Nguyen Quynh Anh, Tran Anh Dung
Department of Health Economics, Hanoi University of Public Health, Vietnam.
Ministry of Health, Hanoi, Vietnam.
Health Serv Insights. 2021 Feb 17;14:1178632921995172. doi: 10.1177/1178632921995172. eCollection 2021.
To access the relationship between job satisfaction and turnover intention of preventive medicine workers in Vietnam, we conducted a cross-sectional study using a purposive convenience sample of 12 preventive medicine centers in 3 provinces of northern Vietnam (Hai Duong, a plain province, Yen Bai, a mountainous province, and Hanoi, the capital of Vietnam). Overall, 400 preventive medicine staff were invited to participate, and 383 questionnaires were analyzed (153 from 3 provincial centers and 230 from 9 district centers). All eligible participants completed the questionnaire, which included questions relating to general information, job satisfaction, intention to quit. We identified significant associations between turnover intention and personal factors, including age, marital status, education level, professional degree, and length of employment at the current center. The bivariate analysis also indicated that job satisfaction had an inverse relationship with turnover intention, as expected. The correlations varied between facets and overall job satisfaction, from -0.19 for community support to -0.37 for overall job satisfaction. These correlations remained significant after controlling for personal factors using hierarchical multiple regressions. The results indicated that facet and overall job satisfaction were significant predictors of turnover intention, while overall job satisfaction was the strongest predictor (β = 0.37, < .001). This study could contribute to local system development and the international understanding of job satisfaction and turnover intention among preventive medicine workers. Addressing the aspects of job satisfaction that were found to have the lowest scores may help the preventive medicine system to retain staff.
为了探究越南预防医学工作者的工作满意度与离职意愿之间的关系，我们进行了一项横断面研究，采用目的抽样法，选取了越南北方3个省份（海阳省，一个平原省份；安沛省，一个山区省份；以及越南首都河内市）的12个预防医学中心作为便利样本。总体而言，我们邀请了400名预防医学工作人员参与研究，共分析了383份问卷（其中153份来自3个省级中心，230份来自9个区级中心）。所有符合条件的参与者都完成了问卷，问卷内容包括一般信息、工作满意度以及离职意愿等问题。我们发现离职意愿与个人因素之间存在显著关联，这些个人因素包括年龄、婚姻状况、教育水平、专业学位以及在当前中心的工作时长。双变量分析还表明，正如预期的那样，工作满意度与离职意愿呈负相关。各维度与总体工作满意度之间的相关性有所不同，从社区支持方面的-0.19到总体工作满意度方面的-0.37不等。在使用分层多元回归控制个人因素后，这些相关性仍然显著。结果表明，各维度和总体工作满意度都是离职意愿的显著预测因素，而总体工作满意度是最强的预测因素（β = 0.37，P < 0.001）。本研究有助于当地系统的发展，并增进国际社会对预防医学工作者工作满意度和离职意愿的理解。解决工作满意度得分最低的方面可能有助于预防医学系统留住员工。
