| 引用本文：卓丽军, 陶红兵, 吴倩, 李俊毅, 方于民, 谢成.儿科医师感知医患关系与离职倾向关系——基于工作满意度的中介作用[J].中国卫生政策研究,2021,14(11):43-48 |
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| 儿科医师感知医患关系与离职倾向关系——基于工作满意度的中介作用 |
| 投稿时间：2021-10-31 修订日期：2021-11-23 PDF全文浏览 HTML全文浏览 |
| 卓丽军1, 陶红兵1, 吴倩1, 李俊毅1, 方于民2, 谢成3 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 中国人民武装警察部队湖北省总队医院 湖北武汉 430060;
3. 武汉儿童医院 湖北武汉 430016 |
| 摘要:目的：了解儿科医师的感知医患关系、工作满意度、离职倾向现状，探究感知医患关系、工作满意度对离职倾向的影响，为降低离职率和稳定儿科医师队伍提供参考依据。方法：采用分层随机抽样，对武汉市不同级别公立医疗机构儿科医师发放问卷600份，有效回收率为93.17%；采用Pearson相关方法分析相关性，采用t检验、方差分析探讨不同人口学特征下离职倾向差异，采用线性回归探讨其线性关系，并运用中介模型探讨感知医患关系、工作满意度对离职倾向作用效果。结果：武汉市儿科医师的感知医患关系能够预测其工作满意度，95%置信区间为（0.632，0.888），具有统计学意义，但无法直接预测离职倾向，95%置信区间为（-0.270，0.144）；由中介效应检验结果发现工作满意度是感知医患关系和离职倾向的完全中介，95%置信区间为（-0.475，-0.235），具有统计学意义。结论：医患关系问题长期存在，但是不会直接导致儿科医师离职，而是会与医院的内部保障和激励机制共同发生作用，若要稳定儿科医师队伍，需要通过医院内部管理措施提高其工作满意度。 |
| 关键词:儿科医师 感知医患关系 工作满意度 离职倾向 中介模型 |
| 基金项目:2019华中科技大学同济医学院附属武汉儿童医院横向课题科研项目“武汉市儿科建设与人力资源配置优化策略研究” |
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| Correlation of pediatricians' perception of doctor-patient relationship with turnover intention: based on the mediation effect of work satisfaction level |
| ZHUO Li-jun1, TAO Hong-bing1, WU Qian1, LI Jun-yi1, FANG Yu-min2, XIE Cheng3 |
1. Tongji Medical College of Huazhong University of Science & Technology School of Medicine and Health Management, Wuhan Hubei 430030, China;
2. Hubei Provincial Corps Hospital of Chinese People's Armed Police Force, Wuhan Hubei 430060, China;
3. Wuhan Children's Hospital, Wuhan Hubei 430016, China |
| Abstract:Objectives:To understand current pediatricians' perception of doctor-patient relationship, work satisfaction level and turnover intention, and explore the correlation of pediatricians' perception of doctor-patient relationship and work satisfaction level with their turnover intention, so as to provide a reference for designing strategies to reduce the turnover rate and stabilize the pediatrician community. Methods:A total of 600 questionnaires were distributed to pediatricians at different levels of public medical institutions in Wuhan via stratified random sampling. The effective rate of this questionnaire survey was 93.17%. Pearson correlation method was used to analyze the correlation among variables. T-test and analysis of variance were used to explore whether the difference in turnover intention under different demographic characteristics was statistically significant, and then linear regression was used to explore the potential linear relationship. The mediation model was used to explore how pediatricians' perception of doctor-patient relationship and work satisfaction level affected their turnover intention. Results:The perception of doctor-patient relationship of pediatricians in Wuhan was able to predict their work satisfaction level, which had a 95% confidence interval of (0.632, 0.888) and was statistically significant. However, the pediatricians' perception of doctor-patient relationship was unable to predict their turnover intention, which had a 95% confidence interval of (-0.270, 0.144). Using the mediation effect to examine the results, it was found that the work satisfaction level was a complete mediator of the perception of doctor-patient relationship and turnover intention, which had a 95% confidence interval of (-0.475, -0.235) and was statistically significant. Conclusion:Doctor-patient relationship problem has existed for a long time. However, it may not directly result in pediatricians' turnover, which relies more on the pediatrician's overall consideration of the hospital's internal guarantees and incentive mechanisms. Therefore, to better stabilize the pediatrician community, it is suggested that the work satisfaction level of pediatricians should be improved through the hospital's internal management measures. |
| Key words:Pediatrician Perception of doctor-patient relationship Work satisfaction level Turnover intention Mediation model |
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