High identity but low commitment：a mixed study on the work attitudes of primary health workers

Corresponding author: Wang Ying, yingwang_2016@163.com

DOI: 10.12201/bmr.202302.00011

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  Abstract: Objective：To analyze the current situation and relationship between professional identity and career commitment of Chinas primary health workers, in order to provide policy suggestions for improving the incentive mechanism and work attitude of primary health workers. Methods: Multi-stage cluster sampling and purposive sampling were used to conduct a questionnaire survey on 870 health workers from 38 primary health institutions in Qingdao, Dongying and Zaozhuang of Shandong Province. At the same time, 175 health workers were interviewed by semi-structured interview. Results: The score of professional identity of primary health workers was 3.91±0.760, and the score of career commitment was 2.35±1.031. The proportion of high professional identity (74.2%) was much higher than that of high career commitment (13.0%), and work stress played a moderating role between professional identity and career commitment. The results of interviews and questionnaires showed that 20.3% of primary health workers had relatively high work pressure, and the four main work pressure sources were: economic treatment (37.6%), workload (34.8%), superior inspection (29.6%), and career development prospects (28.2%). Conclusion: Primary health workers have the contradictory work attitude of high identity but low commitment due to the work pressure. Intervention measures should be taken to alleviate the practical concerns of primary health workers, which can promote the transformation of high identity into high commitment and promote the sustainable development of primary health workforce.

  Key words: Primary health worker; Work attitude; Professional identity; Career commitment; Mixed study design

  Submit time: 28 February 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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