全科医生心理契约破坏、组织支持感与离职倾向关系的时滞研究——以上海市浦东新区为例  

Time-lagged Study on Psychological Contract Breach,Perceived Organizational Support and Turnover Intention of General Practitioners:Taking Pudong New District,Shanghai as an Example

作　　者：张韬 王洪兴[2] 李幼子 赵清芳 马绍壮 ZHANG Tao;WANG Hong-xing;LI You-zi(Jinyang Community Health Service Center,Pudong New District,Shanghai,200136,China)

机构地区：[1]上海市浦东新区金杨社区卫生服务中心,上海200136 [2]上海市浦东新区周家渡社区卫生服务中心,上海200136 [3]上海市浦东新区惠南社区卫生服务中心,上海200136 [4]里斯本大学

出　　处：《中国初级卫生保健》2019年第12期89-92,共4页Chinese Primary Health Care

基　　金：上海市浦东新区卫计委—上海市浦东新区卫生、计生科技项目资助项目（PW2016C-16）

摘　　要：目的分析组织支持感、心理契约破坏与离职倾向间的关系,为全科人才激励措施的完善提供一个新思路。方法2016年6-12月在上海市浦东新区社区卫生服务中心全科医生中进行两次问卷调查。第一次调查的主要内容包括人口社会学信息、组织支持感和心理契约破坏,第2次调查的内容为离职倾向。数据分析应用SPSS 24.0和AMOS 24.0统计软件完成。结果1145名全科医生的组织支持感得分为(4.59±0.85)分,心理契约破坏得分为(3.13±0.53)分,离职倾向得分为(2.26±0.95)分;组织支持感对离职倾向有负向作用,心理契约破坏对离职倾向有正向作用,心理契约破坏对组织支持感有负向作用,组织支持感在心理契约破坏与离职倾向间起到部分中介作用。结论上海市浦东新区的全科医生人才激励有待于从加强激励措施与保障落实、重视职业发展等方面进一步完善。OBJECTIVE To understand the relationship between perceived organizational support,psychological contract breach and turnover intention among general practitioners,aiming to provide insights for the improvement of incentives for general practitioners.METHODS During the period from June to December 2016,two-wave survey was conducted among the general practitioners of the Community Health Centers in Pudong New District,Shanghai.The main contents of the first survey included demographic information,perceived organizational support,and psychological contract breach.The second survey measured the turnover intention.SPSS 24.0 and AMOS 24.0 were applied.RESULTS Among 1145 general practitioners,the mean of perceived organizational support scored(4.59±0.85),psychological contract breach scored(3.13±0.53),and turnover intention scored(2.26±0.95).Perceived organizational support had a negative effect on turnover intention,and psychological contract breach had a positive effect on turnover intention,and psychological contract breach had negative effect on perceived organizational support,and perceived organizational support had a partial mediating role on the relationship between psychological contract breach and turnover intention.CONCLUSION The incentive policy for general practitioners in Pudong New District of Shanghai needed to be further improved from the aspects of strengthening policy interpretation,guaranteeing implementation,and emphasizing on career development.

关 键 词：全科医生 离职倾向 组织支持感 心理契约破坏 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]