abstract: 'China passed a landmark health care reform in 2009, aimed at improving

  health care for all citizens by strengthening the primary care system,

  largely through improvements to infrastructure. However, research has

  shown that the work attitudes of primary care physicians (PCPs) can

  greatly affect the stability of the overall workforce and the quality

  and delivery of health care. The purpose of this study is to investigate

  the relationship between reported work attitudes of PCPs and their

  personal, work, and educational characteristics. A multi-stage, complex

  sampling design was employed to select a sample of 434 PCPs practicing

  in urban and rural primary care settings, and a survey questionnaire was

  administered by researchers with sponsorship from the Ministry of

  Health. Four outcome measures describing work attitudes were used, as

  well as a number of personal-, work-, and practice-related factors.

  Findings showed that although most PCPs considered their work as

  important, a substantial number also reported large workloads, job

  pressure, and turnover intentions. Findings suggest that policymakers

  should focus on training and educational opportunities for PCPs and

  consider ways to ease workload pressures and improve salaries. These

  policy improvements must accompany reform efforts that are already

  underway before positive changes in reduced disparities and improved

  health outcomes can be realized in China.'
affiliation: 'Meng, QY (Corresponding Author), Peking Univ, China Ctr Hlth Dev Studies,
  XueYuan Rd 38, Beijing 100191, Peoples R China.

  Shi, Leiyu; Meng, Qingyue, Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191,
  Peoples R China.

  Shi, Leiyu, Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD 21218 USA.

  Hung, Li-Mei, Hungkuang Univ, Dept Hospitality Management, Taichung, Taiwan.

  Hung, Li-Mei, Da Yeh Univ, PhD Program Management, Dacun Township, Taiwan.

  Hung, Li-Mei; Rane, Sarika; Tsai, Jenna, Johns Hopkins Univ, Primary Care Policy
  Ctr, Baltimore, MD 21218 USA.

  Song, Kuimeng, Shangdong Univ, Jinan, Peoples R China.

  Tsai, Jenna, Hungkuang Univ, Coll Gen Educ, Taichung, Taiwan.

  Sun, Xiaojie; Li, Hui, Shangdong Univ, Ctr Hlth Management \& Policy, Jinan, Peoples
  R China.'
author: Shi, Leiyu and Hung, Li-Mei and Song, Kuimeng and Rane, Sarika and Tsai, Jenna
  and Sun, Xiaojie and Li, Hui and Meng, Qingyue
author-email: qmeng@bjmu.edu.cn
author_list:
- family: Shi
  given: Leiyu
- family: Hung
  given: Li-Mei
- family: Song
  given: Kuimeng
- family: Rane
  given: Sarika
- family: Tsai
  given: Jenna
- family: Sun
  given: Xiaojie
- family: Li
  given: Hui
- family: Meng
  given: Qingyue
da: '2023-09-28'
doi: 10.2190/HS.43.1.k
files: []
issn: 0020-7314
journal: INTERNATIONAL JOURNAL OF HEALTH SERVICES
keywords-plus: 'INCOME INEQUALITY; JOB STRESS; HEALTH; REFORM; BURNOUT; SATISFACTION;

  ASSOCIATION; MORTALITY; OUTCOMES; STATES'
language: English
number: '1'
number-of-cited-references: '32'
pages: 167-181
papis_id: c60401fef1e963059d01079ac739de3f
ref: Shi2013chineseprimary
researcherid-numbers: Sun, Xiaojie/JCO-6948-2023
times-cited: '12'
title: CHINESE PRIMARY CARE PHYSICIANS AND WORK ATTITUDES
type: Article
unique-id: WOS:000314593000011
usage-count-last-180-days: '0'
usage-count-since-2013: '27'
volume: '43'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2013'