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Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China

BACKGROUND: In order to curb healthcare workplace violence (WPV) and better allocate healthcare resources, China launched the descending resources reform in 2013 and tightened the anti-violence legal environment simultaneously. Medical students are expected to reconsider their working intentions of...

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Autores principales: Wang, Shuhong, Zhao, Hongjun, Sun, Zesheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9088100/
https://www.ncbi.nlm.nih.gov/pubmed/35534819
http://dx.doi.org/10.1186/s12909-022-03428-1
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author Wang, Shuhong
Zhao, Hongjun
Sun, Zesheng
author_facet Wang, Shuhong
Zhao, Hongjun
Sun, Zesheng
author_sort Wang, Shuhong
collection PubMed
description BACKGROUND: In order to curb healthcare workplace violence (WPV) and better allocate healthcare resources, China launched the descending resources reform in 2013 and tightened the anti-violence legal environment simultaneously. Medical students are expected to reconsider their working intentions of entering the medical market (inter-market effect) and choosing high- or low-level hospitals (intra-market effect) in response to the evolving WPV. The goal of this study was to explore the link between the perceived WPV incidence and medical students’ willingness to practice medicine in the context of China’s descending resources reform. METHOD: Medical students were selected with cluster sampling from 8 medical colleges in Zhejiang Province, China, and 1497 valid questionnaires were collected by using a five-point unbalanced scale, to perform cross-sectional empirical research using the ordered logit model (OLM). RESULTS: The perceived WPV incidence negatively correlate with the willingness of medical students to practice medicine but positively correlate with their willingness to practice in low-level hospitals, indicating the existence of inter- and intra-market effects. The anti-violence legal environment has no direct link with working intention but contributes to the perceived decline in the incidence of violence. Descending resources reform has simultaneous opposite effects on medical students, with the coexistence of prudent motives driven by reform costs and optimistic expectations of sharing external benefits. CONCLUSIONS: Safety needs and risk aversion motive play an important role in medical students’ career choice when facing severe WPV. Tightening of the anti-violence legal environment and the descending resources reform could drive medical students to low-level hospitals. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-022-03428-1.
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spelling pubmed-90881002022-05-11 Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China Wang, Shuhong Zhao, Hongjun Sun, Zesheng BMC Med Educ Research BACKGROUND: In order to curb healthcare workplace violence (WPV) and better allocate healthcare resources, China launched the descending resources reform in 2013 and tightened the anti-violence legal environment simultaneously. Medical students are expected to reconsider their working intentions of entering the medical market (inter-market effect) and choosing high- or low-level hospitals (intra-market effect) in response to the evolving WPV. The goal of this study was to explore the link between the perceived WPV incidence and medical students’ willingness to practice medicine in the context of China’s descending resources reform. METHOD: Medical students were selected with cluster sampling from 8 medical colleges in Zhejiang Province, China, and 1497 valid questionnaires were collected by using a five-point unbalanced scale, to perform cross-sectional empirical research using the ordered logit model (OLM). RESULTS: The perceived WPV incidence negatively correlate with the willingness of medical students to practice medicine but positively correlate with their willingness to practice in low-level hospitals, indicating the existence of inter- and intra-market effects. The anti-violence legal environment has no direct link with working intention but contributes to the perceived decline in the incidence of violence. Descending resources reform has simultaneous opposite effects on medical students, with the coexistence of prudent motives driven by reform costs and optimistic expectations of sharing external benefits. CONCLUSIONS: Safety needs and risk aversion motive play an important role in medical students’ career choice when facing severe WPV. Tightening of the anti-violence legal environment and the descending resources reform could drive medical students to low-level hospitals. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-022-03428-1. BioMed Central 2022-05-09 /pmc/articles/PMC9088100/ /pubmed/35534819 http://dx.doi.org/10.1186/s12909-022-03428-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wang, Shuhong
Zhao, Hongjun
Sun, Zesheng
Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China
title Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China
title_full Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China
title_fullStr Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China
title_full_unstemmed Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China
title_short Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China
title_sort working intentions of medical students in response to healthcare workplace violence and descending resources reform in china
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9088100/
https://www.ncbi.nlm.nih.gov/pubmed/35534819
http://dx.doi.org/10.1186/s12909-022-03428-1
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