工作与家庭冲突对基层医生辞职意向的影响路径:来自中国横断面调查的数据。

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Mao-Min Jiang, Man-Li Gu
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引用次数: 0

摘要

背景:全科医生及其团队是基层医疗服务建设的主导力量,承担着居民基本健康的重要责任,也关系到全民健康目标的实现。然而,由于工作压力大、薪酬水平低、职业发展受限等问题,基层医生离职率普遍较高。因此,探究全科医师辞职意向对促进全科医师健康服务体系建设具有重要作用:本研究探讨了影响全科医生辞职意愿的因素,特别是研究了工作-家庭冲突、工作满意度、职业认同和情感衰竭的作用。通过了解这些动态因素,本研究旨在为提高初级医疗服务的稳定性和有效性的策略提供信息,最终为改善公共卫生基础设施和实现国家卫生目标做出贡献。本研究将利用结构方程模型来分析已确定变量之间的相互关系,从而为解决初级保健医生的高离职率问题提供一个全面的框架:本研究使用了工作与家庭冲突、工作满意度、职业认同和情感衰竭量表。数据来自 2022 年在中国浙江省进行的横断面调查。使用 SPSS 27 和 Mplus8.3 软件对 1205 名基层医生及其团队成员进行分析,所选案例均回答了辞职意向的相关问题。通过构建结构方程,探讨了工作-家庭冲突、工作满意度、职业认同、情绪衰竭与家庭医生辞职意向之间的潜在关系:结果:工作-家庭冲突会直接对全科医生的辞职意向产生正向影响(β = -0.546,p 结论:全科医生的工作-家庭冲突得分较高:基层医生的辞职意向得分较高,值得持续关注。相关部门可帮助基层医生平衡工作与家庭角色,为其提供适当的资源和奖励,以及良好的工作环境和职业发展机会,提高其工作满意度和职业认同感,减少情绪耗竭,从而降低辞职意向风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence path of work-family conflict on primary care physicians' resignation intention: Data from a Chinese cross-sectional survey.

Background: Primary care physicians and their teams are the leading force in constructing primary medical services, undertaking the critical responsibility of residents' essential health, and also related to realizing the national health goal. However, primary care physicians generally have a high turnover rate due to problems such as high work pressure, low salary levels, and limited career development. Therefore, exploring primary care physicians' resignation intentions plays a vital role in promoting the construction of primary care physicians' health service system.

Objective: This study explores the factors influencing the resignation intentions of primary care physicians, specifically examining the roles of work-family conflict, job satisfaction, professional identity, and emotional exhaustion. By understanding these dynamics, the research aims to inform strategies that can enhance the stability and effectiveness of primary care services, ultimately contributing to the improvement of public health infrastructure and achieving national health goals. This investigation will utilize structural equation modeling to analyze the interrelationships among the identified variables, thereby providing a comprehensive framework for addressing the high turnover rates among primary care physicians.

Methods: This study uses the work-family conflict, job satisfaction, professional identity, and emotional exhaustion scales. The data comes from a cross-sectional survey in Zhejiang Province, China, in 2022. Using SPSS 27 and Mplus8.3 software to analyze 1205 primary care physicians and their team members, the selected cases all answered the relevant questions of resignation intention. The potential relationship among work-family conflict, job satisfaction, professional identity, emotional exhaustion, and family doctor resignation intention was explored by constructing structural equations.

Results: Work-family conflict can directly and positively affect primary care physicians' resignation intention (β = -0.546, p < 0.001). The results of the mediation model found that job satisfaction, professional identity, and emotional exhaustion were significantly related to work-family conflict, and primary care physicians' resignation intention has a significant mediating effect. It mainly includes six intermediary approaches: one is through the independent intermediary effect of job satisfaction; the second is through the independent intermediary effect of professional identity; the third is through the chain intermediary effect between Job satisfaction and professional identity; the fourth is through the intermediary effect of Job satisfaction and emotional exhaustion chain intermediary; fifth is through the chain intermediary of professional identity and emotional exhaustion; sixth is through the complex chain intermediary of job satisfaction, professional identity, and emotional exhaustion.

Conclusion: Primary care physicians have a high score in resignation intention, which deserves continuous attention. Relevant department can help primary care physicians balance work and family roles, provide them with appropriate resources and rewards, as well as a good working environment and career development opportunities, to improve their job satisfaction and professional identity and reduce emotional exhaustion, thereby reducing the risk of resignation intention.

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来源期刊
Work-A Journal of Prevention Assessment & Rehabilitation
Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.00
自引率
30.40%
发文量
739
期刊介绍: WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
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