Health system reforms, violence against doctors and job satisfaction in the medical profession: A cross-sectional survey in Zhejiang Province, Eastern China

BMJ Open

Volumn 4, Issue 12, 2014, Pages

  Wu, Dan ^a   Wang, Yun ^b   Lam, Kwok Fai ^b   Hesketh, Therese ^c  

^a UNIVERSITY OF HONG KONG   (Hong Kong)

^b UNIVERSITY OF HONG KONG   (Hong Kong)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGGRESSION; ARTICLE; CHINA; CROSS-SECTIONAL STUDY; FEMALE; HEALTH CARE FACILITY; HEALTH CARE POLICY; HELP SEEKING BEHAVIOR; HUMAN; JOB SATISFACTION; JOB SECURITY; LOWEST INCOME GROUP; MALE; MEDICAL PROFESSION; NORMAL HUMAN; PRIMARY MEDICAL CARE; QUESTIONNAIRE; REWARD; SALARY; SAMPLING; VIOLENCE; VIOLENCE AGAINST DOCTORS; WORK SCHEDULE; WORKLOAD; ANALYSIS OF VARIANCE; DOCTOR PATIENT RELATION; HEALTH PERSONNEL ATTITUDE; INCOME; MEDICAL STAFF; MIDDLE AGED; PSYCHOLOGY; STATISTICS AND NUMERICAL DATA;

ADULT; ANALYSIS OF VARIANCE; ATTITUDE OF HEALTH PERSONNEL; CHINA; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH CARE REFORM; HUMANS; INCOME; JOB SATISFACTION; MALE; MEDICAL STAFF; MIDDLE AGED; PHYSICIAN-PATIENT RELATIONS; SURVEYS AND QUESTIONNAIRES; VIOLENCE; WORKLOAD;

EID: 84920522134     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2014-006431     Document Type: Article

References (55)

1. Li D, Yin W, Zhang X, et al. Investigation on turnover intention of medical staff in public hospitals and research of early-warning system's construction. Chin J Hosp Adm 2010;26:218-21.
2. National Health and Family Planning Commission PRC. Research on relationship between Yi and Huan in China. Peking Union Medical College Press, 2008:106.
3. Wang ZG. Worrying conditions of doctors' practising environment: 78% of the doctors do not want their children to be doctors 2013. http://news.china.com.cn/2013-10/27/content-30414901.htm (accessed 3 Mar 2014).
4. Shanghai Jiao Tong University. Announcement of results of changing majors for students admitted in 2013. http://www.jwc.sjtu.edu.cn/web/sjtu/198015-1980000004584.htm (accessed 27 May 2014).
5. Flaherty JH, Liu ML, Ding L, et al. China: the aging giant. J Am Geriatr Soc 2007;55:1295-300.
6. CDC US. U.S. CDC IN CHINA: 2010-2011 Annual Report Healthy People in a Health China, 2013.
7. Song K, Scott A, Sivey P, et al. Improving Chinese primary care providers' recruitment and retention: a discrete choice experiment. Health Policy Plan 2013. [Epub ahead of print 18 Dec 2013].
8. China Daily. WeChat poll revealed "90% of participants do not want children to be doctors: high pressure and intense doctor-patient conflicts are main reasons ". http://www.chinadaily.com.cn/micro-reading/dzh/2014-04-23/content-11627822.html (accessed 23 May 2014).
9. Zhou XD, Li L, Hesketh T. Health system reform in rural China: voices of healthworkers and service-users. Soc Sci Med 2014;117:134-41.
10. Guan XD, Liang HG, Xue YJ, et al. An analysis of China's national essential medicines policy. J Public Health Policy 2011;32:305-19.
11. Zhang X, Sleeboom-Faulkner M. Tensions between medical professionals and patients in mainland China. Camb Q Healthc Ethics 2011;20:458.
12. Hesketh T, Wu D, Mao LN, et al. Violence against doctors in China. Br Med J 2012;345:e5730.
13. Wang ZG. Yi Nao incidents increased by 7000 over last five years: illegal gangs made huge profits 2012. http://www.china.com.cn/news/2012-05/03/content-25287333-2.htm (accessed 23 Jul 2014).
14. Xiong C. Medical malpractice and medical disputes. Chinese Hospital Association Guide, 2006.
15. Wu SY, Zhu W, Li HY, et al. Workplace violence and influencing factors among medical professionals in China. Am J Ind Med 2012;55:1000-8.
16. Ding XY. Chinese Hospital Association: violence against doctors gets worse. http://vote.dxy.cn/report/dxy/id/57914 (accessed 28 Feb 2014).
17. BMA. Violence at work: the experience of UK doctors. Health Policy and Economic Research Unit, British Medical Association, 2003.
18. Algwaiz WM, Alghanim SA. Violence exposure among health care professionals in Saudi public hospitals. A preliminary investigation. Saudi Med J 2012;33:76-82.
19. Behnam M, Tillotson RD, Davis SM, et al. Violence in the emergency department: a national survey of emergency medicine residents and attending physicians. J Emerg Med 2011;40:565-79.
20. Forrest LE, Herath PM, McRae IS, et al. A national survey of general practitioners' experiences of patient-initiated aggression in Australia. Med J Aus 2011;194:605-8.
21. Joa TS, Morken T. Violence towards personnel in out-of-hours primary care: a cross-sectional study. Scand J Prim Health Care 2012;30:55-60.
22. Kowalenko T, Walters BL, Khare RK, et al. Workplace violence: a survey of emergency physicians in the state of Michigan. Ann Emerg Med 2005;46:142-7.
23. Magnavita N, Heponiemi T. Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study. BMC Health Serv Res 2012;12:108.
24. Mirza NM, Amjad AI, Bhatti ABH, et al. Violence and abuse faced by junior physicians in the emergency department from patients and their caretakers: a nationwide study from Pakistan. J Emerg Med 2012;42:727-33.
25. Saeki K, Okamoto N, Tomioka K, et al. Work-related aggression and violence committed by patients and its psychological influence on doctors. J Occup Health 2011;53:356-64.
26. Sibbald B, Bojke C, Gravelle H. National survey of job satisfaction and retirement intentions among general practitioners in England. Br Med J 2003;326:22.
27. Liu JA, Wang Q, Lu ZX. Job satisfaction and its modeling among township health center employees: a quantitative study in poor rural China. BMC Health Serv Res 2010;10:115.
28. Shi L, Song K, Rane S, et al. Factors associated with job satisfaction by Chinese primary care providers. Prim Health Care Res Dev 2014;15:46-57.
29. Thakur M. Job satisfaction in banking: a study of private and public sector banks. The IUP J Bank Manag 2007;6:60-8.
30. Buciuniene I, Blazeviciene A, Bliudziute E. Health care reform and job satisfaction of primary health care physicians in Lithuania. BMC Fam Pract 2005;6:10.
31. Ren Min Wang PRC. Liao Xin Bo: Improve doctors' dignity. http://www.people.com.cn/n/2014/0213/c347759-24348138.html (accessed 23 May 2014).
32. Lim M-K, Yang H, Zhang T, et al. China's evolving health care market: how doctors feel and what they think. Health Policy 2004;69:329-37.
33. Zhejiang Provincial Bureau of Statistics. Statistical report on national economy and social development in Zhejiang Province. 2012. http://tjj.zj.gov.cn/tjgb/gmjjshfzgb/201302/t20130208-122162.html (accessed 21 Feb 2014).
34. The World Bank. World Development Indicators: GDP growth (annual %). http://data.worldbank.org/indicator/NY.GDP.MKTP.KD.ZG (accessed 7 Apr 2014).
35. National Health and Family Planning Commission PRC. Health statistics in China. 2012. http://www.moh.gov.cn/zwgkzt/ptjty/201206/55044/files/3ca7756121334b7a870a25ac79988f23.pdf (accessed 7 Apr 2014).
36. The World Bank. Health expenditure, total (% of GDP). 2012. http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS (accessed 24 May 2014).
37. National Health and Family Planning Commission PRC. China Health Statistics Yearbook. 2013. http://www.nhfpc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2013/index2013.html (accessed 23 May 2014).
38. Ren YJ, Ji QY. Analysis of salary distribution system in public hospitals. J Shanghai Jiaotong Univ 2013;33:712-16.
39. Yip W, Hsiao WC. The Chinese health system at a crossroads. Health Aff 2008;27:460-8.
40. Beijing Municipal Commission of Development and Reform. Prices of medical services in Beijing. http://service2.bjpc.gov.cn/bjpc/mediprice/MedicalService1.jsp (accessed 28 Apr 2014).
41. Wang XH. Zhong Nan Shan: Chinese doctors survive by selling drugs and the value of their expertise is not being reflected. http://news.xinhuanet.com/health/2014-03/06/c-126226620.htm (accessed 24 May 2014).
42. Meng Q, Xu L, Zhang Y, et al. Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study. Lancet 2012;379:805-14.
43. Health Bureau of Zhejiang Province. Health statistics in Zhejiang Province. http://www.zjwst.gov.cn/col/col320/index.html### (accessed 31 Mar 2014).
44. Health Bureau of Zhejiang Province. Outpatient services in health facilities in Zhejiang Province. 2012. http://www.zjwst.gov.cn/art/2013/4/15/art-320-227356.html (accessed 31 Mar 2014).
45. Du J, Lu X, Wang Y, et al. Mutual referral: a survey of GPs in Beijing. Fam Pract 2012;29:441-7.
46. Jia L, Ze Yong F. Dilemma of community first contact care. Chin Gen Pract 2012;15:720-2.
47. Yao Y, Wang W, Wang F, et al. General self-efficacy and the effect of hospital workplace violence on doctors' stress and job satisfaction in China. Int J Occup Med Environ Health 2014;27:1-11.
48. Yip WC-M, Hsiao W, Meng Q, et al. Realignment of incentives for health-care providers in China. Lancet 2010;375:1120-30.
49. Jie YX. 10 doctors calls for apologies from mass media about fasified reports. 2014. http://www.yxj.org.cn/news/yijieyaowen/shehuijiaodian/2014052109582936651.htm (accessed 23 May 2014).
50. National Health and Family Planning Commission PRC. The directive of maintaining order at medical institutions by Police Department, Ministry of Health. http://wsb.moh.gov.cn/zwgkzt/ptg/201204/54578.shtml (accessed 11 Feb 2014).
51. CMA. United call for "Zero tolerance to medical violence" by Chinese Medical Association, Chinese Medical Doctor Association, Chinese Hospital Association and Chinese Health Law Society. http://www.cma.org.cn/index/xhdt/20131029/1383026180011-1.html (accessed 11 Feb 2014).
52. Zernike W, Sharpe P. Patient aggression in a general hospital setting: do nurses perceive it to be a problem? Int J Nurs Pract 1998;4:126-33.
53. Ong LM, De Haes JC, Hoos AM, et al. Doctor-patient communication: a review of the literature. Soc Sci Med 1995;40:903-18.
54. Aasland OG, Rosta J, Nylenna M. Health care reforms and job satisfaction among doctors in Norway. Scand J Public Health 2010;38:253-8.
55. Voltmer E, Rosta J, Siegrist J, et al. Job stress and job satisfaction of physicians in private practice: comparison of German and Norwegian physicians. Int Arch Occup Environ Health 2012;85:819-28.