The Negative Factors Influencing the Career Intention of General Practice Trainees in Eastern China: a Qualitative Study
Abstract Background: There is an acute shortage of general practitioners (GPs) in China, and most of those general practice trainees have low career intention. This study aimed to investigate negative factors influencing the career intention of GPs in eastern China from the perspective of trainees taking standardised residency training, as to identify the barriers for general practice trainees becoming registered GPs, and to provide a policy-making basis for GPs recruitment and retention.Methods: A qualitative design was carried out in two training bases of Jinan and Qingdao in eastern China. Face-to-face, in-depth, semi-structured interviews were conducted, audiotaped, and transcribed using thematic analysis.Results: twenty-one trainees participated in this study. Thematic analysis generated five major themes: (1) low social recognition, (2) low professional identity, (3) low remuneration level, (4) imperfect training system and (5) influence of policy factors. Conclusion: Our results identified various negative factors influencing the career intentions of trainees. In order to eliminate these factors and increase attractiveness of general practice, it is recommended that the government and the public should create a supportive environment, which can be beneficial to the construction and development of general practice.