医疗联合体基层医务人员职业流动意向影响因素研究  

A Study on the Factors Influencing the Job Mobility Intention of Primary Healthcare Personnel within the Integrated Medical Consortium

作　　者：陈淑华[1] 李文华 李彩虹[1] 简张桂 吴禹飞 蔡海霞 刘群 何智蕾 Chen Shuhua;Li Wenhua;Li Caihong(Guangdong Second Provincial General Hospital,Guangzhou,Guangdong,510317,China;不详)

机构地区：[1]广东省第二人民医院,广东广州510317 [2]广州辰康信息科技有限公司,广东广州510623

出　　处：《中国医院管理》2024年第7期80-83,89,共5页Chinese Hospital Management

基　　金：广东省医学科学技术研究基金项目(C2022019,C2022027);2023年广东省医改决策咨询研究项目。

摘　　要：目的探究医疗联合体内的基层医务人员职业流动意向情况,为基层医务人员培养、留用决策提供参考。方法以广东省第二人民医院医疗联合体内的基层医务人员作为调查对象,对采集的主要指标进行统计描述,采用χ2检验和独立样本t检验分析组间差异,采用二元logistic回归分析探索潜在因素与留任基层想法的关联。结果共纳入289名医疗联合体内的基层医务人员,女性为主要群体,占比为63.0%;40岁以下的工作人员占比最高,为63.6%。logistic回归分析结果显示,培训效果满意度与留任基层意向的关联差异有统计学意义(P<0.05)。结论应坚持问题导向,积极破解基层医疗人才严重短缺问题,促进医疗联合体内人才有序流动,以实现基层医疗卫生机构医疗人才“招得到、用得好、上得去、留得住”。Objective Exploring the career mobility intentions of primary care staff in healthcare consortia to provide a basis for decision-making suggestions on the training and retention decisions of medical staff in the medical alliance.Methods To investigate the career mobility intention of medical staff in the medical alliance of Guangdong Second People's Hospital as the survey object.Statistical descriptions of the collected key indicators were conducted.Pearson chi-square test and t-test for independent samples were used to analyze the differences between groups,and binary logistic regression with single and multiple factors was used to explore the association between potential factors and the idea of staying at the grassroots level.Results A total of 289 medical staff within the healthcare consortium were included,with females being the main group at 63.0%,and the highest proportion of staff under 40 years of age at 63.6%.Logistic regression analysis result showed a significant positive association between satisfaction with training effect and thoughts of staying on at the primary level only(P<0.05).Conclusion It is possible to explore the construction of a virtuous circulation mechanism of medical talent resources with the medical association construction as the carrier,and promote the orderly flow of manpower within the medical association,so as to achieve the“recruiting,well using,promotion and retaining”medical talent people in primary medical institutions.

关 键 词：职业流动意向 基层医务人员 医疗联合体 

分 类 号：R192[医药卫生—卫生事业管理]