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Research ArticleResearch Letter

Job Satisfaction and Its Associated Factors Among General Practitioners in China

Liqing Li, Yong Gan, Heng Jiang, Yudi Yang, Xiaogang Zhou, Yanling Zheng, Fang Yu, Jianxin Liu, Yanyan Zhong, Yanli Chen, Minyi Yu, Ling Liu, Junan Liu and Zuxun Lu
The Journal of the American Board of Family Medicine May 2020, 33 (3) 456-459; DOI: https://doi.org/10.3122/jabfm.2020.03.190126
Liqing Li
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Yong Gan
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Heng Jiang
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Yudi Yang
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Xiaogang Zhou
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Yanling Zheng
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Fang Yu
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Jianxin Liu
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Yanyan Zhong
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Yanli Chen
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Minyi Yu
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Ling Liu
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Junan Liu
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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Zuxun Lu
From the Department of Management Science and Engineering, School of Economics and Management, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China (L. Li); Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (L. Li, YG, YY, Jianxin Liu, Junan Liu, ZL); Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia (HJ); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia (HJ); School of Economics and Management, East China JiaoTong University, Nanchang, Jiangxi, China (XZ); Shouyilu Street Community Health Service Center of Wuchang District, Wuhan, Hubei, China (Y. Zheng, FY, YC, MY, L. Liu); Huazhong University of Science and Technology Hospital, Wuhan, Hubei, China (Y. Zhong).
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    Table 1.

    Multiple Linear Stepwise Regression Analysis for Association with Job Satisfaction among GPs (n = 3236)*

    VariablesβSEtP Value
    Region (ref = western China)
        Eastern China0.5990.201−2.968.003
    Sex (ref = female)
        Male−0.5370.197−2.720.007
    Education level (ref = associate's degree or vocational diploma†)
        Bachelor degree−0.9750.217−4.491<.0001
        Master degree or higher−1.6330.444−3.678<.0001
    Working overtime (ref = never)
        Frequent−1.1350.203−5.606<.0001
    Income level (ref = moderate or below)
        Moderate2.3740.21810.866<.0001
        Moderate or higher2.6600.5764.622<.0001
    Professional title (ref = elementary or below)
        Intermediate−0.8030.208−3.863<.0001
        Senior−0.9450.319−2.968.003
    Emotional exhaustion (1 score increase)−0.1100.009−12.003<.0001
    Depersonalization (1 score increase)−0.0740.018−4.137<.0001
    Personal accomplishment (1 score increase)0.0650.0106.823<.0001
    Work stress (ref = low)
        Intermediate−1.0890.342−3.187.001
        High−1.7380.344−5.059<.0001
    Occupational development opportunities (ref = fewer)
        General3.8210.19719.429<.0001
        More7.7210.37220.742<.0001
        Intercept35.1430.49570.992<0.0001
    • ↵* Adjustment for marital status (unmarried, widowed, divorced, or married), manager responsibility (yes, no), contract status (permanent, temporary), age (continuous), work tenure (continuous), and other variables in the models. R2 = 0.365; F = 117.094, P < .0001.

    • ↵† GPs who have acquired an associate's degree or vocational diploma. An associate's degree required 3 years of education in college after graduation from senior middle school (grade year 10 to year 12) or 5 years of education in college after graduation from junior middle school (grade year 7 to year 9). A vocational diploma requires 2 years of education in vocational school after graduation from senior middle school or 3 years of education in vocational school after graduation from junior middle school. The β across each variable (including region, sex, education level, working overtime, income level, professional title, emotional exhaustion, depersonalization, personal accomplishment, work stress, and occupational development opportunities) was compared to generate the statistics.

    • GP, general practitioner; ref, reference.

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The Journal of the American Board of Family     Medicine: 33 (3)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 3
May/June 2020
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Job Satisfaction and Its Associated Factors Among General Practitioners in China
Liqing Li, Yong Gan, Heng Jiang, Yudi Yang, Xiaogang Zhou, Yanling Zheng, Fang Yu, Jianxin Liu, Yanyan Zhong, Yanli Chen, Minyi Yu, Ling Liu, Junan Liu, Zuxun Lu
The Journal of the American Board of Family Medicine May 2020, 33 (3) 456-459; DOI: 10.3122/jabfm.2020.03.190126

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Job Satisfaction and Its Associated Factors Among General Practitioners in China
Liqing Li, Yong Gan, Heng Jiang, Yudi Yang, Xiaogang Zhou, Yanling Zheng, Fang Yu, Jianxin Liu, Yanyan Zhong, Yanli Chen, Minyi Yu, Ling Liu, Junan Liu, Zuxun Lu
The Journal of the American Board of Family Medicine May 2020, 33 (3) 456-459; DOI: 10.3122/jabfm.2020.03.190126
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