文章摘要
毕灶妹,杨金侠.安徽省市县乡临床医师离职倾向原因分析[J].南京医科大学学报(社会科学版),2017,(6):481~484
安徽省市县乡临床医师离职倾向原因分析
Cause analysis and countermeasures of turnover intention of clinicians in city, county and rural areas of Anhui
投稿时间:2017-06-26  
DOI:10.7655/NYDXBSS20170611
中文关键词: 临床医师  离职倾向  原因分析  对策研究
英文关键词: clinicians  turnover intention  cause analysis  countermeasure research
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”(2017R0047)
作者单位
毕灶妹 安徽医科大学卫生管理学院安徽 合肥 230032 
杨金侠 安徽医科大学卫生管理学院安徽 合肥 230032 
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中文摘要:
      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,以期为稳定医师队伍提供现实依据,促进分级诊疗格局的早日实现。方法:抽取安徽省44个医疗机构的医生进行问卷调查,采用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%;有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、从医成本这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: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。
英文摘要:
      Objective:To understand turnover intention of clinicians in public medical institutions from city, county, and rural areas of Anhui Province, provide a realistic basis for physician team stability and to promote the early realization of the pattern classification diagnosis and treatment. Methods: A random sampling method was used to investigate the turnover intention, Epidata 3.1 and SPSS 16.0 were used to analyze the data, and Logistic regression was used to analyze the influencing factors of turnover intention. Results: City, county and township doctors’ turnover intention accounted for 52.9%, 31.6% and 26.3%, respectively. The primary reason was the poor wages. Multivariate analysis showed that the factors for turnover intention including gender, expected income, employee income and occupation prospect planning, performance appraisal, job satisfaction, the other way out, medical cost. The other way out was positively related to turnover intention and the other 6 variables was negatively correlated to it. Conclusion: Reasonable salary should be adopted to attract and stabilize clinicians and improve their career development space.
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