工作付出-回报失衡对公立医院医生职业心态的影响

 
投稿时间: 2015-09-09  最后修改时间: 2015-10-30  摘要点击次数: 3124  全文下载次数: 5
 
引用本文:孙葵, 尹文强, 黄冬梅,等.工作付出-回报失衡对公立医院医生职业心态的影响[J].中国卫生政策研究,2015,8(11):70-74
孙葵, 尹文强, 黄冬梅, 于倩倩, 赵延奎, 陈钟鸣, 李云伟
潍坊医学院公共卫生与管理学院 山东潍坊 261053
基金项目:国家自然科学基金(71103129);教育部人文社会科学基金(09YJA630114);山东省教育厅资助项目(J11WG24)
 
 摘要:目的:探讨付出-回报失衡对公立医院医生职业倦怠、工作满意度和离职意向的影响。方法:利用课题组编制的医生工作感受量表,按照分层随机抽样原则,根据经济发展水平从山东省抽取济南、潍坊、德州3市的1910名公立医院医生进行调查,采用描述性统计分析、相关分析、分层回归分析等分析方法。结果:医生工作付出-回报失衡,工作付出是工作回报的1.54±0.74倍。工作付出-回报失衡对职业倦怠有正向预测作用,对工作满意度有负向预测作用,对离职意向有正向预测作用。结论:管理者应从改善医生付出-回报比例入手,以稳定医生职业心态,提升其工作积极性。 
  关键词:付出-回报失衡  职业倦怠  工作满意度  离职意向  医生
 
The effect of effort-reward imbalance at work on the professional attitude of doctors in public hospitals
SUN Kui, YIN Wen-qiang, HUANG Dong-mei, YU Qian-qian, ZHAO Yan-kui, CHEN Zhong-ming, LI Yun-wei
School of Public Health and Management, Weifang Medical University, Weifang Shandong 261053, China
 
 Abstract:Objective:To explore the effects of effort-reward imbalance (ERI) at work on the occupational burnout, job satisfaction and turnover intention of doctors in public hospitals. Methods:By using self-designed questionnaires to investigate job attitude, this paper adopts a stratified random sampling method to select 1910 doctors from public hospitals in Jinan, Weifang and Dezhou cities based on the level of economic development in Shandong province. The data are analyzed using descriptive analysis, correlation analysis, hierarchical regression analysis, etc. Results:The effort-reward imbalance at work exists in the surveyed public hospitals. The job effort of doctors is 1.39±0.37 times higher than job reward. The effort-reward imbalance at work has positive predictive effects on occupational burnout, negative predictive effects on job satisfaction, and positive predictive effects on turnover intention. Conclusions:Public hospital administrators should improve the effort-reward ratio of doctors in order to stabilize doctors' professional attitude at work and enhance their morale. 
 keywords:Effort-Reward Imbalance  Occupational burnout  Job satisfaction  Turnover intention  Doctors