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Health Promot Int. 2013 Jun;28(2):166-77. doi: 10.1093/heapro/dar091. Epub 2011 Dec 26.

Job autonomy, its predispositions and its relation to work outcomes in community health centers in Taiwan.

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  • 1School and Graduate Institute of Health Services Administration, College of Public Health, China Medical University, 91 Hsueh Shih Rd., Taichung 404, Taiwan, ROC.


It has been debated that employees in a government or public ownership agency may perceive less need for growth opportunities or high-powered incentives than is the case for employees in private organizations. This study examined employees' job autonomy in government-run community health centers, its predispositions and its relation to their work outcomes. A cross-sectional study was conducted in Taiwan. From 230 responding community health centers, 1380 staff members responded to the self-completed, structured questionnaire. Structural equation modeling revealed that employees' job autonomy has positive work outcomes: greater work satisfaction, and less intent to transfer and intentions to leave. In addition, job autonomy was related to employees' higher education levels, medical profession, permanent employment and serving smaller populations. Moreover, employees' age, educational levels, medical profession and employment status were found to be related to their work satisfaction, intent to transfer and intent to leave.


community health center; job autonomy; permanent employee; public health-care organization

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