Introduction
Methods
Sampling
Measuring instruments
Data analysis
Results
Socio-demographic characteristics of study sampling
Characteristics | Category | No.(%) |
---|---|---|
Gender | Male | 1302(68.9) |
Female | 587(31.1) | |
Age (years) | <25 | 23(1.2) |
25 ~ 35 | 319(16.9) | |
35 ~ 45 | 599(31.7) | |
45~55 | 409(21.7) | |
≥55 | 539(28.5) | |
Educational qualification | Secondary technical school and below | 1564(82.8) |
Junior college | 285(15.1) | |
Bachelor | 21(1.1) | |
Master and above | 19(1.0) | |
Title | No title | 720(38.1) |
Junior title | 844(44.7) | |
Middle title | 310(16.4) | |
Senior title | 15(0.8) | |
Work seniority | < 5 | 105(5.5) |
5-15 | 480(25.4) | |
15-25 | 532(28.2) | |
≥ 25 | 772(40.9) | |
Qualified to practice | Yes | 1453(76.9) |
No | 436(23.1) | |
Average income/years (ten thousand Yuan) | ≤3 | 1451(76.8) |
3-5 | 315(16.7) | |
5-8 | 99(5.2) | |
≥ 8 | 24(1.3) | |
Individual income levels in the local* | The upper layer | 12(0.6) |
Between upper and middle | 57(3.0) | |
Middle level | 488(25.9) | |
Between middle and lower | 860(45.5) | |
The lower layer | 472(25.0) | |
Income satisfaction | Satisfied | 113(6.0) |
Moderate (not too bad) | 725(38.4) | |
Dissatisfied | 1051(55.6) |
Turnover intention of village doctors
Degree of job satisfaction of village doctors
Option | Satisfactory n(%) | Not too bad n(%) | Dissatisfactory n(%) | Mean±SD |
---|---|---|---|---|
1. Been able to keep busy and fulfilling | 1324(70.1) | 421(22.3) | 144(7.6) | 2.73-0.818 |
2. Level of attention by leaders | 1247(66.0) | 487(25.8) | 155(8.2) | 2.71-0.855 |
3. The way my boss handles his\her workers | 1338(70.8) | 397(21) | 154(8.2) | 2.76-0.856 |
4. The competence of my manager in making decisions | 1380(73.1) | 403(21.3) | 106(5.6) | 2.87-0.815 |
5. Work stability | 1238(65.5) | 511(27.1) | 140(7.4) | 2.71 ± 0.839 |
6. The chance to do something that makes use of my abilities | 1330(70.4) | 464(24.6) | 95(5.0) | 2.81±0.768 |
7. The way organization policies are put into practice | 1056(55.9) | 618(32.7) | 215(11.4) | 2.53±0.900 |
8. My pay and the amount of work I do | 683(36.2) | 560(29.6) | 646(34.2) | 1.99±1.092 |
9. The chances for advancement on this job | 694(36.7) | 854(45.2) | 341(18.1) | 2.21±0.911 |
10. The chance to try my own methods of doing the job | 1071(56.7) | 687(36.4) | 131(6.9) | 2.59±0.796 |
11. The work conditions | 929(49.2) | 596(31.5) | 364(19.3) | 2.34±0.987 |
12. The feeling of accomplishment I get from the job | 1125(59.6) | 579(30.6) | 185(9.8) | 2.58±0.878 |
Socio-demographic characteristics related to the turnover intention of village doctors
Indexes | With turnover intention n(%) | Without turnover intention n(%) | χ2 | p |
---|---|---|---|---|
Gender
| ||||
Male | 483(25.6) | 819 (43.3) | ||
Female | 212(11.2) | 375(19.9) | 0.167 | 0.682 |
Educational qualification
| ||||
Secondary technical school and below | 577(30.5) | 987(52.3) | ||
Junior college | 104(5.5) | 181(9.6) | ||
Bachelor | 8(0.4) | 13(0.7) | ||
Master and above | 6(0.3) | 13(0.7) | 0.255 | 0.968 |
Work seniority
| ||||
< 5 | 30(1.6) | 75(4.0) | ||
5-15 | 193(10.2) | 287(15.2) | ||
15-25 | 196(10.4) | 336(17.8) | ||
≥ 25 | 276(14.6) | 496(26.2) | 5.820 | 0.121 |
Qualified to practice
| ||||
Yes | 528(28.0) | 925(49.0) | ||
No | 167(8.8) | 269(14.2) | 0.556 | 0.456 |
Individual income levels in the local
| ||||
The upper layer | 4(0.2) | 8(0.4) | ||
Between upper and middle | 15(0.8) | 42(2.2) | ||
Middle level | 134(7.1) | 354(18.7) | ||
Between middle and lower | 320(16.9) | 540(28.6) | ||
The lower layer | 222(11.8) | 250(13.3) | 42.385 |
<0.001
|
Income satisfaction
| ||||
Satisfactory | 18(0.9) | 95(5.0) | ||
Moderate (not too bad) | 177(9.4) | 548(29.0) | ||
Dissatisfactory | 500(26.5) | 551(29.2) | 121.452 |
<0.001
|
Job satisfaction and the turnover intention of village doctors
Job satisfaction | Turnover intention | |||
---|---|---|---|---|
Component | Yes n(%) | No n(%) | χ2 | p |
1. Been able to keep busy and fulfilling | ||||
Dissatisfied | 89(4.7) | 55(2.9) | ||
Not too bad | 186(9.8) | 235(12.5) | ||
Satisfied | 420(22.2) | 904(47.9) | 63.259 | <0.001 |
2. level of attention by leaders | ||||
Dissatisfied | 103(5.5) | 52(2.8) | ||
Not too bad | 216(11.4) | 271(14.3) | ||
Satisfied | 376(19.9) | 871(46.1) | 94.244 | <0.001 |
3. The way my boss handles his\her workers | ||||
Dissatisfied | 107(5.7) | 47(2.5) | ||
Not too bad | 181(9.6) | 216(11.4) | ||
Satisfied | 407(21.5) | 931(49.3) | 107.351 | <0.001 |
4. The competence of my manager in making decisions | ||||
Dissatisfied | 82(4.3) | 24(1.3) | ||
Not too bad | 184(9.7) | 219(11.6) | ||
Satisfied | 429(22.7) | 951(50.4) | 107.944 | <0.001 |
5. Work stability | ||||
Dissatisfied | 110(5.8) | 30(1.6) | ||
Not too bad | 225(11.9) | 286(15.1) | ||
Satisfied | 360(19.1) | 878(46.5) | 148.266 | <0.001 |
6. The chance to do something that makes use of my abilities | ||||
Dissatisfied | 68(3.6) | 27(1.4) | ||
Not too bad | 213(11.3) | 251(13.3) | ||
Satisfied | 414(21.9) | 916(48.5) | 84.353 | <0.001 |
7. The way organization policies are put into practice | ||||
Dissatisfied | 148(7.8) | 67(3.5) | ||
Not too bad | 261(13.8) | 357(18.9) | ||
Satisfied | 286(15.2) | 770(40.8) | 145.606 | <0.001 |
8. My pay and the amount of work I do | ||||
Dissatisfied | 355(18.8) | 291(15.4) | ||
Not too bad | 163(8.6) | 397(21.0) | ||
Satisfied | 177(9.4) | 506(26.8) | 140.592 | <0.001 |
9. The chances for advancement on this job | ||||
Dissatisfied | 209(11.1) | 132(7.0) | ||
Not too bad | 292(15.4) | 562(29.7) | ||
Satisfied | 194(10.3) | 500(26.5) | 113.797 | <0.001 |
10. The chance to try my own methods of doing the job | ||||
Dissatisfied | 79(4.2) | 52(2.8) | ||
Not too bad | 277(14.7) | 410(21.7) | ||
Satisfied | 339(17.9) | 732(38.7) | 46.986 | <0.001 |
11. The work conditions | ||||
Dissatisfied | 231(12.2) | 133(7.0) | ||
Not too bad | 224(11.9) | 372(19.7) | ||
Satisfied | 240(12.7) | 689(36.5) | 159.456 | <0.001 |
12. The feeling of accomplishment I get from the job | ||||
Dissatisfied | 123(6.5) | 62(3.3) | ||
Not too bad | 236(12.5) | 343(18.1) | ||
Satisfied | 336(17.8) | 789(41.8) | 97.266 | <0.001 |
Analysis of the multiple factors that influence the turnover intention of village doctors
B | P | OR | 95%CI | |
---|---|---|---|---|
Individual income levels in the local
| 0.560 | |||
The upper layer | −0.161 | 0.812 | 0.851 | (0.226, 3.207) |
Between upper and middle | −0.391 | 0.267 | 0.676 | (0.339, 1.349) |
Middle level | −0.238 | 0.138 | 0.788 | (0.576, 1.080) |
Between middle and lower | −0.168 | 0.199 | 0.845 | (0.653, 1.093) |
The lower layer | ||||
Income satisfaction
|
<0.001
| |||
Satisfied | −1.259 | <0.001 | 0.284 | (0.161, 0.501) |
Moderate (not too bad) | −0.623 | <0.001 | 0.536 | (0.418, 0.689) |
Dissatisfied | ||||
Been able to keep busy and fulfilling
| 0.818 | |||
Dissatisfied | −0.144 | 0.537 | 0.866 | (0.547, 1.369) |
Not too bad | −0.007 | 0.963 | 0.993 | (0.739, 1.334) |
Level of attention by leaders
| 0.654 | |||
Dissatisfied | 0.148 | 0.587 | 1.159 | (0.681, 1.973) |
Not too bad | 0.150 | 0.371 | 1.161 | (0.837, 1.612) |
The way my boss handles his/her workers
| 0.642 | |||
Dissatisfied | 0.256 | 0.363 | 1.292 | (0.743, 2.247) |
Not too bad | 0.101 | 0.575 | 1.106 | (0.778, 1.573) |
The competence of my manager in making decisions
| 0.088 | |||
Dissatisfied | 0.701 | 0.030 | 2.017 | (1.068, 3.807) |
Not too bad | 0.163 | 0.320 | 1.177 | (0.854, 1.621) |
Work stability
| 0.055 | |||
Dissatisfied | 0.670 | 0.021 | 1.955 | (1.107, 3.454) |
Not too bad | 0.210 | 0.176 | 1.233 | (0.910, 1.671) |
The chance to do something that makes use of my abilities
| 0.939 | |||
Dissatisfied | 0.049 | 0.875 | 1.050 | (0.569, 1.939) |
Not too bad | 0.057 | 0.726 | 1.059 | (0.769, 1.457) |
The way organization policies are put into practice
|
0.028
| |||
Dissatisfied | 0.551 | 0.013 | 1.735 | (1.121, 2.687) |
Not too bad | 0.294 | 0.050 | 1.342 | (1.000, 1.801) |
My pay and the amount of work I do
|
<0.001
| |||
Dissatisfied | 0.166 | 0.352 | 1.180 | (0.832, 1.674) |
Not too bad | −0.433 | 0.014 | 0.648 | (0.459, 0.916) |
The chances for advancement on this job
|
0.011
| |||
Dissatisfied | −0.076 | 0.723 | 0.927 | (0.609, 1.410) |
Not too bad | −0.422 | 0.010 | 0.655 | (0.475, 0.905) |
The chance to try my own methods of doing the job
| 0.086 | |||
Dissatisfied | −0.580 | 0.027 | 0.560 | (0.335, 0.936) |
Not too bad | −0.097 | 0.541 | 0.907 | (0.678, 1.215) |
The work conditions
|
<0.001
| |||
Dissatisfied | 0.878 | <0.001 | 2.406 | (1.686, 3.435) |
Not too bad | 0.472 | 0.003 | 1.604 | (1.172, 2.194) |
The feeling of accomplishment I get from the job
| 0.531 | |||
Dissatisfied | 0.228 | 0.316 | 1.256 | (0.804, 1.961) |
Not too bad | −0.019 | 0.898 | 0.981 | (0.736, 1.308) |
Constant
| −0.563 |
0.000
| 0.569 |