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 | −0.036 | 0.375 | 0.540 | −0.153 | 0.080 | −0.019 | 0.058 | 0.810 | −0.173 | 0.136 | |
Gender | Male | 0.086 | 0.032 | 0.858 | −0.856 | 1.028 | −0.094 | 0.034 | 0.854 | −1.092 | 0.904 |
Female | 0 | . | . | . | . | 0 | . | . | . | . | |
Education | High school and below | −1.586 | 0.305 | 0.581 | −7.212 | 4.040 | – | – | – | – | – |
College degree | −1.572 | 0.990 | 0.320 | −4.667 | 1.524 | −0.030 | 0.000 | 0.983 | −2.840 | 2.780 | |
Bachelor degree | −0.254 | 0.052 | 0.819 | −2.432 | 1.923 | 0.510 | 0.293 | 0.589 | −1.339 | 2.360 | |
Master degree and above | 0 | . | . | . | . | 0 | . | . | . | . | |
Title | Primary title | −0.351 | 0.040 | 0.841 | −3.777 | 3.075 | −1.651 | 0.406 | 0.524 | −6.730 | 3.427 |
Intermediate title | 0.469 | 0.091 | 0.763 | −2.581 | 3.519 | 0.532 | 0.050 | 0.824 | −4.150 | 5.213 | |
Senior title | 0 | . | . | . | . | 0.153 | 0.003 | 0.953 | −4.922 | 5.229 | |
Deputy senior title | – | – | – | – | – | 0 | . | . | . | . | |
Physician classification | General practitioner | 0.469 | 0.096 | 0.757 | −2.501 | 3.439 | −0.670 | 1.176 | 0.278 | −1.880 | 0.541 |
Clinician practitioner | 0.079 | 0.002 | 0.968 | −3.782 | 3.940 | 1.081 | 0.440 | 0.507 | −2.113 | 4.275 | |
Chinese medicine practitioner | 0.578 | 0.117 | 0.732 | −2.731 | 3.888 | 0 | . | . | . | . | |
Other | 0 | . | . | . | . | – | – | – | – | – | |
Time of working (year) | Engaged in clinical work | 0.041 | 0.812 | 0.368 | −0.049 | 0.131 | −0.014 | 0.025 | 0.874 | −0.180 | 0.153 |
Engaged in community health service | −0.026 | 0.082 | 0.774 | −0.203 | 0.151 | 0.034 | 0.283 | 0.595 | −0.093 | 0.161 | |
Working as a family doctor | −0.050 | 0.282 | 0.595 | −0.234 | 0.134 | −0.016 | 0.027 | 0.868 | −0.200 | 0.169 | |
Working in community health service center | 0.003 | 0.002 | 0.967 | −0.147 | 0.153 | −0.114 | 4.715 | 0.030 | −0.216 | −0.011 | |
Employment forms | Officially edited | −5.803 | 2.543 | 0.111 | −12.935 | 1.330 | −3.848 | 3.136 | 0.077 | −8.108 | 0.411 |
Labor dispatch system | −7.429 | 3.756 | 0.053 | −14.943 | 0.084 | 20.608 | . | . | 20.608 | 20.608 | |
Temporary contract system | 13.116 | 0.000 | 0.999 | − 14126.561 | 14152.794 | −0.933 | 0.119 | 0.730 | −6.237 | 4.372 | |
Other | 0 | . | . | . | . | 0 | . | . | . | . | |
Providing all the contents in the contract service package | Absolutely | 6.072 | 4.303 | 0.038 | 0.335 | 11.808 | −1.973 | 1.471 | 0.225 | −5.160 | 1.215 |
Basically | 0.764 | 0.148 | 0.701 | −3.136 | 4.664 | −2.311 | 4.611 | 0.032 | −4.421 | −0.202 | |
Only a small part | 1.085 | 0.270 | 0.603 | −3.008 | 5.177 | 0 | . | . | . | . | |
Not at all | 0 | . | . | . | . | – | – | – | – | – | |
Ability to play and demonstrate as a family doctor | Fully play | 25.589 | 373.111 | 0.000 | 22.993 | 28.185 | −2.980 | 3.716 | 0.054 | −6.010 | 0.050 |
Play | 25.025 | 744.448 | 0.000 | 23.227 | 26.823 | −0.649 | 1.221 | 0.269 | −1.800 | 0.502 | |
General | 25.339 | 1023.207 | 0.000 | 23.786 | 26.891 | 0 | . | . | . | . | |
Not able to play | 25.356 | . | . | 25.356 | 25.356 | ||||||
Difficult to play | 0 | . | . | . | . | – | – | – | – | – | |
Professional reputation as family doctors | Higher reputation | 1.160 | 0.229 | 0.632 | −3.594 | 5.914 | 5.668 | 3.760 | 0.052 | −0.061 | 11.397 |
High reputation | −0.827 | 0.228 | 0.633 | −4.218 | 2.564 | 2.019 | 1.618 | 0.203 | −1.092 | 5.131 | |
General reputation | 1.016 | 1.267 | 0.260 | −0.754 | 2.786 | 2.399 | 3.236 | 0.072 | −0.215 | 5.013 | |
Low reputation | 0.698 | 0.755 | 0.385 | −0.876 | 2.272 | 2.066 | 2.531 | 0.112 | −0.479 | 4.612 | |
Lower reputation | 0 | . | . | . | . | 0 | . | . | . | . | |
Social status self-evaluation (range 1–100 score) | 0–50 score | −23.130 | 0.000 | 0.997 | − 14162.805 | 14116.546 | 1.665 | 0.690 | 0.406 | −2.265 | 5.595 |
51–60 score | −22.974 | 0.000 | 0.997 | −14162.649 | 14116.702 | 0.227 | 0.028 | 0.868 | −2.445 | 2.898 | |
61–70 score | −22.747 | 0.000 | 0.997 | −14162.422 | 14116.928 | 0.183 | 0.020 | 0.889 | −2.384 | 2.750 | |
71–80 score | −22.482 | 0.000 | 0.998 | − 14162.158 | 14117.193 | 0.361 | 0.064 | 0.801 | −2.446 | 3.168 | |
81–90 score | −18.117 | 0.000 | 0.998 | − 14157.793 | 14121.559 | 0 | . | . | . | . | |
91–100 score | 0 | . | . | . | . | – | – | – | – | – | |
Sense of work achievement (range 1–100 score) | 0–50 score | 5.362 | 5.587 | 0.018 | 0.916 | 9.809 | −8.261 | 6.656 | 0.010 | −14.536 | −1.985 |
51–60 score | 4.662 | 5.766 | 0.016 | 0.857 | 8.467 | −5.693 | 4.296 | 0.038 | −11.075 | −0.310 | |
61–70 score | 4.485 | 5.323 | 0.021 | 0.675 | 8.295 | −5.962 | 5.290 | 0.021 | −11.042 | − 0.881 | |
71–80 score | 4.276 | 5.483 | 0.019 | 0.697 | 7.855 | −6.546 | 6.334 | 0.012 | −11.644 | − 1.448 | |
81–90 score | 0 | . | . | . | . | −5.346 | 3.607 | 0.058 | −10.863 | 0.171 | |
91–100 score | 0 | . | . | . | . | 0 | . | . | . | . | |
Job satisfaction | Collaborative environment satisfaction | −0.470 | 2.950 | 0.086 | −1.007 | 0.066 | 0.973 | 7.045 | 0.008 | 0.254 | 1.691 |
Income satisfaction | 0.040 | 0.017 | 0.895 | −0.553 | 0.633 | 0.042 | 0.019 | 0.889 | −0.556 | 0.641 | |
Support satisfaction | 0.622 | 4.249 | 0.039 | 0.031 | 1.213 | −0.419 | 2.275 | 0.131 | −0.963 | 0.125 | |
Log pseudo likelihood | 222.592 | 201.074 | |||||||||
Chi-square value (P value) | 57.803(0.009) | 37.292(0.239) | |||||||||
Pseudo R2 | 0.408 | 0.366 |