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学科主题: 公共卫生
题名:
Chinese primary care providers and motivating factors on performance
作者: Hung, Li-Mei1; Shi, Leiyu2,3; Wang, Haipeng4; Nie, Xiaoyu3; Meng, Qingyue2
关键词: Motivation ; performance improvement ; primary care ; providers
刊名: FAMILY PRACTICE
发表日期: 2013-10-01
DOI: 10.1093/fampra/cmt026
卷: 30, 期:5, 页:576-586
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Primary Health Care ; Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: HEALTH ; REFORM ; COUNTRIES ; SYSTEMS
英文摘要:

China launched its new health care reform in 2009. One of its goals is to improve primary care system and strengthen primary care workforce. Although it has been studied internationally, motivating factors for primary care workforce have not been examined in China.

To provide an overview of major performance motivating factors for primary care providers (PCPs) in China and examine associations between these factors and individual and practice setting characteristics.

Data for the study were from the 2011 China Primary Care Workforce Survey that provides the most current assessment of community-based PCPs. Outcome measures were scores indicating performance improvement due to 11 factors. Covariates representing personal and practice characteristics included age, gender, education, location, types of providers and specialties. Outcomes were compared by PCP category and urban/rural setting. Associations were assessed using logistic regressions.

The most important motivating factors for PCPs to improve performance were professional development, training opportunities, living environment, benefits, working conditions and income. There were greater needs for improvement in rural than urban settings, especially in living environment. Types of PCPs were associated with needs for improvement in different factors. There were more needs from nurses and village doctors.

A new and comprehensive incentive mechanism could be designed and implemented in China, which (i) focuses on more professional development opportunities, enhanced training programs and better compensation and benefits and (ii) targets PCPs practicing in different settings.

语种: 英语
所属项目编号: 70973068
项目资助者: National Science Foundation of China (NSFC)
WOS记录号: WOS:000325184200014
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/122492
Appears in Collections:北京大学中国卫生发展研究中心_期刊论文

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作者单位: 1.Hungkuang Univ, Dept Hospitality Management, Taichung, Taiwan
2.Peking Univ, Ctr Hlth Dev Studies, Beijing 100191, Peoples R China
3.Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Primary Care Policy Ctr, Baltimore, MD USA
4.Shandong Univ, Ctr Hlth Management & Policy, Jinan 250100, Peoples R China

Recommended Citation:
Hung, Li-Mei,Shi, Leiyu,Wang, Haipeng,et al. Chinese primary care providers and motivating factors on performance[J]. FAMILY PRACTICE,2013,30(5):576-586.
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