某三甲医院医师薪酬公平感与离职倾向的关系

Relationship between doctors’sense of compensation justice and turnover intention in a tertiary hospital

目的调查某三甲医院临床医师薪酬公平感、离职倾向现状,探讨薪酬公平感维度及其对离职倾向的影响。方法2021年3月使用自制问卷对某三甲医院临床医师的薪酬公平感、离职倾向进行调查。结果问卷发放210份,回收205份,有效问卷204份,有效回收率为99.51%。不同人口学指标的医师薪酬公平感及其维度、离职倾向得分比较,差异无统计学意义(P<0.05)。程序与互动公平感(r=-0.440)、分配公平感(r=-0.323)与离职倾向呈负相关(P<0.01)。程序与互动公平感与分配公平感呈正相关(r=0.707,P<0.01)。回归分析显示,程序与互动公平感是离职倾向的影响因素(P<0.01),解释率为22.5%。结论医师的薪酬公平感偏低,离职倾向较弱。薪酬公平感分为分配公平感、程序与互动公平感2个维度。程序与互动公平感负向影响离职倾向。建议加强医院薪酬制度的公平性,提高医师对薪酬制度制订与修订的参与度。

Objective To investigate the current status of compensation justice and turnover intention of clinicians in a tertiary hospital,and to explore the dimensions of salary fairness and influence on turnover intention.Methods In March 2021,a self-made questionnaire was used to investigate the salary fairness and turnover tendency of clinicians in a tertiary hospital.Results A total of 210 copies were issued,205 copies were recovered,204 valid questionnaires were issued,and the effective recovery rate was 99.51%.There was no statistically significant difference in the comparison of physicians’salary fairness,its dimensions,and turnover intention scores with different demographic indicators(P<0.05).Procedural and interactive fairness(r=-0.440),distribution fairness(r=-0.323)was significantly negatively correlated with turnover intention(P<0.01).Procedural and interactive fairness was positively correlated with distribution fairness(r=0.707,P<0.01).Regression analysis showed that the process and the sense of interaction justice were the influencing factors of turnover intention(P<0.01),and the explanation rate was 22.5%.Conclusion Physicians’sense of salary fairness is low,and their turnover tendency is weak.Salary fairness is divided into two dimensions:distribution fairness,procedure and interaction fairness.The sense of fairness of procedures and interactions negatively affects turnover intention.It is recommended to strengthen the fairness of the hospital’s salary system and increase the participation of doctors in the formulation and revision of the salary system.