Background There is a global call to build people-centred primary health care(PHC)systems.Previous evidence suggests that without organization-level reform efforts,the full potential of policy reforms may be limited.T...Background There is a global call to build people-centred primary health care(PHC)systems.Previous evidence suggests that without organization-level reform efforts,the full potential of policy reforms may be limited.This study aimed to generate a profile of high performing PHC organizations from the perspective of patients.Methods We conducted semi-structured interviews with 58 PHC users from six provinces(Shandong,Zhejiang,Shaanxi,Henan,Shanxi,Heilongjiang)in China using purposive and snowball sampling techniques.Transcription was completed by trained research assistants through listening to the recordings of the interviews and summarizing them in English by 30-s segments to generate the narrative summary.Informed by the Classification System of PHC Organizational Attributes,thematic analysis aimed to identify domains and attributes of high performing PHC organizations.Results A profile of a high performing PHC organization with five domains and 14 attributes was generated.The five domains included:(1)organizational resources including medical equipment,human and information resource;(2)service provision and clinical practice including practice scope,internal integration and external integration;(3)general features including location,environment and ownership;(4)quality and cost;and(5)organizational structure including continuous learning mechanism,administrative structure and governance.Conclusions A five-domain profile of high performing PHC organizations from the perspective of Chinese PHC users was generated.Organizational resources,service delivery and clinical practices were most valued by the participants.Meanwhile,the participants also had strong expectation of geographical accessibility,high quality of care as well as efficient organizational structure.These organizational elements should be reflected in further reform efforts in order to build high performing PHC organizations.展开更多
Research on work life and job satisfaction of university professors is becoming an important research issue in the field of higher education. This study used questionnaires administered to 1 770 teachers from differen...Research on work life and job satisfaction of university professors is becoming an important research issue in the field of higher education. This study used questionnaires administered to 1 770 teachers from different levels, types, and academic fields of Chinese universities to investigate job satisfaction among university professors and the relationship between job satisfaction of university professors and the organizational characteristics of the university. The job satisfaction of Chinese university professors includes six dimensions: career development and school management, teaching and research services, salary, benefits and logistical services, professional reputation, teaching and research facilities, and the work itself. The overall job satisfaction levels are close to average, with salary and benefits receiving the lowest level of satisfaction. The organizational characteristics of universities, such as school type, school level, academic field, organizational climate, evaluation orientation, and school management, all have significant effects on the overall job satisfaction of university professors. The organizational climate and school level affect all six dimensions of job satisfaction among university professors.展开更多
基金supported by the National Natural Science Foundation of China(Grant Numbers 72004179).
文摘Background There is a global call to build people-centred primary health care(PHC)systems.Previous evidence suggests that without organization-level reform efforts,the full potential of policy reforms may be limited.This study aimed to generate a profile of high performing PHC organizations from the perspective of patients.Methods We conducted semi-structured interviews with 58 PHC users from six provinces(Shandong,Zhejiang,Shaanxi,Henan,Shanxi,Heilongjiang)in China using purposive and snowball sampling techniques.Transcription was completed by trained research assistants through listening to the recordings of the interviews and summarizing them in English by 30-s segments to generate the narrative summary.Informed by the Classification System of PHC Organizational Attributes,thematic analysis aimed to identify domains and attributes of high performing PHC organizations.Results A profile of a high performing PHC organization with five domains and 14 attributes was generated.The five domains included:(1)organizational resources including medical equipment,human and information resource;(2)service provision and clinical practice including practice scope,internal integration and external integration;(3)general features including location,environment and ownership;(4)quality and cost;and(5)organizational structure including continuous learning mechanism,administrative structure and governance.Conclusions A five-domain profile of high performing PHC organizations from the perspective of Chinese PHC users was generated.Organizational resources,service delivery and clinical practices were most valued by the participants.Meanwhile,the participants also had strong expectation of geographical accessibility,high quality of care as well as efficient organizational structure.These organizational elements should be reflected in further reform efforts in order to build high performing PHC organizations.
文摘Research on work life and job satisfaction of university professors is becoming an important research issue in the field of higher education. This study used questionnaires administered to 1 770 teachers from different levels, types, and academic fields of Chinese universities to investigate job satisfaction among university professors and the relationship between job satisfaction of university professors and the organizational characteristics of the university. The job satisfaction of Chinese university professors includes six dimensions: career development and school management, teaching and research services, salary, benefits and logistical services, professional reputation, teaching and research facilities, and the work itself. The overall job satisfaction levels are close to average, with salary and benefits receiving the lowest level of satisfaction. The organizational characteristics of universities, such as school type, school level, academic field, organizational climate, evaluation orientation, and school management, all have significant effects on the overall job satisfaction of university professors. The organizational climate and school level affect all six dimensions of job satisfaction among university professors.