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Turnover intention among service providers in Chinese methadone maintenance treatment clinics


Aim: High turnover rates among service providers have burdened addiction treatment clinics and affected patient care and treatment outcome. In this study, we identified factors associated with providers’ turnover intention in Chinese methadone maintenance treatment (MMT) clinics. Subjects and methods: This study used the baseline data from a randomized controlled trial conducted in 68 MMT clinics in five provinces in China. Service providers’ turnover intention, perceived risk at work, job satisfaction, years working in the clinic as well as sociodemographic characteristics were collected in the assessment. A logistic mixed-effects model was used to identify factors associated with providers’ turnover intention. Results: Approximately one-third of these 418 service providers intended to change their job in this study. The findings of regression analysis showed that perceived risk at work was positively associated with the turnover intention (OR = 1.28; 95% CI: 1.17, 1.41) and job satisfaction was negatively related to the turnover intention (OR = 0.97; 95% CI: 0.95, 0.99). Conclusion: Study findings highlighted the importance of addressing service providers’ perceived risk at work and job satisfaction to reduce turnover intention. Intervention strategies that focus on occupation safety and job satisfaction could be integrated into current training programs to maintain a stable workforce in the MMT programs. Clinical trial registration details: This trial was registered at Registration date: January 4, 2013. Identifier: NCT01760720. Link:

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