Abstract
Background: The shortage of primary medical staff is a major problem in the management of health human resources across many developing countries. By determining their preferences for various motivational and related factors, we examined the correlation between staff's motivation preference levels and staff turnover and turnover intention. This study aimed to further improve the incentive mechanism and to provide a reference for healthcare managers to formulate management strategies for the primary medical staff team.Methods: A self-reported questionnaire survey was conducted to collect data. The basic survey content included demographic characteristics. The absolute level questionnaire and relative level questionnaire on the factors affecting motivation preference were used as the main assessment scales. A total of 1,112 primary health workers in Anhui Province were investigated. T-test, analysis of variance (ANOVA), exploratory factor analysis, and multiple linear regression analysis were performed to analyze the data.Results: The survey respondents (45.1%) reported being satisfied with their relationship with colleagues, and other social relationships (46.9%). The Kaiser Meyer Olkin (KMO) value for the absolute preference degree for motivational factors was 0.951. Two factors (economic and non-economic factors), after using the maximum variance rotation axis method, explained 81.25% of the total variance. The regression analysis showed that primary medical staff members with low monthly income (B = −0.157) have a higher preference for non-economic factors; the higher the educational background (B = 0.133), the higher their preference for economic factors. In addition, with the increase in participants' age (B = −0.250), the preference for motivational factors gradually decreased.Conclusion: Both economic and non-economic factors play an important role in enhancing the enthusiasm of primary medical workers and improving their work attitude. Managers should use their influence to stabilize the primary medical staff.
Highlights
Primary medical staff are the basis for ensuring the smooth operation of primary-level medical institutions, and they shoulder the major responsibility of providing basic public health services
Primary medical staff members were found to be highly satisfied with the three motivational factors of colleague relations, social relations, and management styles, but satisfaction with income, welfare, and sense of accomplishment is relatively low. 532 people (47.8%) and 522 people (46.9%), respectively reported generally satisfaction with their career achievements and social relationships, and nearly 95% of them felt that their relationships with colleagues were at different levels of satisfaction
A multiple linear regression analysis was performed, and the results showed that the monthly income (B = −0.157, P < 0.001) of primary medical staff was negatively correlated with the preference degree of non-economic factors
Summary
Primary medical staff are the basis for ensuring the smooth operation of primary-level medical institutions, and they shoulder the major responsibility of providing basic public health services. The lack of healthcare personnel was brought to light at the beginning of 2020, when countries around the world were hit by the COVID-19 pandemic, and the disease prevention of the primary residents was not guaranteed. This is already becoming a global problem. The shortage of primary medical staff is a major problem in the management of health human resources across many developing countries. By determining their preferences for various motivational and related factors, we examined the correlation between staff’s motivation preference levels and staff turnover and turnover intention. This study aimed to further improve the incentive mechanism and to provide a reference for healthcare managers to formulate management strategies for the primary medical staff team
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