Job Performance of Medical Graduates With Compulsory Services in Underserved Rural Areas in China: A Cohort Study

Li, Mingyue; Wang, Ziyue; Zhang, Baisong; Wei, Tiantian; Hu, Dan; Liu, Xiaoyun

doi:10.34172/ijhpm.2022.6335

Cited by 6 publications

(8 citation statements)

References 40 publications

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“…The average scores of the dimensions showed that dedication was the highest and task performance was the lowest. The highest score in the dimension of job dedication may be attributed to the fact that the medical staff in this study are younger, mostly with a bachelor's degree or above, and are in a critical period of striving, so they are more willing to try challenging jobs higher than their own level (Li et al, 2022 ). At the same time, the sense of accomplishment and responsibility brought by the profession of medical personnel may also motivate them to increase work engagement, resulting in better performance (Levin et al, 2022 ).…”

Section: Discussionmentioning

confidence: 94%

The effect of sense of security on job performance of medical staff: the mediating effect of psychological capital

Xu,

Zhan,

Zhang

et al. 2024

Front. Psychol.

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ObjectiveTo investigate the current situation of sense of security, psychological capital and job performance of medical staff in Guangdong Province, and to explore the mediating role of psychological capital on the relationship between sense of security and job performance of medical staff.MethodsIn this study, 969 health care workers were selected from February 2023 to April 2023 from 37 hospitals in Guangdong Province, China, using purposive sampling method. The Sense of Security Scale for Medical Staff (SSS-MS), psychological capital scale (PCS) in Chinese version and the Chinese version of job performance scale (JPS) were used in this study. We use SPSS 26.0 for statistical analysis and Amos 24.0 for structural equation modeling (SEM). The control variables entering SEM were selected by regression analysis. SEM analysis confirmed psychological capital scale's mediating function in the link between work performance scale and Sense of Security.ResultsThe overall SSS-MS, PCS, and JPS scores were 67.42 ± 16.136, 87.06 ± 15.04, and 77.87 ± 10.50, respectively. The results of Pearson's correlation analysis showed that there was a positive relationship between PCS and JPS (r = 0.722, P < 0.01), SSS-MS and JPS (r = 0.312, P < 0.01), and SSS-MS and PCS (r = 0.424, P < 0.01). PCS demonstrated a fully mediating influence on the link between medical workers' SSS-MS and JPS, according to structural equation modeling.ConclusionThe JPS of medical personnel in Guangdong Province is at a medium level, with much room for improvement. PCS is positively impacted by a sense of security. There is a supportive correlation between PCS, JPS, and SSS-MS. Furthermore, PCS fully mediates the relationship between medical staff members' JPS and their SSS-MS. The Job Diamond-Resource model and Conservation of Resource theory are further validated and supplemented by the findings of this study, which also gives managers a theoretical foundation for enhancing medical staff performance.

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Section: Discussionmentioning

confidence: 94%

The effect of sense of security on job performance of medical staff: the mediating effect of psychological capital

Xu,

Zhan,

Zhang

et al. 2024

Front. Psychol.

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“…Normally, the natural and socioeconomic conditions are much more difficult for undeveloped regions compared with other regions. So using innovative ways to alleviate the gap between affluent and poor areas in terms of quality of care and health status is essential,41 like developing mobile health services17 or trying to start national programmes to train qualified general practitioners with compulsory services in rural and remote areas 42. Adopting a transfer payment system for cross-subsidies, with developed areas subsidising underdeveloped areas, could also be helpful.…”

Section: Discussionmentioning

confidence: 99%

“…So using innovative ways to alleviate the gap between affluent and poor areas in terms of quality of care and health status is essential, 41 like developing mobile health services 17 or trying to start national programmes to train qualified general practitioners with compulsory services in rural and remote areas. 42 Adopting a transfer payment system for cross-subsidies, with developed areas subsidising underdeveloped areas, could also be helpful. Meanwhile, the Red River Delta and South East region should not be overlooked simply because of their relatively high levels of economic and healthcare development.…”

Section: Discussionmentioning

confidence: 99%

Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020

Feng,

Tuan,

Shi

et al. 2024

BMJ Glob Health

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IntroductionOne of the ultimate goals of strengthening the health system is to achieve health equity. Vietnam is considered one of the ‘fast-track countries’ to achieve the health-related Millennium Development Goals, but research on its equity strategies remains inadequate.MethodsUsing Vietnamese official health statistics, we investigated inequity in four dimensions including health resources, service delivery, service utilisation and residents’ health status from the perspectives of income levels, poverty rates and subnational regions. The Slope Index of Inequality, concentration curve/Concentration Index, absolute difference and Theil Index were used.ResultsFour indicators showed ‘pro-poor’ inequality in health resources, including the per capita health budget, per capita health personnel, per capita health personnel at the community level and per capita hospital beds at the community level, while provincial hospital beds showed ‘pro-rich’ inequality. Two health service delivery indicators (delivery of antenatal care ≥3 times and proportion of community health service centres with medical doctors) show ‘pro-rich’ inequality, although two health status indicators, mortality and malnutrition rates for children under five, showed ‘pro-poor’ inequality. The Northern Midlands and Mountain Areas, and the Central Highlands were disadvantaged regarding service delivery and health status. Intraregional differences were the main factors contributing to the inequalities in delivery of antenatal care ≥3 times, provincial hospital beds and percentage of community health centres with medical doctors, with the Red River Delta and the South East region experiencing the greatest inequalities.ConclusionThe overall level of health equity in Vietnam has increased over the past decade, although inequality in health service delivery has hindered progress towards health equity based on income, poverty and subnational regions. Targeted policies need to be introduced to reduce inequities relating to the health workforce and service delivery capacity.

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“…Students under this policy are required to complete five years of medical education, followed by three years of standardized training, and then serve for three years at township health clinics. As identified in existing research, a significant number of these medical students report low job satisfaction [ 20 , 21 ] with a pronounced intention to resign [ 22 ]. The principal reasons cited for this discontent are the low levels of pay, long working hours, scarce opportunities for further training, and limited prospects for career advancement.…”

Section: Discussionmentioning

confidence: 99%

Trends in the mobility of primary healthcare human resources in underdeveloped regions of western China from 2000 to 2021: Evidence from Nanning

Xu,

Huang,

Zhao

et al. 2024

BMC Prim. Care

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Objective This research aimed to identify the fundamental and geographic characteristics of the primary healthcare personnel mobility in Nanning from 2000 to 2021 and clarify the determinants that affect their transition to non-primary healthcare institutions. Methods Through utilizing the Primary Healthcare Personnel Database (PHPD) for 2000–2021, the study conducts descriptive statistical analysis on demographic, economic, and professional aspects of healthcare personnel mobility across healthcare reform phases. Geographic Information Systems (QGIS) were used to map mobility patterns, and R software was employed to calculate spatial autocorrelation (Moran’s I). Logistic regression identified factors that influenced the transition to non-primary institutions. Results Primary healthcare personnel mobility is divided into four phases: initial (2000–2008), turning point (2009–2011), rapid development (2012–2020), and decline (2021). The rapid development stage saw increased mobility with no spatial clustering in inflow and outflow. From 2016 to 2020, primary healthcare worker mobility reached its peak, in which the most significant movement occurred between township health centers and other institutions. Aside from their transition to primary medical institutions, the primary movement of grassroots health personnel predominantly directs towards secondary general hospitals, tertiary general hospitals, and secondary specialized hospitals. Since 2012, the number and mobility distance of primary healthcare workers have become noticeably larger and remained at a higher level from 2016 to 2020. The main migration of primary healthcare personnel occurred in their districts (counties). Key transition factors include gender, education, ethnicity, professional category, general practice registration, and administrative division. Conclusions This study provides evidence of the features of primary healthcare personnel mobility in the less developed western regions of China, in which Nanning was taken as a case study. It uncovers the factors that impact the flow of primary healthcare personnel to non-primary healthcare institutions. These findings are helpful to policy refinement and support the retention of primary healthcare workers.

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Job Performance of Medical Graduates With Compulsory Services in Underserved Rural Areas in China: A Cohort Study

Cited by 6 publications

References 40 publications

The effect of sense of security on job performance of medical staff: the mediating effect of psychological capital

The effect of sense of security on job performance of medical staff: the mediating effect of psychological capital

Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020

Trends in the mobility of primary healthcare human resources in underdeveloped regions of western China from 2000 to 2021: Evidence from Nanning

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