Fulfillment and Challenge in The Role of Community and Township Health Center Managers in China : A Grounded Theory Study

Abstract Background: In China’s health reform , community and township health center are with multiple expectations. However, in this process, the fulfillment and challenge in the role of community and township health center managers need to be revealed to maintain the health reform a sustainable development Purpose: The purpose of this study is to describe the factors that influence the fulfillment and challenge in the role of community and township health center managers Method: Analysis of 72 interviews with community and township health center manager was performed with grounded theory methodology. Results: Fulfillment were “seeing positive change ”, “experiencing a variety of relationships”, “being creative to promote development ” and “experiencing professional growth” .Some negative themes that resulted in challenge were “lack of systematically training”, “feeling overwhelmed with the number of hours and duties”, “information system need to be advanced”, “the faculty shortage ”and a “lack of supervision and support from the local administration” Conclusion: By disclosing aspects of fulfillment and challenge of the community and township health center manager role, the development of community and township health center will be affected.