中国全科医学2016，Vol.19Issue(25)：3008-3012,5.DOI:10.3969/j.issn.1007-9572.2016.25.002
全科医生离职倾向水平及影响因素研究
Turnover Intention of General Practitioners and Its Influencing Factors
摘要
Abstract
Objective To understand the level of turnover intention of general practitioners and investigate its influencing factors. Methods By convenience sampling method,general practitioners in 6 cities′ community health service institutions( Harbin, Daqing, Suihua, Heihe, Great Khingan and Qiqihar ) were selected, and finally 215 general practitioners,who participated in the training of community health workers in Qiqihar held by Heilongjiang Provincial Health Bureau,were enrolled as research objects. In March 21,2O15,field investigation was made in the scene of community health workers. The investigation included six questionnaires———basic information,career satisfaction,job satisfaction,job burnout, job embededness and turnover intention. All the questionnaires would be recovered at once after filling in. 362 questionnaires were sent out,323 were effectively recovered,of which 215 were filled in by general practitioners. Univariate and multivariate Logistic regression analysis was applied to analyze the influencing factors of general practitioners′ turnover intention. Results 62. 3%(134 / 215)of the general practitioners had the turnover intention. Univariate Logistic regression analysis showed that years of working,achievement of career,progress of career,occupational income,realization degree of target,skills training,job satisfaction,job burnout and job embededness significantly influenced the turnover intention of general practitioners(P < O. O5);multivariate Logistic regression analysis further presented that years of working and job embededness had negatively predictive effects on the turnover intention of general practitioners(value of b was - O. O5, - O. 93 respectively;P≤O. O5);job burnout had a significantly positive prediction on their turnover intention(b = O. 74,P < O. O5). Conclusion Nearly two - thirds of the general practitioners reported that they had turnover intentions;job burnout is a risk factor that influences general practitioners having turnover intentions,years of working and job embeddedness are the protective factors of general practitioners having turnover intentions. Relieve job burnout of general practitioners and improve embededness degree can effectively reduce their turnover risk.关键词
全科医生/离职倾向/工作倦怠/工作嵌入Key words
General practitioners/Turnover intention/Job burnout/Job embeddedness分类
医药卫生引用本文复制引用
常广明,王硕,孟德昕,魏洪娟,罗庆东,樊超,张淑娥,赵晓雯,孙涛..全科医生离职倾向水平及影响因素研究[J].中国全科医学,2016,19(25):3008-3012,5.基金项目
国家自然科学基金资助项目（714O3O71）；黑龙江省自然科学基金资助项目（G2O1411）；黑龙江省哲学社会科学研究规划项目（13DO53）；高等学校博士学科点专项科研基金新教师类资助课题 （）
