scholarly journals Exploration of More Effective Incentives for General Practitioners: Finding From a Cross-sectional Study in Jiangsu Province

2021 ◽  
Author(s):  
Weinan Liu ◽  
Yiyang Zhan ◽  
Dalong Tang ◽  
Xi Zhang ◽  
Binhai Zhu
Keyword(s):  
Job Satisfaction ◽  
General Practitioner ◽  
Physical Exercise ◽  
General Practitioners ◽  
Working Hours ◽  
Jiangsu Province ◽  
Chinese Government ◽  
Incentive Effect ◽  
Factors Influencing ◽  
Medical Institutions

Abstract Background With the increasing demand for public health, the Chinese government attaches great importance to the important role of general practitioners in primary health care. The purpose of this study is to find out the factors that affect the incentive effect of general practitioners in Jiangsu province and evaluate the incentive effect reasonably. Methods From April to May 2020, 910 primary-level general practitioners were investigated in 130 primary medical institutions in Jiangsu province.837 effective questionnaires were collected. The questionnaire is divided into two parts: general practitioner characteristics and motivational effect scale. Logistic regression analysis was used to analyze the factors influencing the incentive effect of general practitioners. Results The results showed that age, weekly working hours and daily sleeping duration affected job satisfaction. Factors influencing 4 willingness to work hard including: weekly working hours, daily sleeping duration, and physical exercise frequency. Age, weekly working hours and daily sleeping duration were the factors influencing turnover tendency Factors influencing incentive effects including: weekly working hours, average monthly income and years of working as a general practitioner. Conclusions The study found that the turnover intention of general practitioners in primary medical institutions would be significantly reduced, the job satisfaction, willingness to work hard and overall incentive effect would be significantly increased, especially if the working hours per week were reduced, the sleeping hours per day were increased, and the frequency of physical exercise was increased. Helping general practitioners to develop good living habits could be a key incentive for future generations.

scholarly journals Job satisfaction of graduates of rural oriented medical students training project in Jiangsu Province, China: a cross-sectional study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Wenjun Yan ◽  
Xiuyin Gao ◽  
Wei Wang ◽  
Zhengyu Zhou ◽  
Chao Zou ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Medical Students ◽  
Rural Areas ◽  
Work Conditions ◽  
Economic Incentives ◽  
Jiangsu Province ◽  
Chinese Government ◽  
Training Project ◽  
Rural Physicians ◽  
Group A

Abstract Background The Chinese government has worked out the “Rural Oriented Medical Students Training Project” to address physician maldistribution, which attempted to train physicians for rural areas. The present study attempted to evaluate the job satisfaction of the graduates of this project in Jiangsu Province, China. Methods Online questionnaires were sent to the graduates of the “Rural Oriented Medical Students Training Project” (group A) and their colleagues, who were rural physicians recruited from different sources (group B). The study was approved by the Ethics Committee of Xuzhou Medical University, and the approval number was 2,018,057. Information on demographic characteristics, work conditions, and self-reported satisfaction was collected to compare the satisfaction differences between the two recruited rural physicians using the Chi-square test and Mann–Whitney U test. Additionally, factors correlated to the satisfaction of group A were assessed using multivariate linear regression. Statistical analysis was performed using SPSS 23.0 (SPSS Inc., Chicago, IL, USA). P < 0.05 was considered statistically significant. Results Group A exhibited moderate satisfaction (2.81 ± 0.687). The satisfaction score from the highest to the lowest was for occupational ecology, life satisfaction, stress, competency, and internal environment. Positive factors related to the satisfaction of group A were area, monthly income, working hours per week, professional title, and post. Conclusion The satisfaction of the graduates of the “Rural Oriented Medical Students Training Project” was moderate. Factors related to satisfaction included economic incentives, workload, and professional confidence. Possible solutions for increasing satisfaction should consist of economic support and possible ways to improve the professional identification of these graduates.

Factors influencing general practitioner referral to a child psychiatric service

1993 ◽  
Vol 10 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ramalingam N Chithiramohan ◽  
Clive G Ballard ◽  
Mark A Baxter ◽  
Linda Jones ◽  
Sumithra Handy ◽  
...  
Keyword(s):  
General Practitioner ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Clinic ◽  
Parental Concern ◽  
Factors Influencing ◽  
Specialist Services ◽  
Child Psychiatric ◽  
Referral Practices

AbstractObjective: To investigate factors influencing general practitioner referrals of children with psychiatric disorders to specialist services. Method: One hundred and sixty seven general practitioners were asked to complete a detailed questionnaire concerning their referral practices. Results: Emotional disorder, conduct disorder, drug abuse and habit disorder were the problems most likely to be referred to the child psychiatric clinic. Parental concern and the severity of the child's illness were considered to be more important than social circumstances in determining referral to specialist services. Conclusions: Many general practitioners indicated that they would have referred children with psychiatric disorders to specialist services other than child psychiatry. Proactive liaison work is needed to increase the awareness and confidence of general practitioners in child psychiatric services.

Postmarketing Surveillance Based on Electronic Patient Records: The IPCI Project

1999 ◽  
Vol 38 (04/05) ◽  
pp. 339-344 ◽  
Author(s):  
J. van der Lei ◽  
B. M. Th. Mosseveld ◽  
M. A. M. van Wijk ◽  
P. D. van der Linden ◽  
M. C. J. M. Sturkenboom ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Validation Studies ◽  
Resource Planning ◽  
Routine Practice ◽  
Patient Records ◽  
Postmarketing Surveillance ◽  
Electronic Patient Records ◽  
Use Of Data ◽  
Data Requirements

AbstractResearchers claim that data in electronic patient records can be used for a variety of purposes including individual patient care, management, and resource planning for scientific research. Our objective in the project Integrated Primary Care Information (IPCI) was to assess whether the electronic patient records of Dutch general practitioners contain sufficient data to perform studies in the area of postmarketing surveillance studies. We determined the data requirements for postmarketing surveil-lance studies, implemented additional software in the electronic patient records of the general practitioner, developed an organization to monitor the use of data, and performed validation studies to test the quality of the data. Analysis of the data requirements showed that additional software had to be installed to collect data that is not recorded in routine practice. To avoid having to obtain informed consent from each enrolled patient, we developed IPCI as a semianonymous system: both patients and participating general practitioners are anonymous for the researchers. Under specific circumstances, the researcher can contact indirectly (through a trusted third party) the physician that made the data available. Only the treating general practitioner is able to decode the identity of his patients. A Board of Supervisors predominantly consisting of participating general practitioners monitors the use of data. Validation studies show the data can be used for postmarketing surveillance. With additional software to collect data not normally recorded in routine practice, data from electronic patient record of general practitioners can be used for postmarketing surveillance.

Assessment Of The Knowledge Of Palliative Medicine Among General Practitioners

2021 ◽  
Author(s):  
Magdalena Osowicka ◽  
Anna Wyszadko ◽  
Piotr Mróz ◽  
Agnieszka Gorzewska
Keyword(s):  
Palliative Care ◽  
General Practitioners ◽  
Palliative Medicine ◽  
Working Hours ◽  
Bad News ◽  
Individual Treatment ◽  
Multiple Choice Questions ◽  
Life Threatening Illness ◽  
Correct Definition ◽  
Important Activity

Abstract Background: Palliative patients who stay at home require exceptional medical care provided by General Practitioners (GPs) in conjunction with specialists in palliative medicine. To ensure effective treatment, proper cooperation between them is essential. Aim: An assessment of the knowledge and attitudes of GPs towards palliative medicine Design: The research was based on a survey questionnaire, consisting of 8 multiple choice questions. A total of participated anonymously in the survey. The data analysis included descriptive statistics and logistic regression. Participants: 83 GPs from the Pomeranian Region, 58 female and 25 male practitioners. Results: 59% of respondents defined palliative care as an activity that improves the quality of life of patients and their families facing problems related to a life-threatening illness. The coordination of the work of the palliative team was the most important task for the specialist in palliative medicine (58% of respondents). The majority stated that the most important activity was the prescription of painkillers (86%) and 84% found that being available during business hours was the most important. The next most important activity was delivering bad news (42% of respondents). Conclusions: Most of the GPs knew the correct definition of palliative care and the basics of pain management. Experienced physicians declared a lower willingness to be available during working hours and less often delivered bad news to terminal patients, compared to their younger colleagues. Individual treatment planning (98% of respondents) and reducing antibiotic therapy seem to be the most important aspects in pharmacotherapy.

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