Influencing factors of physicians' turnover intention at public county hospitals: a career stage perspective
10.3760/cma.j.issn.1000-6672.2014.12.017
- VernacularTitle:县级公立医院不同职业阶段医生离职倾向影响因素研究
- Author:
Dongmei HUANG
;
Wenqiang YIN
;
Qianqian YU
;
Kui SUN
;
Hongwei GUO
- Publication Type:Journal Article
- Keywords:
Public county hospital;
Physician's turnover intention;
Career stage;
Autonomy;
Career development
- From:
Chinese Journal of Hospital Administration
2014;30(12):930-934
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze influencing factors of physicians' turnover intention at public county hospitals from career stage perspective.Methods Physicians career life was divided into three stages according to professional ranks and titles.The sample was drawn using stratified multistage random methods from public county hospitals in Shandong province and 677 questionnaires were completed,giving a 90.3％ valid response rate.Data were analyzed using multi-group stepwise linear regression.Results The percentage of responders with middle and high-level turnover intention was 23.0％and 6.5％ respectively,and there was no statistically significant difference in turnover intention across three stage subgroups.In physicians at stage 1,the most important factors to predict turnover intention were superiors ' appreciation (r =-0.22,P ＜ 0.05) and payment rationality (r =-0.21,P＜0.05),while in physicians at stage 2,the most important predicting factors were autonomy (r=-0.39,P＜0.05)and learning demand(r=-0.22,P＜0.05),and in physicians at stage 3 were career development(r=-0.31,P＜0.05)and autonomy(r=-0.21,P＜0.05).Conclusion Autonomy and workload are common factors of turnover intention with different predicting power across three career stages.Physicians adjust their career needs to self-actualization with development of career stage,so welltargeted incentives should be taken to stabilize the medical staff of public county hospitals.
