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      Cross-sectional survey on job satisfaction and its associated factors among doctors in tertiary public hospitals in Shanghai, China

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          Abstract

          Objectives

          Doctors in public hospitals in China face considerable pressure and excessive workloads, which are likely to predispose them to job dissatisfaction. We explored the job satisfaction of doctors and examined the influence of diverse sociodemographic characteristics.

          Design

          This was a cross-sectional study.

          Setting

          Eleven tertiary public hospitals in Shanghai, China.

          Participants

          The questionnaire was designed based on the fifth National Health Service General Research, which was based on the Minnesota Satisfaction Questionnaire. Questionnaires were administered to 897 doctors randomly (using random number tables) and 730 were returned completed (response rate=81.4%). Doctors who volunteered and provided informed, written consent participated.

          Primary outcome measures

          The dependent variable was doctors’ job satisfaction.

          Results

          Statistical analyses were conducted using SPSS and SAS. Overall, 64.8% of participants were dissatisfied with their jobs. Factors that were statistically significant to doctors’ job satisfaction in the univariate analysis were entered into the logistic regression analysis, including doctors’ professional title, department, work hours, work requirements (reflected as the number of patients they diagnosed and treated monthly), life and work stress, and the types of patients that doctors treated or expected to treat. The results of the logistic regression analysis suggested that doctors’ job satisfaction was related to their professional title, types of patients that doctors treated or expected to treat, as well as their work stress.

          Conclusions

          There is an urgent need for public hospitals in China to establish a more reasonable promotion and management system for doctors, encourage patients to accept the two-way referral, pay more attention to less-experienced staff and help doctors release their work stress.

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          Most cited references48

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          The relationship between job satisfaction, work stress, work–family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study

          Objective To investigate the relationship between job satisfaction, work stress, work–family conflict and turnover intention, and explore factors associated with turnover intention, among physicians in Guangdong Province, China. Methods From August to October 2013, physicians completed questionnaires and scales with regard to their job satisfaction, work stress, work–family conflict, and turnover intention. Binary logistic regression and structural equation modelling (SEM) were used in data analysis. Results A total of 3963 physicians were approached, with 3563 completing the questionnaire. The mean score of the overall perception of turnover intention of physicians who worked in Guangdong was 2.71 on a scale ranging from 1 to 6. Hours worked per week, working in an urban/rural area, type of institution, and age significantly impacted on turnover intention. Turnover intention was directly and negatively related to job satisfaction, and it was directly, indirectly and positively related to work stress and work–family conflict. Conclusion Job satisfaction, work stress, work–family conflict, hours worked per week, working in an urban/rural area, types of institution and age are influencing factors of turnover intention. Reducing working hours, raising salary, providing more opportunities for career development and training, supporting and encouraging physicians by senior managers could potentially contribute to the reduction in turnover intention.
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            Violence against doctors: Why China? Why now? What next?

            The Lancet (2014)
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              An analysis of the relationship between burnout, socio-demographic and workplace factors and job satisfaction among emergency department health professionals

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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2019
                1 March 2019
                : 9
                : 3
                : e023823
                Affiliations
                [1 ] departmentShanghai Information Center for Health , Shanghai Municipal Commission of Health and Family Planning , Shanghai, China
                [2 ] departmentCollege of Military Health Service Management , Second Military Medical University , Shanghai, China
                Author notes
                [Correspondence to ] Professor Lulu Zhang; zllrmit@ 123456aliyun.com
                Author information
                http://orcid.org/0000-0002-8742-5209
                Article
                bmjopen-2018-023823
                10.1136/bmjopen-2018-023823
                6429855
                30826758
                c1692b41-dc01-4821-bc3f-1d5dc8b56818
                © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 25 April 2018
                : 18 December 2018
                : 25 January 2019
                Funding
                Funded by: Military Health Support Strategy and Key Technology Research for Special Injuries in the South China Sea Region;
                Funded by: FundRef http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Funded by: Important Disease Joint Research Project in Health Systems of Shanghai;
                Categories
                Health Services Research
                Research
                1506
                1704
                Custom metadata
                unlocked

                Medicine
                job satisfaction,doctor,hospital,china
                Medicine
                job satisfaction, doctor, hospital, china

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