Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study
Objectives Primary 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.Design Cross-sectional study.Setting Prim...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-11-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e084859.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846122157953777664 |
|---|---|
| author | Xia Li JianLi Wang Ningning Wang Lian He Caiwen Li Yinmei Xie Anfei Luo Zhiwei Lu |
| author_facet | Xia Li JianLi Wang Ningning Wang Lian He Caiwen Li Yinmei Xie Anfei Luo Zhiwei Lu |
| author_sort | Xia Li |
| collection | DOAJ |
| description | Objectives Primary 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.Design Cross-sectional study.Setting Primary healthcare facilities across 21 cities in Guangdong province, China.Participants Online 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.Results The 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.Conclusions Turnover 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. |
| format | Article |
| id | doaj-art-142958820f8c42d9a6c0dbfadba6828f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-142958820f8c42d9a6c0dbfadba6828f2024-12-15T01:35:09ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2024-084859Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional studyXia Li0JianLi Wang1Ningning Wang2Lian He3Caiwen Li4Yinmei Xie5Anfei Luo6Zhiwei Lu7STD Control Department, Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, ChinaHealth Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, ChinaHealth Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, ChinaHealth Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, ChinaHealth Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, ChinaHealth Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, ChinaShenZhen HongHua District Maternity and Child Healthcare Hospital, Shenzhen, ChinaHealth Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, ChinaObjectives Primary 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.Design Cross-sectional study.Setting Primary healthcare facilities across 21 cities in Guangdong province, China.Participants Online 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.Results The 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.Conclusions Turnover 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.https://bmjopen.bmj.com/content/14/11/e084859.full |
| spellingShingle | Xia Li JianLi Wang Ningning Wang Lian He Caiwen Li Yinmei Xie Anfei Luo Zhiwei Lu Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study BMJ Open |
| title | Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study |
| title_full | Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study |
| title_fullStr | Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study |
| title_full_unstemmed | Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study |
| title_short | Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study |
| title_sort | turnover intention and influential factors among primary healthcare workers in guangdong province china a cross sectional study |
| url | https://bmjopen.bmj.com/content/14/11/e084859.full |
| work_keys_str_mv | AT xiali turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT jianliwang turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT ningningwang turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT lianhe turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT caiwenli turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT yinmeixie turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT anfeiluo turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy AT zhiweilu turnoverintentionandinfluentialfactorsamongprimaryhealthcareworkersinguangdongprovincechinaacrosssectionalstudy |