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A national survey of turnover intention among general practitioners in China |
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| Authors: | Yong Gan Heng Jiang Liqing Li Yudi Yang Chao Wang Jianxin Liu Tingting Yang Yanling Zheng Yi Zhu Opoku Sampson Hongbin Xu Fang Yu Yali Chen Chulani Herath Yanyan Zhong Qiaoyan Liu Minyi Yu Ling Liu Chao Gao Zuxun Lu |
| Affiliation: | 1. Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;2. Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia;3. Department of Nutrition, People's Hospital of Henan Province, Zhengzhou, China;4. Department of general practice medicine, Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, China;5. Department of Psychology and Counselling, Faculty of Health Sciences, The Open University of Sri Lanka, Nawala, Sri Lanka;6. Department of general practice medicine, Huazhong University of Science and Technology Hospital, Wuhan, China;7. Research Institute of Rehabilitation Information, China Rehabilitation Science Institute, Beijing, China Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing, China;8. Chinese Center for Disease Control and Prevention, National Institute for Nutrition and Health, Beijing, China |
| Abstract: | Studies on turnover intention among Chinese general practitioners (GPs) at the national level are limited. This study aimed to assess intention to leave and its associated factors among a nationally representative sample of GPs. The participants were selected using a multistage stratified random sampling method. A self-administered structured questionnaire was used to collect data from 3236 GPs in China between October 2017 and February 2018. A multiple linear stepwise regression analysis was used to identify factors associated with turnover intention. Over 70.0% GPs had a moderate or high turnover intention. GPs who were male, were younger, had a higher education level, had a lower professional title, had a lower income level, and had a temporal work contract had higher turnover intention. In addition, GPs who worked night shifts, had low job satisfaction, and had few opportunities for professional development reported higher turnover intention. Substantial gender and regional differences in predictors of turnover intention among GPs were observed. The study showed that turnover intention in Chinese GPs is high, and the factors influencing turnover intention were low professional title and income level, high education level, having a temporary work contract, working night shifts, and limited opportunities for professional development. |
| Keywords: | China epidemiology general practitioner primary care turnover intention |