Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention
BackgroundVillage doctors (VDs) in China undertook arduous primary healthcare missions. However, they received little attention in comparison to doctors in urban public secondary and tertiary hospitals. There is an urgent need to explore the overall situation of turnover intention and job burnout am...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.970780/full |
| _version_ | 1828336163198337024 |
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| author | Yuquan Chen Yuquan Chen Yanwei You Yanwei You Yaying Shen Yaying Shen Zifei Du Tao Dai |
| author_facet | Yuquan Chen Yuquan Chen Yanwei You Yanwei You Yaying Shen Yaying Shen Zifei Du Tao Dai |
| author_sort | Yuquan Chen |
| collection | DOAJ |
| description | BackgroundVillage doctors (VDs) in China undertook arduous primary healthcare missions. However, they received little attention in comparison to doctors in urban public secondary and tertiary hospitals. There is an urgent need to explore the overall situation of turnover intention and job burnout among VDs to evaluate and adjust current health manpower policy.MethodsIn this study, seven databases like PubMed, EMBASE, Web of Science (WOS), WanFang, China Science and Technology Journal Database (VIP), Chinese BioMedical Literature Database (CBM), and China National Knowledge Infrastructure (CNKI) were systematically searched, relevant experts were consulted, and empirical research on job burnout and turnover intention among VDs in international publications was evaluated. Therefore, we evaluated the prevalence of job burnout among VDs in general, across all dimensions and different severity levels, as well as the scores of each category. For turnover intention, we assessed the prevalence of different groups and their overall situation and also identified significant contributors.ResultsIn this study, we integrated 20 research evidences on job burnout and turnover intention among 23,284 VDs from almost all provinces in China, and the prevalence of turnover intention among VDs in China was as high as 44.1% [95% confidence interval (CI): 34.1–54.2], which was two to four times that of primary health workers in high-income countries, but not much different from some developing countries. Simultaneously, VDs with the highest risk of turnover intention were men [odds ratio (OR): 1.22 (1.05–1.43)], those with a monthly income below USD 163.4 [OR: 0.88 (0.78–0.98)], those with a high educational level [OR: 0.88 (0.78–0.98)], and those <40 years old [OR: 1.27 (1.16–1.40)]. Similarly, the detection rate of job burnout toward them was 59.8% (95% CI: 38.7–79.1) with the MBI-GS score being 44.44 (95% CI: 37.02–51.86) in a total of 90, while the detection rate of job burnout in moderate and above almost reached 20%. The most significant contributor that affects job burnout was low personal accomplishment (LPA), and the detection rate for moderate and higher severity was 65.2% (95% CI: 58.7–71.7).ConclusionAttention should be paid to the high turnover intention and severe job burnout of primary health workers in rural areas of developing countries, and targeted measures should be taken to improve the situation. Health policymakers should increase financial subsidies for VDs, set a reasonable workload, improve various health policies such as pension insurance for VDs, and encourage “targeted training” for medical students to enrich and expand their team.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021289139. |
| first_indexed | 2024-04-13T21:57:13Z |
| format | Article |
| id | doaj.art-56de646e052745399364d0a505cd855d |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-13T21:57:13Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-56de646e052745399364d0a505cd855d2022-12-22T02:28:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.970780970780Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intentionYuquan Chen0Yuquan Chen1Yanwei You2Yanwei You3Yaying Shen4Yaying Shen5Zifei Du6Tao Dai7Institute of Medical Information/Medical Library, Chinese Academy of Medical Sciences, Beijing, ChinaPeking Union Medical College, Beijing, ChinaSchool of Social Sciences, Tsinghua University, Beijing, ChinaDivision of Sports Science and Physical Education, Tsinghua University, Beijing, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences, Beijing, ChinaPeking Union Medical College, Beijing, ChinaThe Affiliated TCM Hospital of Guangzhou Medical University, Guangzhou, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences, Beijing, ChinaBackgroundVillage doctors (VDs) in China undertook arduous primary healthcare missions. However, they received little attention in comparison to doctors in urban public secondary and tertiary hospitals. There is an urgent need to explore the overall situation of turnover intention and job burnout among VDs to evaluate and adjust current health manpower policy.MethodsIn this study, seven databases like PubMed, EMBASE, Web of Science (WOS), WanFang, China Science and Technology Journal Database (VIP), Chinese BioMedical Literature Database (CBM), and China National Knowledge Infrastructure (CNKI) were systematically searched, relevant experts were consulted, and empirical research on job burnout and turnover intention among VDs in international publications was evaluated. Therefore, we evaluated the prevalence of job burnout among VDs in general, across all dimensions and different severity levels, as well as the scores of each category. For turnover intention, we assessed the prevalence of different groups and their overall situation and also identified significant contributors.ResultsIn this study, we integrated 20 research evidences on job burnout and turnover intention among 23,284 VDs from almost all provinces in China, and the prevalence of turnover intention among VDs in China was as high as 44.1% [95% confidence interval (CI): 34.1–54.2], which was two to four times that of primary health workers in high-income countries, but not much different from some developing countries. Simultaneously, VDs with the highest risk of turnover intention were men [odds ratio (OR): 1.22 (1.05–1.43)], those with a monthly income below USD 163.4 [OR: 0.88 (0.78–0.98)], those with a high educational level [OR: 0.88 (0.78–0.98)], and those <40 years old [OR: 1.27 (1.16–1.40)]. Similarly, the detection rate of job burnout toward them was 59.8% (95% CI: 38.7–79.1) with the MBI-GS score being 44.44 (95% CI: 37.02–51.86) in a total of 90, while the detection rate of job burnout in moderate and above almost reached 20%. The most significant contributor that affects job burnout was low personal accomplishment (LPA), and the detection rate for moderate and higher severity was 65.2% (95% CI: 58.7–71.7).ConclusionAttention should be paid to the high turnover intention and severe job burnout of primary health workers in rural areas of developing countries, and targeted measures should be taken to improve the situation. Health policymakers should increase financial subsidies for VDs, set a reasonable workload, improve various health policies such as pension insurance for VDs, and encourage “targeted training” for medical students to enrich and expand their team.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021289139.https://www.frontiersin.org/articles/10.3389/fpubh.2022.970780/fullturnover intentionjob burnoutvillage doctorsChinasystematic reviewmeta-analysis |
| spellingShingle | Yuquan Chen Yuquan Chen Yanwei You Yanwei You Yaying Shen Yaying Shen Zifei Du Tao Dai Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention Frontiers in Public Health turnover intention job burnout village doctors China systematic review meta-analysis |
| title | Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention |
| title_full | Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention |
| title_fullStr | Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention |
| title_full_unstemmed | Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention |
| title_short | Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention |
| title_sort | village doctors dilemma in china a systematic evaluation of job burnout and turnover intention |
| topic | turnover intention job burnout village doctors China systematic review meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.970780/full |
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