摘要
目的:了解当前医生对医疗执业环境和工作环境的评价,探索执业和工作环境评价与其离职意向等的关系。方法:采用自编的医疗执业环境、工作环境问卷,用5点计分(0-4)对武汉市两家二级医院的119名临床医生进行调查。结果:医生对当前医疗执业环境的满意度得分为1.23±0.57,舆论环境的满意度最低(0.78±0.67)。医生对所在医院的工作环境满意度为1.80±0.48,排名最末两位为人身安全有保障(0.90±0.86)和个人收入(0.94±0.96)。临床医生执业与工作环境评价和离职意向、转行意愿呈显著负相关,与专业认同度呈显著正相关。结论:临床医生对执业环境和工作环境评价较低,应该重点改善舆论环境和医生的人身安全,减少医生离职意愿。
Objective: To understand the current status of medical practice and work environment and its relationship with turnover intention among clinical physicians" assessment. Methods: 119 doctors were investigated in two public hospitals in Wuhan using serf-developed medical practice and work environment questionnaires, which was scaled on a five-point Likert scale (0-4). Results: The average score of clinical physi- cians" satisfaction with the practice environment was (1.23:t:0.57). Among the policy environment, juristic environment, health care professional -patient relationship, and public opinion, the score of public opinion was the lowest (0.78+0.67). The average score of physicians" satisfaction with work environment was (1.80+0.48), and the lowest two score items were personal security (0.90+0.86) and personal income (0.94+0.96) , respentiveIy. Both practice and work environment were significantly negatively related to turnover intention and intention to change job (-0.39〈r〈 -0.21 ), and positively related to professional identity (0.28〈r〈0.47). Conclusion: Clinical physicians assessed that their practice and work en- vironment is poor. We should focus on improving public opinion on environment and clinician's personal safety so that physicians could decrease the turnover.
出处
《医学与社会》
2016年第11期37-39,43,共4页
Medicine and Society
基金
国家自然科学基金
编号为71203069
71573094
中央高校基本科研业务费
华中科技大学自主创新基金
编号为2013WZ024
2015AC027
关键词
医疗执业环境
工作环境
舆论环境
离职意向
Medical Practice Environment
Work Environment
Public Opinion Environment
Turnover Intention