We conducted a multi-centre, self-administered survey study built upon existing general practice course programmes for rural PCPs in four provinces. We assessed the frequency of follow-up care delivered by rural PCPs for hypertension and type 2 diabetes – the two most common long-term conditions. We recommend implementing financial incentives to stimulate internal work motivation among village clinicians, thus improving their clinical performance.įollow-up care is crucial but challenging for disease management particularly in rural areas with limited healthcare resources and clinical capacity, yet few studies have been conducted from the perspective of rural primary care physicians (PCPs). Healthcare quality among village clinicians requires urgent improvement. Additionally, the positive effect of internal work motivation on healthcare quality was strongest among clinicians who received financial incentives and had a lighter workload (fewer patients per month). There was a significantly positive correlation between internal work motivation and healthcare quality among village clinicians (P<0.1). Healthcare quality among village clinicians was generally low.

We used logistic regression models to analyse the relationships between work motivation and healthcare quality, then conducted heterogeneity analysis. We observed 225 interactions between standardised patients and village clinicians from 21 counties in three provinces.

We collected survey data using a standardised patient method and a structured questionnaire. This study was performed to evaluate healthcare quality among village clinicians, then explore its relationships with internal work motivation among those clinicians. However, few empirical studies have examined the relationship between internal work motivation and clinical performance among village clinicians in rural China.

There is evidence that internal work motivation improves the quality of healthcare provided by clinicians. The quality of primary care is important for health outcomes among residents in China.

India arie songs 2017