NPCRDC, The University of Manchester, Oxford Road, Manchester, UK.
Eur J Public Health. 2011 Aug;21(4):499-503. doi: 10.1093/eurpub/ckq005. Epub 2010 Feb 8.
A national survey of family physicians working in the National Health Service (NHS) of England in 2001 revealed that 1/10 under 50 years of age were intending to leave direct patient care within 5 years, and that the principal predictor of their intention to leave was job satisfaction. Our research addressed two questions. First, does a family physician's stated intention to leave their job predict whether or not they actually do leave? Second, to what extent does job satisfaction predict actually leaving?
Secondary data analysis was performed on 1174 family physicians aged 50 years and under, who responded to the aforementioned survey. Using data from the annual census of physicians in the NHS, we determined which physicians actually left family practice during the next 5 years.
Of the 1174 family physicians studied, 194 (16.5%) had left direct patient care within 5 years. Multivariate regression showed that job satisfaction predicted a physician's intention to leave direct patient care and that intention to leave predicted actually leaving. Logically, job satisfaction should then have predicted actual leaving. Our findings, however, suggest that this is only partly true.
Although higher levels of job 'dissatisfaction' were associated with an increased likelihood of leaving, higher levels of job 'satisfaction' did not prevent leaving.
2001 年对在英格兰国民保健署（NHS）工作的家庭医生进行的一项全国性调查显示，1/10 名年龄在 50 岁以下的医生打算在 5 年内离开直接的患者护理工作，而他们离开的主要预测因素是工作满意度。我们的研究解决了两个问题。第一，家庭医生是否打算离开工作岗位能预测他们是否真的离开？第二，工作满意度在多大程度上能预测实际离职？
对 1174 名年龄在 50 岁以下的家庭医生进行了二次数据分析，这些医生对上述调查做出了回应。我们利用 NHS 医生年度普查的数据，确定了在接下来的 5 年内哪些医生实际上离开了家庭实践。
在 1174 名研究的家庭医生中，有 194 名（16.5%）在 5 年内离开了直接的患者护理工作。多变量回归表明，工作满意度预测了医生离开直接患者护理的意愿，而离开的意愿则预测了实际离开的情况。从逻辑上讲，工作满意度应该预测实际离职。然而，我们的发现表明，情况并非完全如此。
尽管更高程度的工作“不满”与离开的可能性增加有关，但更高程度的工作“满意”并不能阻止离开。
