Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

doi:10.1186/s12875-019-0988-6

. 2019 Jul 6;20(1):95.

doi: 10.1186/s12875-019-0988-6.

Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

Shanshan Liu¹, Luan Wang², Tao Zhang³, Chengjun Liu^{4

5}, Hong Liang^{1

4}, Yimin Zhang⁶, Dongfeng Guo⁷

Affiliations

¹ Pudong Institute for Health Development, Shanghai, China.
² Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, China.
³ Jinyang Community Health Service Center of Pudong New Area, Shanghai, China.
⁴ School of Social Development and Public Policy, Fudan University, Shanghai, China.
⁵ Eye and dental diseases prevention & treatment of Pudong new area, Shanghai, China.
⁶ Pudong Institute for Health Development, Shanghai, China. zym_03730@sina.com.
⁷ Department of General Medicine, Gongli Hospital, the Second Military Medical University, Shanghai, China. gdf3789@163.com.

PMID: 31279346
PMCID: PMC6612165
DOI: 10.1186/s12875-019-0988-6

Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

Shanshan Liu et al. BMC Fam Pract. 2019.

. 2019 Jul 6;20(1):95.

doi: 10.1186/s12875-019-0988-6.

Authors

Shanshan Liu¹, Luan Wang², Tao Zhang³, Chengjun Liu^{4

5}, Hong Liang^{1

4}, Yimin Zhang⁶, Dongfeng Guo⁷

Affiliations

¹ Pudong Institute for Health Development, Shanghai, China.
² Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, China.
³ Jinyang Community Health Service Center of Pudong New Area, Shanghai, China.
⁴ School of Social Development and Public Policy, Fudan University, Shanghai, China.
⁵ Eye and dental diseases prevention & treatment of Pudong new area, Shanghai, China.
⁶ Pudong Institute for Health Development, Shanghai, China. zym_03730@sina.com.
⁷ Department of General Medicine, Gongli Hospital, the Second Military Medical University, Shanghai, China. gdf3789@163.com.

PMID: 31279346
PMCID: PMC6612165
DOI: 10.1186/s12875-019-0988-6

Abstract

Background: Family doctors can fulfill the gatekeeper duty to protect the residents' health, which depends on their work competency and stability. The study aimed to identify factors influencing work competency and stability among Shanghai family doctors.

Methods: This study was a 2-year follow-up survey (2013/2016). A representative sample of 146 family doctors in Shanghai community health service centers was interviewed in 2013. The tracked sample (n = 142) was resurveyed in 2016. A 50-item questionnaire organized into four parts, i.e., general demographic characteristics, working conditions, cognition about family doctor services, and job satisfaction was issued to all family doctors. Models for factors influencing family doctors' work competency and stability were then established. The collected data were analyzed using ordinal regression methods and descriptive, factor, and multiple-factor analyses.

Results: The family doctors' work competency model showed demographic characteristics (education level and job title), family doctors' team, family doctors' training, grasp of specific content regarding the family doctor system, and whether the family doctors' ability was played and demonstrated were statistically significant at different levels (P < 0.05). The analysis of family doctors' work stability showed that work competency (whether it was possible to provide residents with all contents specified in the contract service package, employment form, and support satisfaction) and work cognition (whether the daily work was meaningful and had value) had a significant impact on work stability (P < 0.05).

Conclusion: Family doctors' job satisfaction is a key factor affecting their work stability. Family doctors' competency can also affect their job stability, and their work cognition may play a role in work competency and stability. This study provides evidence for strengthening the stability of the family doctor teams in Shanghai.

Keywords: Competencies; Family doctors; Influential factors; Stability.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

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1. McClelland DC. Testing for competence rather than for "intelligence". Am Psychol. 1973;28(1):1–14. - PubMed

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[1] Holman JR, Wickizer TM. Family physician resource use for inpatient care: a comparison between military medical center and community hospital. Mil Med. 2006;171(5):365–369. - PubMed

[2] Holman JR, Wickizer TM. Family physician resource use for inpatient care: a comparison between military medical center and community hospital. Mil Med. 2006;171(5):365–369. - PubMed

[3] Bowman MA, Lucan SC, Rosenthal TC, et al. Family medicine research in the United States from the late 1960s into the future. Fam Med. 2017;49(4):289–295. - PMC - PubMed

[4] Bowman MA, Lucan SC, Rosenthal TC, et al. Family medicine research in the United States from the late 1960s into the future. Fam Med. 2017;49(4):289–295. - PMC - PubMed

[5] Malatskey L, Bar Zeev Y, Tzuk-Onn A, et al. Lifestyle medicine course for family medicine residents: preliminary assessment of the impact on knowledge, attitudes, self-efficacy and personal health. Postgrad Med J. 2017;93(1103):549–554. - PubMed

[6] Malatskey L, Bar Zeev Y, Tzuk-Onn A, et al. Lifestyle medicine course for family medicine residents: preliminary assessment of the impact on knowledge, attitudes, self-efficacy and personal health. Postgrad Med J. 2017;93(1103):549–554. - PubMed

[7] General Office of the State Council of the People’s Republic of China. Notice of the State Council on Printing and Distributing the Health and Health Plan for the “13th Five-Year” Plan. http://www.gov.cn/zhengce/content/2017-01/10/content_5158488.htm.

[8] General Office of the State Council of the People’s Republic of China. Notice of the State Council on Printing and Distributing the Health and Health Plan for the “13th Five-Year” Plan. http://www.gov.cn/zhengce/content/2017-01/10/content_5158488.htm.

[9] McClelland DC. Testing for competence rather than for "intelligence". Am Psychol. 1973;28(1):1–14. - PubMed

[10] McClelland DC. Testing for competence rather than for "intelligence". Am Psychol. 1973;28(1):1–14. - PubMed

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Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

Affiliations

Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

Authors

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Abstract

Conflict of interest statement

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