673–686.

    Article  Google Scholar 

  25. Chen, H. C., Chu, C. I., Wang, Y. H., & Lin, L. C. (2008). Turnover factors revisited: A longitudinal study of Taiwan-based staff nurses. International Journal of Nursing Studies, 45(2), 277–285.

    Article  PubMed  Google Scholar 

  26. Vandenberghe, C. (2001). Leadership, organizational stress, and emotional exhaustion among hospital nursing staff. Journal of Advanced Nursing, 35(4), 533–542.

    Article  PubMed  Google Scholar 

  27. Qin, H. J. (2012). Thoughts on the development and reform of community health service in China. Chinese Journal of Health Policy, 5(3), 1–3.

    Google Scholar 

  28. Zhang, Y. M., & Feng, X. S. (2011). The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: A cross-sectional study. BMC Health Services Research, 11, 235–248.

    Article  PubMed  CAS  Google Scholar 

  29. Choi, S. P. P., Pang, S. M. C., Cheung, K., & Wong, T. K. S. (2011). Stabilizing and destabilizing forces in the nursing work environment: A qualitative study on turnover intention. International Journal of Nursing Studies, 48(10), 1290–1301.

    Article  PubMed  Google Scholar 

  30. Flinkman, M., Laine, M., Leino-Kilpi, H., Hasselhorn, H. M., & Salantera, S. (2008). Explaining young registered Finnish nurses’ intention to leave the profession: A questionnaire survey. International Journal of Nursing Studies, 45(5), 727–739.

    Article  PubMed  CAS  Google Scholar 

  31. Man-Ling, C., Zhi-Yuan, S., Chia-Lun, L., Chiung-Hsuan, C., Ya-Han, H., & Tien-Yu, S. (2013). An empirical study on the factors influencing the turnover intention of dentists in hospitals in Taiwan. Journal of Dental Sciences. Available online 9 April 2013 (in press).

  32. De-Gieter, S., Hofmans, J., & Pepermans, R. (2011). Revisiting the impact of job satisfaction and organizational commitment on nurse turnover intention: An individual differences analysis. International Journal of Nursing Studies, 48(12), 1562–1569.

    Article  PubMed  Google Scholar 

  33. O’Neill, J. L., & Gaither, C. A. (2007). Investigating the relationship between the practice of pharmaceutical care, construed external image, organizational identification, and job turnover intention of community pharmacists. Research in Social and Administrative Pharmacy, 3(4), 438–463.

    Article  PubMed  Google Scholar 

  34. Green, A. E., Miller, E. A., & Aarons, G. A. (2011). Transformational leadership moderates the relationship between emotional exhaustion and turnover intention among community mental health providers. Community Mental Health Journal, 11.

  35. Blankertz, L. E., & Robinson, S. E. (1997). Turnover intentions of community mental health workers in psychosocial rehabilitation services. Community Mental Health Journal, 33(6), 517–529.

    Article  PubMed  CAS  Google Scholar 

  36. Ching-I, T., Yea-Ing, L. S., & Hao-Yuan, C. (2007). Moderating effects of professional commitment on hospital nurses in Taiwan original research article. Journal of Professional Nursing, 23(1), 47–54.

    Article  Google Scholar 

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Acknowledgments

This research was supported by China-Australia Health and AIDS project “Human Resource Development and System Design in Community Health Service Institutions in Urban Areas in China”, a three-year project found by the Australian Agency for International Development (AusAID).

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Authors and Affiliations

  1. School of Health and Medicine Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan, 430030, China

    Yu Sun, Zhenni Luo & Pengqian Fang

  2. The Fifth Affiliated Hospital, Sun Yat-Sen University, Zhuhai, 519000, China

    Yu Sun

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  1. Yu Sun
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  2. Zhenni Luo
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  3. Pengqian Fang
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Correspondence to Pengqian Fang.

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Sun, Y., Luo, Z. & Fang, P. Factors Influencing the Turnover Intention of Chinese Community Health Service Workers Based on the Investigation Results of Five Provinces. J Community Health 38, 1058–1066 (2013). https://doi.org/10.1007/s10900-013-9714-9

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  • DOI: https://doi.org/10.1007/s10900-013-9714-9

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