In recent years, the country has vigorously promoted the construction of medical consortia to implement hierarchical medical diagnosis and treatment, and protect public health. However, the phenomenon of doctors leaving primary healthcare institutions has become increasingly prominent, seriously undermining the stability and continuity of primary healthcare services and becoming a core bottleneck restricting the efficient development of medical consortia. This study focuses on the intrinsic relationship between doctors’ turnover intention and influencing factors in primary healthcare institutions. Based on two-factor theory, expectancy theory, and social exchange theory, an analytical framework was constructed. A hybrid research method of“questionnaire survey+empirical analysis+semi-structured interviews” was adopted to identify core influencing factors and construct a theoretical model. After extracting practical problems, appropriate countermeasures were proposed. The research results can provide a scientific basis and practical support for stabilizing the doctor workforce in primary healthcare institutions and consolidating the talent foundation of medical consortia.

Primary healthcare institutions  /  Doctors  /  Medical consortia  /  Turnover intention  /  Countermeasures