Abstract

BackgroundStudies on professional identity and related factors among Chinese general practitioners (GPs) are unavailable. The objective of this study was to investigate the professional identity level of GPs in China and explore factors associated with GPs’ perceptions of their professional identity.MethodsA multistage stratified random sampling method was used to collect data with a structured self-administered questionnaire from 3236 GPs working in community health service institutions (CHIs) in China between October, 2017 and February, 2018. Professional identity was measured by the 13 items scale. Descriptive statistics were calculated and groups’ differences were estimated using nonparametric tests. Multiple linear stepwise regression analysis was used to analyze factors associated with professional identity among GPs.ResultsBased on a total score of 65 on the professional identity scale, the average score for GPs’ professional identity was 51.23 (SD = 6.56). Multiple linear stepwise regression analysis showed that GPs who practiced in Central China, with an administrative responsibility, at a moderate or higher income level, who frequently worked overtime, had more occupational development opportunities, with a higher level of job satisfaction and older GPs had higher levels of professional identity.ConclusionsProfessional identity level among GPs in China is high. Region, administrative responsibility, income level, working overtime, occupational development opportunities, age, and job satisfaction were significant predictors of professional identity.

Highlights

  • Studies on professional identity and related factors among Chinese general practitioners (GPs) are unavailable

  • The quantity and quality of GPs workforce are related to the effectiveness and quality of health care delivery [12], shortage of GPs in the community health service (CHS) of China threatens the provision of quality health care

  • Study population A cross-sectional study was conducted among Community health service institutions (CHIs) in China from October 2017 to February 2018

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Summary

Introduction

Studies on professional identity and related factors among Chinese general practitioners (GPs) are unavailable. General practitioners (GPs) are the main providers of community health service (CHS). They provide a wide range of healthcare services to residents [1]. Among key steps aimed at addressing these shortages include increases in recruitment and retention of GPs and to greater user of other health professionals [5]. In spite of these strategies, it has been difficult to recruit doctors as GPs in adequate numbers in the UK [6, 7]. The quantity and quality of GPs workforce are related to the effectiveness and quality of health care delivery [12], shortage of GPs in the CHS of China threatens the provision of quality health care

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