武汉市基层医生薪酬满意度对离职倾向的影响机制研究  

Research on the Influence Mechanism of Primary Physicians'Salary Satisfaction on the Turnover Tendency in Wuhan

作　　者：夏冕[1,2] 高艺宁 李浩淼 姜美舟 王明欧 蒋帅 Xia Mian;Gao Yining;Li Haomiao;Jiang Shuai(School of Political Science and Public Administration,Wuhan University,Wuhan,430072,China;Wuhan University Center for Health Governance Research,Wuhan,430072,China)

机构地区：[1]武汉大学政治与公共管理学院,武汉430072 [2]武汉大学健康治理研究中心,武汉430072 [3]郑州大学第一附属医院,郑州450052 [4]河南省医院管理研究院,郑州450052

出　　处：《中国卫生经济》2024年第5期13-17,共5页Chinese Health Economics

基　　金：国家自然科学基金项目(71874128);河南省医院管理创新研究课题(HNYGCX-2023-02A);武汉大学2021年度研究生导师育人方式创新项目(413200093)。

摘　　要：目的:分析武汉市薪酬满意度对基层医生离职倾向的影响机制,探究职业认同在其中的调节作用,为提升武汉市基层医生队伍稳定性提供依据。方法:采用问卷调查法,对武汉市主城区298名基层医生的薪酬满意度、职业认同和离职倾向展开研究,获得有效问卷284份并对数据进行统计分析。结果:40~50岁、本科学历以及工作11~15年的基层医生离职倾向评分分别为(3.01±0.87)分、(3.02±0.90)分、(3.03±0.86)分,其离职倾向偏高;基层医生薪酬满意度和职业认同对离职倾向具有负向影响(P<0.001);职业认同在薪酬满意度和离职倾向之间起到调节作用(P<0.001)。结论:基层医生的离职倾向在高素质人力资本群体中表现更加显著,薪酬的保障因素适中但激励因素不足;较高水平的职业认同度可以降低薪酬满意度与离职倾向之间关系水平。Objective:To analyze the influence mechanism of primary physicians'salary satisfaction on the turnover tendency,explore the moderating role of professional identity,and to provide a basis for enhancing the stability of the primary care physician workforce.Methods:The questionnaire survey method was used to study the salary satisfaction,professional identity and turnover tendency among 298 primary care doctors in the main urban area of Wuhan,and 284 valid questionnaires were obtained.The data were statistically analyzed.Results:The propensity to leave scores of primary care physicians aged 40 to 50 years,with bachelor's degree and 11 to 15 years of work were(3.01±0.87),(3.02±0.90),and(3.03±0.86),respectively,with high were high turnover tendency;primary care physicians'salary satisfaction and professional identity had a negative effect on the propensity to leave(P<0.001);and professional identity had a negative effect on the salary satisfaction and turnover tendency(P<0.001).Conclusion:Primary physicians'propensity to leave is more pronounced in the high-quality human capital group,with moderate security but insufficient incentives for pay;higher levels of professional identity reduce the relationship between pay satisfaction and propensity to leave.

关 键 词：基层医生 离职倾向 薪酬满意度 职业认同 武汉 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197