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Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior

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  • Huanhuan Jia

    (School of Public Health, Jilin University, Changchun 130012, China)

  • Jianxing Yu

    (School of Public Health, Jilin University, Changchun 130012, China)

  • Tianyu Feng

    (School of Public Health, Jilin University, Changchun 130012, China)

  • Liangwen Ning

    (School of Public Administration, Jilin University, Changchun 130012, China)

  • Peng Cao

    (School of Public Health, Jilin University, Changchun 130012, China)

  • Panpan Shang

    (School of Public Health, Jilin University, Changchun 130012, China)

  • Shang Gao

    (School of Public Health, Jilin University, Changchun 130012, China)

  • Xihe Yu

    (School of Public Health, Jilin University, Changchun 130012, China)

Abstract

In China, the primary health care institutions (PHCIs) have difficulty winning the trust of residents because of the shortage of medical personnel and the low level of skills. The government has advocated encouraging qualified doctors to work in PHCIs, but no obvious results are achieved. Based on the theory of planned behavior (TPB), this paper explores the factors affecting medical personnel seeking employment in PHCIs and then putting forward measures to improve the human resources construction of PHCIs. A three-stage survey was conducted to obtain the factors and a structural equation modeling (SEM) was applied to examine the relationship of the factors. We found that the factors affecting medical personnel to work in PHCIs include the specific conditions and work contents of PHCIs, as well as the family life and regional factors. Besides, there is a significant correlation and indirectness between these factors. Therefore, targeted measures can be proposed to improve the intention of medical personnel seeking employment in PHCIs. This study provides theoretical support for encouraging medical personnel to work in PHCIs and improving the primary health care system.

Suggested Citation

  • Huanhuan Jia & Jianxing Yu & Tianyu Feng & Liangwen Ning & Peng Cao & Panpan Shang & Shang Gao & Xihe Yu, 2022. "Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2785-:d:760142
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Beata Buchelt & Aldona Frączkiewicz-Wronka & Małgorzata Dobrowolska, 2020. "The Organizational Aspect of Human Resource Management as a Determinant of the Potential of Polish Hospitals to Manage Medical Professionals in Healthcare 4.0," Sustainability, MDPI, vol. 12(12), pages 1-15, June.
    3. Qin, Xuezheng & Li, Lixing & Hsieh, Chee-Ruey, 2013. "Too few doctors or too low wages? Labor supply of health care professionals in China," China Economic Review, Elsevier, vol. 24(C), pages 150-164.
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