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首页> 外文期刊>European journal of public health >Relationships between job satisfaction, intentions to leave family practice and actually leaving among family physicians in England.
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Relationships between job satisfaction, intentions to leave family practice and actually leaving among family physicians in England.

机译:工作满意度,离开家庭实践的意愿与英国家庭医生之间实际离开之间的关系。

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BACKGROUND: A national survey of family physicians working in the National Health Service (NHS) of England in 2001 revealed that 1/10 under 50 years of age were intending to leave direct patient care within 5 years, and that the principal predictor of their intention to leave was job satisfaction. Our research addressed two questions. First, does a family physician's stated intention to leave their job predict whether or not they actually do leave? Second, to what extent does job satisfaction predict actually leaving? METHODS: Secondary data analysis was performed on 1174 family physicians aged 50 years and under, who responded to the aforementioned survey. Using data from the annual census of physicians in the NHS, we determined which physicians actually left family practice during the next 5 years. RESULTS: Of the 1174 family physicians studied, 194 (16.5%) had left direct patient care within 5 years. Multivariate regression showed that job satisfaction predicted a physician's intention to leave direct patient care and that intention to leave predicted actually leaving. Logically, job satisfaction should then have predicted actual leaving. Our findings, however, suggest that this is only partly true. CONCLUSION: Although higher levels of job 'dissatisfaction' were associated with an increased likelihood of leaving, higher levels of job 'satisfaction' did not prevent leaving.
机译:背景:2001年对英格兰国家卫生局(NHS)工作的家庭医生进行的一项全国调查显示,50岁以下的人中有1/10打算在5年内直接接受患者护理,并且他们意图的主要预测因子离开是工作满意度。我们的研究解决了两个问题。首先,家庭医生声明要离开工作的意图是否可以预测他们是否确实要离开工作?第二,工作满意度在多大程度上预测实际离职?方法:对1174名年龄在50岁及以下的家庭医生进行了二次数据分析,他们对上述调查做出了回应。利用NHS中医生的年度普查数据,我们确定了在接下来的5年中哪些医生实际上退出了家庭执业。结果:在研究的1174位家庭医生中,有194位(16.5%)在5年内离开了直接的患者护理。多元回归表明,工作满意度可以预测医师打算离开直接患者护理的意愿,而离职意图则可以预测实际的离开。从逻辑上讲,工作满意度应该可以预测实际的离职人数。然而,我们的发现表明,这仅部分正确。结论:尽管较高的工作“不满”程度与离职的可能性增加相关,但较高水平的工作“满意”并不能阻止离职。

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