Current situation and determinants of organizational commitment among health workers in township hospitals

ObjectiveTo analyze current situation and work-related determinants of organizational commitment among health workers in township hospitals,and to provide evidences for improving the stability of rural health workers.MethodsTotally 803 health workers from 45 township hospitals were selected to fill out a questionnaire about organizational commitment and its motivators.ResultsThe rank of scores for various dimensions of organizational commitment from high to low was normative commitment(14.92±2.71),affective commitment(14.08±2.92),ideal commitment(12.87±3.03),economic commitment(12.13±2.96),and opportunity commitment(11.17±2.93).Most of the health workers were satisfied with the relationship with patients,coworkers,and the leaders,but not satisfied with the income,welfare,training opportunity,and career development.The results of multivariate linear regression revealed significant incentive factors for various dimensions of organizational commitment,with the regression models of economic promise=0.365 x income,affective commitment=0.247 x income+0.508 x living environment+0.501 doctor-patient relationship+0.284 x workload+0.588 x leadership ability and style,ideal promise=0.408 x welfare+0.417 x living environment+0.358 x training opportunity+0.415 x management system+0.461 x scope of demonstrating personal ability,chance promise=0.448 x income+0.373 x training opportunity-0.382 x colleague relationship,and normative commitment=0.392 x working conditions+0.309 x doctor-patient relationship+0.426 x leadership ability and style,respectively(all P<0.05).ConclusionMost health workers have a positive attitude towards their organization and both financial and nonfinancial incentive should be improved to enhance organizational commitment in rural health workers.