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首页> 外文期刊>Journal of community health >Factors influencing the turnover intention of chinese community health service workers based on the investigation results of five provinces
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Factors influencing the turnover intention of chinese community health service workers based on the investigation results of five provinces

机译：基于五个省的调查结果，影响中国社区卫生服务人员离职意愿的因素

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摘要

After the implementation of the new health reform, the Chinese government paid increasing attention to developing its community health service (CHS). The focus is mainly on cultivating community general medical practitioners but paying less attention to the working status and occupational demands of in-service CHS workers. CHS requires a stable team that can provide good service to community residents. At present, the demission rate of CHS workers is high. Studying how to increase the stability of CHS workers is noteworthy. The goal of this study is to ascertain the key factors that influence the CHS worker turnover intention to increase their work satisfaction and stability. A total of 100 CHS organizations were sampled randomly in 10 cities from 5 Chinese provinces for this study. All CHS workers from these organizations took a questionnaire survey. In total, 3,212 valid answer sheets were collected. Pearson Chi square test and Binary logistic regression were used to analyze the related influencing factors that result in CHS worker turnover intention. A total of 38.7 % of those who accomplished the questionnaire intended to quit. The influencing factors that result in CHS worker turnover intention are (1) socio-demographic factors such as age, post of duty, professional title, and working seniority, and (2) other work-related factors such as pay packets, learning and training opportunities, promotion and personal development space, and working stress. CHS workers were less satisfied with the balance between payment and work quantity, promotion opportunity, and working conditions. Based on the results, the government should pay more attention to the various demands of CHS workers in service, especially by increasing their income, providing more learning and training opportunities, and increasing the degree of their work satisfaction to avoid turnover intention and ensure the stability of the CHS workforce.
机译：新卫生改革实施后，中国政府越来越重视发展社区卫生服务（CHS）。重点主要是培养社区普通医生，但较少关注在职CHS工人的工作状况和职业要求。 CHS需要一支稳定的团队，可以为社区居民提供优质服务。目前，CHS工人的离职率很高。研究如何增加CHS工人的稳定性是值得注意的。这项研究的目的是确定影响CHS工人离职意向以提高其工作满意度和稳定性的关键因素。这项研究从中国5个省的10个城市中随机抽取了100个CHS组织。这些组织的所有CHS工人都进行了问卷调查。总共收集了3,212个有效答题纸。采用Pearson卡方检验和二元逻辑回归分析影响CHS工人离职意愿的相关影响因素。完成问卷的人中有38.7％打算退出。导致CHS员工离职意愿的影响因素是（1）社会人口统计学因素，例如年龄，职务，专业职称和工作资历，以及（2）其他与工作有关的因素，例如工资，学习和培训机会，晋升和个人发展空间以及工作压力。 CHS工作者对薪酬与工作量，晋升机会和工作条件之间的平衡不满意。根据调查结果，政府应更加关注CHS服务人员的各种需求，特别是增加他们的收入，提供更多的学习和培训机会以及提高他们的工作满意度，从而避免离职意图并确保稳定CHS员工队伍。

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