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Training primary healthcare workers in China's township hospitals: a mixed methods study.


ABSTRACT: Background: Primary health care (PHC) was a keystone toward achieving universal health coverage and Sustainable Development Goals (SDGs). China has made efforts to strengthen its PHC institutions. As part of such efforts, regular in-service training is crucial for primary healthcare workers (PHWs) to strengthen their knowledge and keep their skills up to date.

Objective: To investigate if and how the existing training arrangements influenced the competence and job satisfaction of PHWs in township hospitals (THs).

Methods: A mixed method approach was employed. We analyzed the associations between in-service training and competence, as well as between in-service training and job satisfaction of PHWs using logistic regression. Interviews were recorded, transcribed, and analyzed using NVivo12 to better understand the trainings and the impacts on PHWs.

Results: The study found that training was associated with competence for all the types of PHWs except nurses. The odds of higher competence for physicians who received long-term training were 3.60 (p?
Conclusions: Considering existing evidence that competence and satisfaction serve as two major determinants of health workers' performance, to further improve PHWs' performance, it is necessary to provide sufficient training opportunities and improve the quality of training.

SUBMITTER: Zhao X 

PROVIDER: S-EPMC7713157 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Training primary healthcare workers in China's township hospitals: a mixed methods study.

Zhao Xuan X   Wang Haipeng H   Li Juan J   Yuan Beibei B  

BMC family practice 20201202 1


<h4>Background</h4>Primary health care (PHC) was a keystone toward achieving universal health coverage and Sustainable Development Goals (SDGs). China has made efforts to strengthen its PHC institutions. As part of such efforts, regular in-service training is crucial for primary healthcare workers (PHWs) to strengthen their knowledge and keep their skills up to date.<h4>Objective</h4>To investigate if and how the existing training arrangements influenced the competence and job satisfaction of PH  ...[more]

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