安徽省市县乡临床医师离职倾向原因分析与对策研究
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安徽医科大学

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基金项目:国家卫计委基层司委托课题“县乡两级临床医师数量变动原因分析与政策研究”


Cause analysis and Countermeasures of turnover intention of clinicians in city and rural and county areas of Anhui
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Anhui Medical University

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    摘要:

    目的:了解安徽省市县乡公立医疗机构临床医师离职倾向情况,分析影响其稳定性的因素,以期为医师队伍稳定提供现实依据,促进分级诊疗格局的早日实现。方法:采用随机抽样的方法,抽取安徽省一个市、5个县、31个乡镇卫生院进行医师离职倾向的问卷调查。采用Epidata3.1和spss16.0对数据进行处理分析,用Logistic回归分析离职倾向的影响因素。结果:市县乡临床医师有离职倾向的占比分别为52.9%、31.6%和26.3%;离职倾向的首要原因是工资待遇差;多因素分析结果显示性别、期望收入、员工职业前景规划、收入与绩效考核、工作满意度、其他出路、从医成本等7个变量为离职倾向的影响因素。其中其他出路与有离职倾向呈正相关,其他6个变量与有离职倾向呈负相关。结论:样本县级医院离职倾向高于乡镇卫生院,县级临床医师在收入与职业发展空间上比乡镇医师有着更高的期望。应以合理的薪酬待遇吸引和稳定临床医生,提高其职业发展空间。

    Abstract:

    Objective: To understand the city and county of Anhui Province, rural public medical institutions clinicians turnover intention, based on the analysis of factors affecting its stability, in order to provide a realistic basis for physician team stability, promote the early realization of the pattern classification diagnosis and treatment.Methods: a random sampling method was used to investigate the turnover intention of doctors in a city, 5 counties and 31 township hospitals in Anhui province. Epidata3.1 and SPSS16.0 were used to analyze and analyze the data, and Logistic regression was used to analyze the influencing factors of turnover intention.Results: City, county and township doctors turnover accounted for 52.9%, 31.6% and 26.3%; the primary reason is the poor wages and turnover intention; multi factor analysis showed that gender, expected income, employee income and occupation prospect planning, performance appraisal, job satisfaction, other way, medical cost of 7 variable factors for turnover intention. The other way and turnover intention was positively related to the other 6 variables and turnover intention was negatively correlated. Conclusion:The turnover tendency of the sample county hospitals is higher than that of the township hospitals, and the clinicians at the county level have higher expectations in the income and career development space than the township doctors.

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  • 收稿日期:2017-06-26
  • 最后修改日期:2017-09-22
  • 录用日期:2018-01-04
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