Turnover intention and its influencing factors in rural general practitioners
10.3760/cma.j.cn114798-20210120-00082
- VernacularTitle:山东省西南地区乡村全科医生离职倾向及其影响因素研究
- Author:
Jialin WANG
1
;
Xuewen ZHANG
;
Runxuan HU
;
Rongrong CHANG
;
Yao AN
;
Tingzhuo LIU
;
Chengmin FAN
Author Information
1. 济宁医学院第二临床医学院 272067
- Keywords:
Rural health service;
General practitioners;
Questionnaires;
Influencing factor;
Turnover intention
- From:
Chinese Journal of General Practitioners
2021;20(10):1048-1052
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the turnover intention and its influencing factors in rural general practitioners in southwest Shandong province.Methods:In May 2020, a survey with self-designed questionnaire was conducted among 2 805 rural general practitioners in southwest Shandong province selected by multi-stage sampling method. Pearson chi square test (χ2) and binary logistic regression were used to analyze the factors influencing the turnover intention of rural general practitioners.Results:A total of 2 805 questionnaires were sent out, 2 693 were collected and 2 272 were valid, with an effective rate of 84.4%. Among 2 272 participants, 1 076 (47.4%) had medium to high level turnover intention. Binary logistic regression showed that part-time job ( OR=1.443, 95% CI: 1.105-1.884, P<0.01), average monthly night shifts ≥20 times ( OR=1.340, 95% CI: 1.106-1.623, P<0.01), daily working time ≥13 hours ( OR=1.358, 95% CI: 1.107-1.666, P<0.01), insomnia ( OR=2.075, 95% CI: 1.755-2.454, P<0.01), feeling depressed at work ( OR=2.987, 95% CI: 2.516-3.546, P<0.01), degree of emotional exhaustion ( OR=3.801, 95% CI: 3.188-4.533, P<0.01) and degree of de-personalization tendencies ( OR=2.493, 95% CI: 2.086-2.981, P<0.01) were the significant factors influencing the turnover intention of rural general practitioners. Conclusions:Rural general practitioners in southwest Shandong have a high-level turnover intention, part-time jobs, average number of night shift per month, working time, insomnia, depression and job burnout are the main factors affecting the turnover intention. Necessary measures should be taken by relevant departments to enhance the stability of rural general practitioners.
