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基于五省调查结果的中国社区卫生服务人员离职意愿影响因素分析。

Factors influencing the turnover intention of Chinese community health service workers based on the investigation results of five provinces.

机构信息

School of Health and Medicine Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Qiaokou District, Wuhan, 430030, China,

出版信息

J Community Health. 2013 Dec;38(6):1058-66. doi: 10.1007/s10900-013-9714-9.

Abstract

After the implementation of the new health reform, the Chinese government paid increasing attention to developing its community health service (CHS). The focus is mainly on cultivating community general medical practitioners but paying less attention to the working status and occupational demands of in-service CHS workers. CHS requires a stable team that can provide good service to community residents. At present, the demission rate of CHS workers is high. Studying how to increase the stability of CHS workers is noteworthy. The goal of this study is to ascertain the key factors that influence the CHS worker turnover intention to increase their work satisfaction and stability. A total of 100 CHS organizations were sampled randomly in 10 cities from 5 Chinese provinces for this study. All CHS workers from these organizations took a questionnaire survey. In total, 3,212 valid answer sheets were collected. Pearson Chi square test and Binary logistic regression were used to analyze the related influencing factors that result in CHS worker turnover intention. A total of 38.7% of those who accomplished the questionnaire intended to quit. The influencing factors that result in CHS worker turnover intention are (1) socio-demographic factors such as age, post of duty, professional title, and working seniority, and (2) other work-related factors such as pay packets, learning and training opportunities, promotion and personal development space, and working stress. CHS workers were less satisfied with the balance between payment and work quantity, promotion opportunity, and working conditions. Based on the results, the government should pay more attention to the various demands of CHS workers in service, especially by increasing their income, providing more learning and training opportunities, and increasing the degree of their work satisfaction to avoid turnover intention and ensure the stability of the CHS workforce.

摘要

新医改实施后,中国政府越来越重视发展社区卫生服务(CHS)。重点主要放在培养社区全科医生上,但对在职 CHS 工作人员的工作状况和职业需求关注较少。CHS 需要一支稳定的团队,能够为社区居民提供良好的服务。目前,CHS 工作人员的离职率较高。研究如何提高 CHS 工作人员的稳定性是值得关注的。本研究的目的是确定影响 CHS 工作人员离职意愿的关键因素,以提高他们的工作满意度和稳定性。本研究在 5 个省的 10 个城市随机抽取了 100 个 CHS 组织进行抽样调查。来自这些组织的所有 CHS 工作人员都接受了问卷调查。共收集到 3212 份有效答卷。采用 Pearson Chi square 检验和二项逻辑回归分析导致 CHS 工作人员离职意愿的相关影响因素。完成问卷的人中有 38.7%表示打算辞职。导致 CHS 工作人员离职意愿的影响因素有(1)社会人口因素,如年龄、职务、职称和工作年限,以及(2)其他与工作相关的因素,如薪酬、学习和培训机会、晋升和个人发展空间以及工作压力。CHS 工作人员对薪酬与工作量、晋升机会和工作条件之间的平衡不太满意。基于研究结果,政府应更加关注 CHS 工作人员在服务中的各种需求,特别是通过增加收入、提供更多的学习和培训机会以及提高工作满意度,以避免离职意愿并确保 CHS 工作人员队伍的稳定性。

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