农村基层医务人员获得感与离职意愿的关系研究——以工作满意度为中介  

The relationship between sense of acquisition and turnover intention of rural primary medical staff:Using job satisfaction as the mediator

作　　者：雷萌 罗银波 汪瓒 郭千千 刘军安[1] LEI Meng;LUO Yin-bo;WANG Zan;GUO Qian-qian;LIU Jun-an(School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430030,China)

机构地区：[1]华中科技大学同济医学院公共卫生学院,湖北武汉430030

出　　处：《中国卫生政策研究》2020年第12期48-53,共6页Chinese Journal of Health Policy

基　　金：中盖农村基本卫生服务保健项目资助(CS-2019-5)。

摘　　要：目的:探讨农村基层医务人员工作满意度在获得感和离职意愿中的中介关系,为降低基层医务人员离职意愿,提高农村基层医务人员队伍的稳定性提供科学依据。方法:采用整群抽样法在湖北省竹山县共抽取5家县级医疗机构和4家乡镇卫生院的511名医务人员,采用工作满意度量表、获得感量表、离职意愿量表进行调查。结果:调查对象工作满意度和获得感得分较高,分别为3.59和3.64分,离职意愿较低,得分为2.17分。获得感与工作满意度呈正相关(P<0.01),与离职意愿呈负相关(P<0.01);工作满意度与离职意愿呈负相关(P<0.01)。工作满意度在获得感与离职意愿之间的关系中起较大的中介作用,中介效应大小为-0.35,占总效应的57.38%。结论:基层医务人员工作满意度对强化获得感和离职意愿之间关系具有中介效应,高获得感可以通过工作满意度来降低离职意愿,医疗卫生机构应该切实重视工作满意度建设。Objective:To explore the relationship of job satisfaction between sense of acquisition and turnover intention of primary medical staff in rural areas,so as to provide scientific basis for reducing this intention of rural primary healthcare personnel to quit the job.Methods:A total of 511 medical staff from 5 county-level healthcare institutions and 4 township health centers(THCs)in Zhushan County were sampled by cluster sampling.The questionnaire included job satisfaction scale,sense of acquisition scale and turnover intention vector table for accurate and effective investigation.Results:The survey respondents had higher scores of job satisfaction and sense of acquisition,namely,3.59 and 3.64,respectively,and the turnover intention was relatively low,with a score of 2.17.The sense of acquisition and job satisfaction were positively correlated(P<0.01),and both of them were negatively correlated with turnover intention(P<0.01).Job satisfaction played a partial mediating effect in the relationship between the sense of acquisition and turnover intention.The mediating effect was-0.35,which accounted for 57.38%of the total effect.Conclusions:The job satisfaction plays mediating role in the sense of acquisition and turnover intention of primary medical staff in rural areas.Therefore,the higher the sense of acquisition,the least the turnover intention of primary medical staff as job satisfaction is observed.In addition,medical institutions should pay more attention to the enhancement of job satisfaction among medical staff.

关 键 词：基层医务人员 工作满意度 获得感 离职意愿 

分 类 号：R197[医药卫生—卫生事业管理]