Survey on the self-rated health of doctors and nurses at China′s 144 tertiary public hospitals
Yinuo Wu, Man Cao, Shichao Wu, Yang Liu, Huanqian Wang, Xinyue Chen, Jing Sun, Yu Jiang, Juan Zhang, Jing Ma, Yuanli Liu
Published 2019-09-02
Cite as Chin J Hosp Admin, 2019, 35(9): 712-718. DOI: 10.3760/cma.j.issn.1000-6672.2019.09.002
Abstract
ObjectiveTo establish comprehensive understanding of the self-rated health of the Chinese doctors and nurses and probe into their influencing factors.
MethodsData were drawn from a hospital performance survey, which was conducted by the Peking Union School of Public Health from March 18th to April 9th, 2019, among the 144 tertiary public hospitals in 31 provinces, autonomous regions, and municipalities. The survey included a cell-phone based questionnaire filled out by the sampled doctors and nurses, in which they were asked to rate their health using a 5-level Likert scale(from " very poor" to " very good" ). Mann-Whitney U test was used to analyze the differences in self-rated health between doctors and nurses. Chi-square test and two-class multivariate logistic regression were performed to analyze factors affecting self-rated health of the providers.
ResultsAmong the 144 sample hospitals, the proportion of doctors, who rated their health as " healthy" , was 20.30%(4 979/24 529), that of nurses was 28.92%(8 361/28 910). It was worse than that in some developed countries and lower than the general population in China. Multi-variate analysis showed that adequate sleeping time, satisfaction with the work and with the doctor-patient relationship, were positively associated with the level of self-rated health of the sampled doctors and nurses(P<0.05). It was also found that the longer the average weekly working time, the higher the recognition of " the work load is too heavy" , the lower the proportion of doctors and nurses who rated their health as " healthy" (P<0.05).
ConclusionsSleep time, job satisfaction, workload and doctor-patient relationship are important factors affecting self-rated health of the Chinese doctors and nurses.
Key words:
Health status; Self-related; Medical staff; Influencing factors; Third party evaluation
Contributor Information
Yinuo Wu
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Man Cao
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Shichao Wu
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Yang Liu
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Huanqian Wang
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Xinyue Chen
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Jing Sun
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Yu Jiang
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Juan Zhang
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China
Jing Ma
Department of Population Medicine, Harvard Medical School, Boston, MA 02115, U. S.A
Yuanli Liu
School of Public Health, Chinese Academy of Medical Science &
Peking Union Medical College, Beijing 100730, China