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Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors
Objective: To study the socio-demographic characteristics, the working environment, and the level of career satisfaction among psychiatry residents in China. Method: This was a part of a large-scale, nation-wide online survey of hospitals, healthcare professionals, and patients. Data, including soci...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454050/ https://www.ncbi.nlm.nih.gov/pubmed/31001154 http://dx.doi.org/10.3389/fpsyt.2019.00177 |
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author | Jiang, Feng Zhou, Huixuan Hu, Linlin Rakofsky, Jeffrey Liu, Tingfang Wu, Shichao Liu, Huanzhong Liu, Yuanli Tang, Yi-lang |
author_facet | Jiang, Feng Zhou, Huixuan Hu, Linlin Rakofsky, Jeffrey Liu, Tingfang Wu, Shichao Liu, Huanzhong Liu, Yuanli Tang, Yi-lang |
author_sort | Jiang, Feng |
collection | PubMed |
description | Objective: To study the socio-demographic characteristics, the working environment, and the level of career satisfaction among psychiatry residents in China. Method: This was a part of a large-scale, nation-wide online survey of hospitals, healthcare professionals, and patients. Data, including socio-demographics, work hours, income, job satisfaction, and intention to quit were collected anonymously. Respondents also completed the Minnesota Satisfaction Questionnaire (MSQ). Results: One thousand sixty residents nested in 32 psychiatric hospitals in 29 provinces in China completed the survey. Respondents were predominantly female (69.0%), worked an average of 47.8 ± 11.6 h per week, and 28.97% had experienced medical disputes in the previous year. The top three reported reasons for dissatisfaction were low pay (50.1%), contentious doctor-patient relationships (17.6%), and high workload (10.8%). An intention to quit their current job was reported by 18.7% of residents. The overall mean MSQ score was 73.8 ± 13.8, with significant differences across post-graduate training years and regions. A multilevel regression analysis found that a higher MSQ score was significantly associated with fewer years in residency, shorter work hours, higher monthly pay, having medical liability insurance, and feeling satisfied with the level of doctor-nurse cooperation, their hospitals' medical disputes prevention/management, and the healthcare workers' social environment. Conclusion: Psychiatry residents in China are predominantly female and well-educated. They are only moderately satisfied with their career. Poor salaries, contentious doctor-patient relationships and high workload are among their top complaints and may explain why a considerable proportion are intending to leave their current residency. More support from the government regarding residents' salaries, workload and working environment may help improve their job satisfaction and retention, ensuring that China will have a pool of well-trained and engaged psychiatrists for the future. |
format | Online Article Text |
id | pubmed-6454050 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-64540502019-04-18 Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors Jiang, Feng Zhou, Huixuan Hu, Linlin Rakofsky, Jeffrey Liu, Tingfang Wu, Shichao Liu, Huanzhong Liu, Yuanli Tang, Yi-lang Front Psychiatry Psychiatry Objective: To study the socio-demographic characteristics, the working environment, and the level of career satisfaction among psychiatry residents in China. Method: This was a part of a large-scale, nation-wide online survey of hospitals, healthcare professionals, and patients. Data, including socio-demographics, work hours, income, job satisfaction, and intention to quit were collected anonymously. Respondents also completed the Minnesota Satisfaction Questionnaire (MSQ). Results: One thousand sixty residents nested in 32 psychiatric hospitals in 29 provinces in China completed the survey. Respondents were predominantly female (69.0%), worked an average of 47.8 ± 11.6 h per week, and 28.97% had experienced medical disputes in the previous year. The top three reported reasons for dissatisfaction were low pay (50.1%), contentious doctor-patient relationships (17.6%), and high workload (10.8%). An intention to quit their current job was reported by 18.7% of residents. The overall mean MSQ score was 73.8 ± 13.8, with significant differences across post-graduate training years and regions. A multilevel regression analysis found that a higher MSQ score was significantly associated with fewer years in residency, shorter work hours, higher monthly pay, having medical liability insurance, and feeling satisfied with the level of doctor-nurse cooperation, their hospitals' medical disputes prevention/management, and the healthcare workers' social environment. Conclusion: Psychiatry residents in China are predominantly female and well-educated. They are only moderately satisfied with their career. Poor salaries, contentious doctor-patient relationships and high workload are among their top complaints and may explain why a considerable proportion are intending to leave their current residency. More support from the government regarding residents' salaries, workload and working environment may help improve their job satisfaction and retention, ensuring that China will have a pool of well-trained and engaged psychiatrists for the future. Frontiers Media S.A. 2019-04-02 /pmc/articles/PMC6454050/ /pubmed/31001154 http://dx.doi.org/10.3389/fpsyt.2019.00177 Text en Copyright © 2019 Jiang, Zhou, Hu, Rakofsky, Liu, Wu, Liu, Liu and Tang. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Jiang, Feng Zhou, Huixuan Hu, Linlin Rakofsky, Jeffrey Liu, Tingfang Wu, Shichao Liu, Huanzhong Liu, Yuanli Tang, Yi-lang Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors |
title | Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors |
title_full | Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors |
title_fullStr | Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors |
title_full_unstemmed | Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors |
title_short | Psychiatry Residents in China: Socio-Demographic Characteristics, Career Satisfaction, and Related Factors |
title_sort | psychiatry residents in china: socio-demographic characteristics, career satisfaction, and related factors |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454050/ https://www.ncbi.nlm.nih.gov/pubmed/31001154 http://dx.doi.org/10.3389/fpsyt.2019.00177 |
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