Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China
Background Primary health care plays an important role in providing populations with access to health care. However, it is currently facing unprecedented workforce shortages and high turnover worldwide. Objective This study examined the relationship between organizational culture and turnover intent...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2346203 |
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| author | Mengyao Li Wenhua Wang Jinnan Zhang Ruixue Zhao Katya Loban Huiyun Yang Rebecca Mitchell |
| author_facet | Mengyao Li Wenhua Wang Jinnan Zhang Ruixue Zhao Katya Loban Huiyun Yang Rebecca Mitchell |
| author_sort | Mengyao Li |
| collection | DOAJ |
| description | Background Primary health care plays an important role in providing populations with access to health care. However, it is currently facing unprecedented workforce shortages and high turnover worldwide. Objective This study examined the relationship between organizational culture and turnover intention among primary care providers in China. Methods A cross-sectional survey was administered in four large cities in China, Tianjin, Jinan, Shanghai, and Shenzhen, comprising 38 community health centers and 399 primary care providers. Organizational culture was measured using the Competing Value Framework model, which is divided into four culture types: group, development, hierarchy, and rational culture. Turnover intention was measured using one item assessing participants’ intention to leave their current position in the following year. We compared the turnover intention among different organizational culture types using a Chi-square test, while the hierarchical logistic regression was used to examine the relationship between organizational culture and turnover intention. Results The study found that 32% of primary care providers indicated an intention to leave. Primary care providers working in a hierarchical culture reported higher turnover intention (43.18%) compared with those in other cultures (p < 0.05). Hierarchical culture was a predictor of turnover intention (OR = 3.453, p < 0.001), whereas rational culture had a negative effect on turnover intention (OR = 0.319, p < 0.05). Conclusions Our findings inform organizational management strategies to retain a healthy workforce in primary health care. |
| format | Article |
| id | doaj-art-2539fd8519424f178031169c029e6179 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-2539fd8519424f178031169c029e61792025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23462032346203Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in ChinaMengyao Li0Wenhua Wang1Jinnan Zhang2Ruixue Zhao3Katya Loban4Huiyun Yang5Rebecca Mitchell6Xi’an Jiaotong UniversityXi’an Jiaotong UniversityXi’an Jiaotong UniversityXi’an Jiaotong UniversityMcGill UniversityXi’an Jiaotong UniversityMacquarie UniversityBackground Primary health care plays an important role in providing populations with access to health care. However, it is currently facing unprecedented workforce shortages and high turnover worldwide. Objective This study examined the relationship between organizational culture and turnover intention among primary care providers in China. Methods A cross-sectional survey was administered in four large cities in China, Tianjin, Jinan, Shanghai, and Shenzhen, comprising 38 community health centers and 399 primary care providers. Organizational culture was measured using the Competing Value Framework model, which is divided into four culture types: group, development, hierarchy, and rational culture. Turnover intention was measured using one item assessing participants’ intention to leave their current position in the following year. We compared the turnover intention among different organizational culture types using a Chi-square test, while the hierarchical logistic regression was used to examine the relationship between organizational culture and turnover intention. Results The study found that 32% of primary care providers indicated an intention to leave. Primary care providers working in a hierarchical culture reported higher turnover intention (43.18%) compared with those in other cultures (p < 0.05). Hierarchical culture was a predictor of turnover intention (OR = 3.453, p < 0.001), whereas rational culture had a negative effect on turnover intention (OR = 0.319, p < 0.05). Conclusions Our findings inform organizational management strategies to retain a healthy workforce in primary health care.http://dx.doi.org/10.1080/16549716.2024.2346203turnover intentionorganizational cultureprimary health careprimary care providersorganizational management |
| spellingShingle | Mengyao Li Wenhua Wang Jinnan Zhang Ruixue Zhao Katya Loban Huiyun Yang Rebecca Mitchell Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China Global Health Action turnover intention organizational culture primary health care primary care providers organizational management |
| title | Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China |
| title_full | Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China |
| title_fullStr | Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China |
| title_full_unstemmed | Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China |
| title_short | Organizational culture and turnover intention among primary care providers: a multilevel study in four large cities in China |
| title_sort | organizational culture and turnover intention among primary care providers a multilevel study in four large cities in china |
| topic | turnover intention organizational culture primary health care primary care providers organizational management |
| url | http://dx.doi.org/10.1080/16549716.2024.2346203 |
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