基本公共卫生服务人员离职意愿影响因素分析

Analysis on the influencing factors of turnover intention of basic public health service personnels

目的:探讨三省(市)基本公共卫生服务人员离职意愿现状及其影响因素,为政府稳定基本公共卫生人员队伍、保证基本公共卫生服务项目顺利实施提供参考。方法:采用多阶段抽样方法,选取浙江、安徽、重庆的基本公共卫生服务人员439人进行问卷调查,采用因子分析、χ^(2)检验和二元logistic回归等方法进行数据分析。结果:439人中147人(33.5%)有离职意愿;不同年龄、受教育程度、基本公共卫生工作压力、基本公共卫生工作年限、与居民相处关系、地区的基本公共卫生服务人员的离职意愿差异均有统计学意义(P<0.05~P<0.01);logistic回归分析显示,工作满意度、职业倦怠、地区、体育锻炼、与居民相处关系、基本公共卫生工作年限均为基本公共卫生服务人员离职意愿的影响因素(P<0.05~P<0.01)。结论:基本公共卫生服务人员离职意愿较高,政府应针对影响因素采取措施,提高基本公共卫生服务人员工作满意度,缓解职业倦怠,降低离职意愿。

Objective:To explore the current situation and influencing factors of turnover intention of basic public health service personnels in three provinces(cities),and provide the reference for the government to stabilize the basic public health personnel team and ensure the smooth implementation of basic public health service projects.Methods:A questionnaire survey was conducted among 439 basic public health service personnels selected by multi-stage sampling method from Zhejiang,Anhui and Chongqing,and the data were analyzed using the factor analysis,χ^(2) test and binary logistic regression methods.Results:Among the 439 people,147 people(33.5%)had turnover intention,and the differences in the age,education level,basic public health work pressure,basic public health work years,relationship with residents and regional basic public health service personnel′s turnover intention were statistically significant(P<0.05 to P<0.01).The results of regression analysis showed that the job satisfaction,job burnout,areas,physical exercise,relationship with residents and years of basic public health work were the influencing factors of turnover intention of basic public health service personnels(P<0.05 to P<0.01).Conclusions:The turnover intention in basic public health pesonels is high.The government should take active measures against the relevant influencing factors to improve the job satisfaction,relieve job burnout,and reduce their turnover intention.