景宁县基层医疗卫生机构职工工作满意度和离职倾向调查

An investigation on job satisfaction and turnover intention among staff in primary health institutions in Jingning county,Zhejiang province

目的了解丽水市景宁县基层医疗卫生机构职工工作满意度、离职倾向及影响因素.方法采用通用明尼苏达满意度问卷短式量表（S-MSQ）测量景宁县基层卫生机构在岗人员的工作满意度.共发放204份问卷,有效回收199份;进行单因素方差分析和多因素Logistic回归分析.结果调查对象工作总体满意度平均得分为（76.39±7.28）分,处于“满意”水平;满意度得分最高条目为同事相处（4.23±0.49） 分和道德价值（4.15±0.58）分;最低条目为薪酬（2.81±0.97） 分和晋升（3.38±0.86） 分;有6.75%的编内职工和36.11%的编外职工有离职倾向.多因素分析显示,收入是影响离职的主要因素（OR=0.33,95%CI：0.19～0.58）.结论景宁县基层医疗卫生队伍工作满意度总体较好,待遇差、晋升难是当前存在的主要问题,需从增加财政投入、改革分配机制、完善晋升渠道等因素入手,促进基层医疗卫生队伍平稳发展.

Objective To learn the present situation and influencing factors of job satisfaction and turnover intention among staff in primary health institutions in Jingning county,Zhejiang province. Methods Questionnaire investigation was conducted targeted to primary health workers in Jingning County. One hundred and ninety nine questionnaires were included in the analysis. One - way ANOVA and multivariable logistic regression were applied to analyze relative indicators. Results The mean score of general job satisfaction among primary health workers was 76. 39 ± 7. 28 in Jingning County. The two items with the lowest two scores of job satisfaction were compensation(2. 81 ± 0. 97)and advancement(3. 38 ± 0. 86),and the highest two were co - worker(4. 23 ± 0. 49)and moral value(4. 15 ± 0. 58). The percentage of turnover intention was 6. 75% in permanent workers and 36. 11% in temporary contract workers. Multivariable logistic regression showed that compensation was the main influencing factor associated with turnover intention(OR = 0. 33,95% CI:0. 19 -0. 58). Conclusion The primary health workers Jingning County are basically satisfied with their job,and low income and difficult promotion are the main problems at the moment. Increasing financial input,reforming income distribution mechanism and improving promotion channels are necessary to develop human resource in primary health institutions and to insure successful implementation of health care reform.