From: Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study
Variable | 2013 | 2016 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Estimate | Wald | P | 95%CI | Estimate | Wald | P | 95%CI | ||||
Lower Bound | Upper Bound | Lower Bound | Upper Bound | ||||||||
Age | −0.033 | 0.096 | 0.757 | −0.240 | 0.175 | −0.029 | 0.075 | 0.785 | −0.239 | 0.180 | |
Time of working(year) | Engaged in clinical work | −0.005 | 0.004 | 0.950 | −0.158 | 0.149 | 0.044 | 0.133 | 0.716 | −0.192 | 0.279 |
Engaged in community health service | −0.072 | 0.960 | 0.327 | −0.215 | 0.072 | −0.051 | 0.408 | 0.523 | −0.208 | 0.106 | |
Working as a family doctor | −0.198 | 2.134 | 0.144 | −0.464 | 0.068 | −0.118 | 0.697 | 0.404 | −0.395 | 0.159 | |
Working in community health service center | 0.062 | 0.605 | 0.436 | −0.095 | 0.219 | 0.038 | 0.219 | 0.640 | −0.122 | 0.198 | |
Gender | Male | −1.044 | 1.702 | 0.192 | −2.611 | 0.524 | 0.591 | 0.464 | 0.496 | −1.109 | 2.290 |
Female | 0 | . | . | . | . | 0 | . | . | . | . | |
Education | High school and below | 8.485 | 1.728 | 0.189 | −4.166 | 21.135 | – | – | – | – | – |
College degree | 7.331 | 9.958 | 0.002 | 2.778 | 11.885 | 2.746 | 1.450 | 0.228 | −1.723 | 7.215 | |
Bachelor’s degree | 5.078 | 9.212 | 0.002 | 1.799 | 8.357 | 1.716 | 1.287 | 0.257 | −1.249 | 4.681 | |
Master’s degree and above | 0 | . | . | . | . | 0 | . | . | . | . | |
Title | Primary title | 3.747 | 2.855 | 0.091 | −0.599 | 8.092 | 3.265 | 2.096 | 0.148 | −1.155 | 7.685 |
Intermediate title | 5.377 | 6.610 | 0.010 | 1.278 | 9.476 | 2.299 | 1.642 | 0.200 | −1.217 | 5.816 | |
Senior title | 0 | . | . | . | . | 0 | . | . | . | . | |
Physician classification | General practitioner | 0.252 | 0.017 | 0.895 | −3.479 | 3.982 | −0.725 | 0.488 | 0.485 | −2.762 | 1.311 |
Clinician practitioner | −0.152 | 0.003 | 0.957 | −5.640 | 5.337 | −1.284 | 0.351 | 0.554 | −5.532 | 2.965 | |
Chinese medicine practitioner | 0.507 | 0.058 | 0.810 | −3.622 | 4.636 | 0 | . | . | . | . | |
Other | 0 | . | . | . | . | – | – | – | – | – | |
Employment forms | Officially edited | 1.891 | 0.292 | 0.589 | −4.970 | 8.752 | 3.750 | 3.226 | 0.072 | −0.342 | 7.842 |
Labor dispatch system | 3.168 | 0.769 | 0.381 | −3.913 | 10.249 | 1.375 | 0.181 | 0.671 | −4.966 | 7.715 | |
Temporary contract system | – | – | – | – | – | 3.713 | 0.887 | 0.346 | −4.014 | 11.440 | |
Other | 0 | . | . | . | . | 0 | . | . | . | . | |
General practitioner qualification | Yea | −1.100 | 0.559 | 0.455 | −3.984 | 1.784 | −0.260 | 0.016 | 0.900 | −4.318 | 3.797 |
No | 0 | . | . | . | . | 0 | . | . | . | . | |
General practitioner standardized training | Yea | −1.306 | 2.971 | 0.085 | −2.792 | 0.179 | −0.823 | 0.930 | 0.335 | −2.497 | 0.850 |
No | 0 | . | . | . | . | 0 | . | . | . | . | |
Team configuration | Reasonable | −3.211 | 6.642 | 0.010 | −5.653 | −0.769 | −0.555 | 0.239 | 0.625 | −2.782 | 1.672 |
Unreasonable | 0.404 | 0.243 | 0.622 | −1.201 | 2.009 | −1.325 | 1.623 | 0.203 | −3.363 | 0.713 | |
Uncertain | 0 | . | . | . | . | 0 | . | . | . | . | |
Relationship with the team | Parallel position | 1.727 | 2.145 | 0.143 | −0.584 | 4.039 | 0.132 | 0.008 | 0.930 | −2.831 | 3.095 |
Core position | 0.041 | 0.002 | 0.968 | −1.946 | 2.028 | 0.136 | 0.008 | 0.927 | −2.795 | 3.068 | |
Passive status | −1.105 | 1.019 | 0.313 | −3.249 | 1.040 | 0.626 | 0.070 | 0.792 | −4.020 | 5.272 | |
Complex relationship | 0 | . | . | . | . | 0 | . | . | . | . | |
Job training | Necessary | −4.164 | 7.052 | 0.008 | −7.237 | −1.091 | 2.092 | 1.519 | 0.218 | −1.235 | 5.419 |
Occasionally required | −4.133 | 7.884 | 0.005 | −7.018 | −1.248 | 3.172 | 3.863 | 0.049 | 0.009 | 6.336 | |
Not required | −5.436 | 8.824 | 0.003 | −9.023 | −1.849 | 0 | . | . | . | . | |
Never required | 0 | . | . | . | . | – | – | – | – | – | |
Grasping the specific content of the family doctor system | Very clear | −4.944 | 2.265 | 0.132 | −11.383 | 1.494 | −2.495 | 0.809 | 0.368 | −7.930 | 2.940 |
Clearer | −6.715 | 4.507 | 0.034 | −12.914 | −0.516 | −1.752 | 0.518 | 0.472 | −6.526 | 3.021 | |
General | −5.425 | 3.223 | 0.073 | −11.348 | 0.497 | 0 | . | . | . | . | |
Not sure | 0 | . | . | . | . | – | – | – | – | – | |
Clear about the job responsibilities | Very clear | 3.296 | 0.619 | 0.432 | −4.917 | 11.509 | 0.942 | 0.101 | 0.751 | − 4.873 | 6.757 |
Clearer | 5.618 | 1.825 | 0.177 | −2.532 | 13.769 | 2.720 | 0.855 | 0.355 | −3.046 | 8.486 | |
General | 1.399 | 0.135 | 0.713 | −6.066 | 8.864 | 0 | . | . | . | . | |
Not sure | 0 | . | . | . | . | – | – | – | – | – | |
Ability to play and demonstrate as a family doctor | Fully play | 24.394 | 176.421 | 0.000 | 20.794 | 27.993 | −4.766 | 5.320 | 0.021 | −8.816 | −0.716 |
Play | 21.458 | 364.736 | 0.000 | 19.255 | 23.660 | − 0.613 | 0.433 | 0.510 | −2.436 | 1.211 | |
General | 22.066 | 450.147 | 0.000 | 20.028 | 24.105 | 0 | . | . | . | . | |
Difficult to play | 23.176 | . | . | 23.176 | 23.176 | – | – | – | – | – | |
Not able to play | 0 | . | . | . | . | – | – | – | – | – | |
Log pseudo likelihood | 95.414 | 77.315 | |||||||||
Chi-square value (P value) | 68.534 (0.001) | 50.130 (0.012) | |||||||||
Pseudo R2 | 0.479 | 0.391 |