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

Huanhuan Jia, Jianxing Yu, Tianyu Feng, Liangwen Ning, Peng Cao, Panpan Shang, Shang Gao and Xihe Yu
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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

IJERPH, 2022, vol. 19, issue 5, 1-15

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.

Keywords: primary health care; medical personnel; theory of plan theory; implicit theory; lexical approach; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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