| 引用本文：李璇, 杨燕绥, 袁向东.儿科医生工作满意度、职业倦怠与离职意向的相关性——基于广东省三甲医院的调查[J].中国卫生政策研究,2018,11(11):68-72 |
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| 儿科医生工作满意度、职业倦怠与离职意向的相关性——基于广东省三甲医院的调查 |
| 投稿时间：2018-02-26 修订日期：2018-10-12 PDF全文浏览 HTML全文浏览 |
| 李璇1, 杨燕绥2, 袁向东1 |
1. 广东省人民医院 广东广州 510080;
2. 清华大学公共管理学院 北京 100084 |
| 摘要:目的：调查研究儿科医生工作满意度、职业倦怠与离职意向的现状和相互关联性。方法：定量与定性研究相结合，对广东省公立三甲医院儿科医生进行横断面调查，使用SPSS和AMOS进行分析。结果：儿科医生工作总体满意度较低（3.62分），近6成有中重度倦怠水平，35%有重度离职意向；工作满意度与离职意向负相关，职业倦怠与离职意向正相关；工作满意度对离职意向有直接和间接效应（职业倦怠为中介）。结论：儿科医生职业态度、情绪较消极，离职意愿较强。硬件环境直接影响离职意向；情感衰竭与去人格化产生可对离职意向产生中介作用，针对性地改善医患关系、工作量、人际氛围和硬件环境的满意度，有利于缓解工作倦怠感，从而减轻离职意向。 |
| 关键词:儿科医生 工作满意度 职业倦怠 离职意向 |
| 基金项目:疾病诊断相关分组医院管理研究与应用（201704020208） |
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| The relationship between job satisfaction, burnout and turnover intention of pediatricians: A case study of tertiary hospitals in Guangdong province |
| LI Xuan1, YANG Yan-sui2, YUAN Xiang-dong1 |
1. Guangdong Provincial People's Hospital, Guangzhou Guangdong 510080, China;
2. School of Public Administration, Tsinghua University, Beijing 100084, China |
| Abstract:Objective:The goal of this study is to investigate the current status and relationship of job satisfaction, burnout and turnover intention among pediatricians. Method:Quantitative and qualitative research methods are combined to conduct a cross-sectional survey among pediatricians of public tertiary hospitals in Guangdong provinceand the SPSS and AMOS are used for analysis. Results:The overall job satisfaction of pediatricians is not high (3.62). Nearly 60% pediatricians are suffering from moderate or severe burnout and 35% of them are with a severe turnover intention. Job satisfaction is negatively correlated with turnover intention, while burnout is positively correlated with turnover intention. Job satisfaction degree significantly has direct and non-direct effects on turnover intention (while burnout is an intermediary). Conclusions:Employed pediatricians have negative occupational attitude and emotion, with a high level of turnover intention. The condition of physical environment directly affects their turnover intention, while emotional exhaustion and depersonalization show a mediating effect. Thus, improving their satisfaction on doctor-patient relationship, workload, interpersonal atmosphere and physical environment can be beneficial to reduce the burnout and alleviate the turnover intention. |
| Key words:Pediatrician Job satisfaction Job burnout Turnover intention |
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