文章摘要
戴汶君,王婧,王筱婷,陈任,程静.安徽省基层全科医生离职倾向及影响因素[J].济宁医学院学报,2025,48(2):167-171
安徽省基层全科医生离职倾向及影响因素
Study on the turnover intention and influencing factors among primary care general practitioners in Anhui province
投稿时间:2025-01-09  
DOI:10.3969/j.issn.1000-9760.2025.02.014
中文关键词: 基层全科医生;离职倾向;影响因素
英文关键词: Primary care general practitioners;Turnover intention;Influence factors
基金项目:安徽省高校优秀科研创新团队项目(2023AH010036);安徽医科大学博士科研资助基金项目(XJ202010)
作者单位E-mail
戴汶君 安徽医科大学卫生管理学院, 合肥 230032  
王婧 安徽医科大学卫生管理学院, 合肥 230032  
王筱婷 安徽医科大学卫生管理学院, 合肥 230032  
陈任 安徽医科大学卫生管理学院, 合肥 230032  
程静 安徽医科大学卫生管理学院, 合肥 230032 jing_hp@sina.com 
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中文摘要:
      目的 了解影响基层全科医生离职倾向的因素,为稳定基层全科医生队伍提供实证依据。方法 以参加安徽省全科医学培训中心转岗培训的基层全科医生为调查对象,采用一般情况调查问卷、医生感知医患关系量表、工作满意度量表、职业倦怠量表和离职倾向量表进行调查。结果 本次调查共回收有效问卷718份。基层全科医生的离职倾向较高,56.8%的医生得分在中值水平2.5分之上。年龄、医生感知医患关系、工作满意度、职业倦怠是基层医生离职倾向的主要影响因素(P<0.05)。结论 应重视基层全科医生队伍稳定性问题,重点关注年轻医生,强调医生对医患关系的感知对其执业稳定性的作用,并丰富工作内容、强化在职培训以降低离职倾向,稳定基层医疗队伍。
英文摘要:
      Objective To identify the factors affecting the propensity of primary care general practitioners to leave their jobs and to provide empirical evidence to stabilise the primary care general practitioner workforce. Methods A general information questionnaire,the physician perceived doctor-patient relationship scale,the job satisfaction scale,the job burnout scale,and the tendency to leave scale turnover intention scale were used to survey primary care general practitioners who had participated in the transition training at the Anhui provincial family medicine training centre. Results A total of 718 valid questionnaires were collected.The results showed that primary care general practitioners had a high propensity to leave their jobs (56.8% of doctors scored above the median level).Age,doctors' perceived doctor-patient relationship,job satisfaction,and job burnout were the main influencing factors (P<0.05). Conclusion Attention should be paid to the stability of the primary care general practitioner workforce,focusing on the attractiveness of the post for young doctors,emphasising the role of doctors' perception of the doctor-patient relationship on the stability of their practice,as well as enriching the content of their work,strengthening on-the-job training to reduce the turnover intention,and stabilising the primary care workforce.
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