| 引用本文：童西洋, 王明慧, 张安琪, 王德龙, 王艺颖, 赵世超, 于海宁.多维视角下基层卫生技术人员职业倦怠的形成机制研究——基于扎根理论[J].中国卫生政策研究,2023,16(6):59-65 |
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| 多维视角下基层卫生技术人员职业倦怠的形成机制研究——基于扎根理论 |
| 投稿时间：2023-04-04 修订日期：2023-06-07 PDF全文浏览 HTML全文浏览 |
| 童西洋1, 王明慧2, 张安琪3, 王德龙4, 王艺颖3, 赵世超4, 于海宁5 |
1. 山东大学卫生管理与政策研究中心 山东济南 250012;
2. 西北大学公共管理学院 陕西西安 710127;
3. 山东大学政治学与公共管理学院 山东青岛 266200;
4. 山东师范大学公共管理学院 山东济南 250014;
5. 山东省肿瘤防治研究院(山东省肿瘤医院) 山东第一医科大学(山东省医学科学院) 山东济南 250117 |
| 摘要:目的：探究我国基层卫生技术人员职业倦怠的形成机制并提供政策建议。方法：采用多阶段抽样和目的抽样，于2021年2月至7月，对山东省东营市、青岛市以及枣庄市的38家基层医疗卫生机构的167名基层卫生技术人员进行半结构式访谈。采用Strauss程序化扎根理论的编码思路，并运用MAXQDA2020定性分析软件对访谈资料进行分析。结果：共提炼得到39个概念和19个范畴，构建出基层卫生技术人员职业倦怠形成机制模型。结论：基层卫生技术人员职业倦怠的形成受宏观行政治理局限、中观制度机制失准、微观工作压力超载三个维度的共同作用。应逐步提高基层医疗卫生机构的自主权，切实为基层卫生技术人员减负，加强协同治理与“三医联动”，从而缓解基层卫生技术人员的职业倦怠。 |
| 关键词:基层卫生技术人员 职业倦怠 形成机制 多维视角 扎根理论 |
| 基金项目:国家自然科学基金青年项目（72204150） |
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| A study on the formation mechanism of job burnout amongprimary health technicians from a multidimensional perspective: Based on grounded theory |
| TONG Xi-yang1, WANG Ming-hui2, ZHANG An-qi3, WANG De-long4, WANG Yi-ying3, ZHAO Shi-chao4, YU Hai-ning5 |
1. Center for Health Management and Policy Research, Shandong University, Jinan Shandong 250012, China;
2. School of Public Administration, Northwest University, Xian Shaanxi 710127, China;
3. School of Political Science and Public Management, Shandong University, Qingdao Shandong 266200, China;
4. School of Public Administration, Shandong Normal University, Jinan Shandong 250014, China;
5. Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan Shandong 250117, China |
| Abstract:Objective: To investigate causes leading to formation mechanism of job burnout among primary health technical personnel in China and provide policy advice for further improving their work attitude. Methods: Semi-structured interviews are conducted from February to July of 2021, with a multi-stage purposive sampling of 167 primary health technical personnel from 38 primary health institutions in Dongying City, Qingdao City, and Zaozhuang City of Shandong Province. Data collected are analyzed, using the coding method of Strauss procedural grounded theory with MAXQDA 2020 qualitative analysis software. Results: 39 concepts and 19 categories are extracted. From these dimensions, formation mechanism model is constructed to explain the job burnout among primary health technicians. Conclusion: The formation of burnout among primary health technicians is the result of joint effect of three dimensions: Macro administrative governance limitations, inaccuract meso institutional mechanisms, and micro work pressure overload. The autonomy of primary health care institutions should be gradually increased, the burden of primary health technicians should be effectively reduced, and collaborative governance and "three medical linkages" should be strengthened, so as to alleviate the burnout of primary health technicians. |
| Key words:Primary health technicians Job burnout Formation mechanism Multidimensional perspective Grounded theory |
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