Abstract
Objective: To describe the status quo and influencing factors of the work ability and work performance of health personnel in township health centers, and to explore the relationship mechanism between them. Methods: Using a multi-class stratified sampling method, semi-structured personal in-depth interviews were conducted with 182 health personnel in 45 township health centers, word frequency analysis was performed on relevant content, and a framework of mediating effects of work motivation was constructed to analyze the effect of work ability on work performance. Results: The main factors to improve the working ability of health personnel are education and training, and the main factors that restrict working ability are external conditions and personnel qualification restrictions; among the factors that affect work performance, human resources are the primary human factor, income level is the primary economic factors and interpersonal relationship is the primary environmental factor. Conclusion: Continuing education, self and social identity have a positive impact on the improvement of health personnel’s work ability and behavioral performance, economic factors have a negative impact on health personnel’s satisfaction, and the new medical reform policy has both positive and negative impact on it. Work motivation produces a mediating effect between the work ability and work performance of health workers.
Highlights
Township health centers are the intermediate hub of establishing and developing rural three-level health care network in China and the focus of health service policy after the new medical reform, which is an important link to promote the reform and development of grassroots health care system
Health personnel as the most vigorous human resource in township health centers, their capability of providing medical services work as well as the continuing education training learning is closely related to the quality and efficiency of rural health service, having a direct impact on citizens’ life and health [3,4]
Continuing education for grass-roots health workers is conducive to higher job identity, which is of great significance for improving the job satisfaction of the population [11]
Summary
Township health centers are the intermediate hub of establishing and developing rural three-level health care network in China and the focus of health service policy after the new medical reform, which is an important link to promote the reform and development of grassroots health care system. Health personnel as the most vigorous human resource in township health centers, their capability of providing medical services work (including physical ability, mental ability, psychological conditions, etc.) as well as the continuing education training learning is closely related to the quality and efficiency of rural health service, having a direct impact on citizens’ life and health [3,4]. At present, the expected performance goal of rural health institutions in China is still limited by the actual post competency of health service personnel, and the talent team of township health centers needs to be continuously built. With the aid of conversation analysis and word frequency analysis, this research detailly discusses the current situation of primary health personnel’s ability to work and work performance, influence factors and their correlation, build a framework model of work motivation as an intervening variable, to improve the quality of health personnel, realize sustainable development of rural health medical institutions to provide reference
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