Cheng Kao-Chi, Lee Tsung-Lin, Lin Yen-Ju, Liu Chiu-Shong, Lin Cheng-Chieh, Lai Shih-Wei
College of Medicine, China Medical University, No. 2, Yuh-Der Road, 404, Taichung, Taiwan.
Department of Family Medicine, China Medical University Hospital, 404, Taichung, Taiwan.
Biomedicine (Taipei). 2016 Dec;6(4):23. doi: 10.7603/s40681-016-0023-3. Epub 2016 Nov 17.
Turnover of physicians might be responsible for reducing patients' trust and affecting hospital performance. This study aimed to understand physicians' psychological status regarding their hospital work environment and the resources of independent practitioners.
This was a cross-sectional study with 774 physicians who had resigned from hospitals and were now practicing privately in clinics in Taichung City as its study population. A mail survey with a multidimensional questionnaire was sent to each subject.
This study revealed that older physicians were less satisfied regarding the work environment in their respective former hospitals. Male physicians were found to be more satisfied with the tangible resources of their hospitals. Internal medicine physicians were found to be less satisfied overall with the intangible resources. Gynecologists and pediatricians were found to be more satisfied with their hospital environments. The physicians who worked long hours per week reported that they were less satisfied with their job content. The physicians who had opportunities to learn advanced skills and enhance their knowledge were more satisfied with their hospital environment, tangible resources, and intangible resources. In addition, physicians in private hospitals were found to be more satisfied with their job content, but they were less satisfied with work motivation and retention and intangible resources. In addition, physicians who worked in hospitals located in Taichung city reported that they were less satisfied with their tangible resources than the physicians working in hospitals outside of the city.
This study focused on the satisfaction of physicians who had already left their respective hospitals instead of current retained physicians. From this study, it is our recommendation that hospital managers should pay closer attention to the real needs and expectations of the physicians they employ, and managers should consider adjusting their managerial perspectives when establishing new human resources policies or making decisions.
医生的更替可能会导致患者信任度降低并影响医院绩效。本研究旨在了解医生对其医院工作环境和独立执业资源的心理状态。
这是一项横断面研究，研究对象为774名已从医院辞职并在台中市诊所私人执业的医生。向每位受试者发送了一份包含多维问卷的邮件调查。
本研究表明，年长的医生对其各自原医院的工作环境满意度较低。发现男性医生对医院的有形资源更满意。发现内科医生对无形资源的总体满意度较低。妇产科医生和儿科医生对其医院环境更满意。每周工作时间长的医生表示，他们对工作内容的满意度较低。有机会学习先进技能和提升知识的医生对医院环境、有形资源和无形资源更满意。此外，发现私立医院的医生对工作内容更满意，但他们对工作动机、留任意愿和无形资源的满意度较低。此外，在台中市医院工作的医生表示，他们对有形资源的满意度低于在市外医院工作的医生。
本研究关注的是已经离开各自医院的医生的满意度，而非当前留任的医生。基于本研究，我们建议医院管理者应更密切地关注他们所雇佣医生的实际需求和期望，并且管理者在制定新的人力资源政策或做决策时应考虑调整管理视角。
