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中国基层医疗服务提供者工作满意度和组织承诺的相关因素:基于机器学习的随机森林分析

Factors Associated with Primary Care Provider's Job Satisfaction and Organizational Commitment in China: A Machine Learning-Based Random Forest Analysis.

作者信息

Wang Quan, Liu Siqi, Fu Yaqun, Zhang Jiawei, Wei Xia, Zhu Zemeng, Wang Ting, Yang Li

机构信息

School of Public Health, Peking University, Beijing 100191, China.

Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA.

出版信息

Healthcare (Basel). 2023 May 15;11(10):1432. doi: 10.3390/healthcare11101432.

Abstract

The objective of the study is to explore the factors that influence the and of primary care providers in China, with a focus on the impact of the COVID-19 pandemic and the rescission of restriction policies. We utilized the 20-item Minnesota Satisfaction Questionnaire (MSQ) and the 25-item survey to assess and organizational commitment. In total, 435 valid responses were included in our analysis. The average scores for and were 80.6 and 90.8. After a two-step tuning process, we built random forest models by machine learning. The results show income change, working years, working years in the current institute, and age were the four most important features associated with , and most of their dimensions. The number of professional fields engaged, gender, job status, and types of endowment insurance were least associated. During pandemic time, income-related factors remain a core concern for primary care providers, whereas job security may lose its importance. These findings suggest that financial bonuses may be an effective way to boost morale, and age-specific motivation plans may be necessary.

摘要

本研究的目的是探讨影响中国基层医疗服务提供者满意度和组织承诺的因素,重点关注新冠疫情和限制政策解除的影响。我们使用了20项明尼苏达满意度问卷(MSQ)和25项调查来评估满意度和组织承诺。我们的分析共纳入了435份有效回复。满意度和组织承诺的平均得分分别为80.6和90.8。经过两步调整过程,我们通过机器学习构建了随机森林模型。结果显示,收入变化、工作年限、在当前机构的工作年限和年龄是与满意度、组织承诺及其大多数维度相关的四个最重要特征。从事的专业领域数量、性别、工作状态和养老保险类型的相关性最小。在疫情期间,与收入相关的因素仍然是基层医疗服务提供者的核心关注点,而工作保障可能不再重要。这些发现表明,经济奖励可能是提高士气的有效方式,并且可能需要针对不同年龄的激励计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeb7/10218293/75a2f475eb53/healthcare-11-01432-g001.jpg

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