中国全科医生心理资本与留职意愿的关系研究：职业认同的中介作用

• 作者： 潘雯 ¹ 冯晶 ² 郑艳玲 ¹ 雷子辉 ² 甘勇 ²
• 作者单位：
  1.  430060 湖北省武汉市，武汉市武昌区首义路街社区卫生服务中心

  2.  430030 湖北省武汉市，华中科技大学同济医学院公共卫生学院
• 提交时间：2023-06-02

摘要: 背景 全科医生主要提供基本医疗卫生服务，全科人才队伍建设与基层医疗卫生事业发展密切相关。目的 了解中国全科医生心理资本、职业认同与留职意愿现状，并探究三者之间的关系。方法 2021年35月，采取多阶段分层随机抽样的方法在中国东、中、西部地区抽取4632名全科医生进行电子问卷调查，主要内容包括基本情况、心理资本、职业认同和留职意愿。采用Pearson相关性分析、多元分层回归及结构方程模型探索职业认同、心理资本与留职意愿的关系。结果 共纳入4376名全科医生（有效问卷回收率为94.47%）。全科医生心理资本总得分为（102.8916.94）分，职业认同总得分为（33.938.95）分，留职意愿总得分为（21.694.04）分。Pearson相关性分析表明，全科医生心理资本与职业认同、职业认同与留职意愿、心理资本与留职意愿之间均呈正相关（r分别为0.402、0.459、0.236，P均<0.001）。多元分层回归分析提示，心理资本、职业认同对留职意愿有正向预测作用（b分别为0.079、0.361，P均<0.001），职业认同在心理资本对留职意愿的影响中具有中介效应。结构方程模型显示，心理资本、职业认同可以正向预测留职意愿（b=0.032，P<0.05；b=0.446，P<0.001），职业认同在心理资本和留职意愿之间起部分中介作用。结论 中国全科医生留职意愿处于中等水平，心理资本、职业认同与留职意愿之间存在正相关关系，心理资本可通过职业认同影响留职意愿。提升全科医生的心理资本与职业认同感，有利于提高其留职意愿。

Abstract: Background General practitioners（GPs） mainly provide basic medical and health services. The construction of GPs human resources is closely related to the development of primary care system. Objective To investigate the current status of psychological capital（PsyCap），professional identity and intention to stay of GPs in China and explore the relationship among the above three. Methods A total of 4 632 GPs were selected for electronic questionnaire investigation in the eastern，central，and western China from March to May in 2021 by using a multi-stage stratified random sampling.The questionnaire mainly included basic information，PsyCap，professional identity，and intention to stay. Pearson correlation analysis，hierarchical multiple regression analysis and structural equation model were used to explore the relationship among professional identity，PsyCap and intention to stay. Results A total of 4 376 GPs were included with the effective response rate of 94.47%. The total scores of PsyCap，professional identity，and intention to stay were（102.8916.94），（33.938.95），and （21.694.04）. Pearson correlation analysis showed that there were significant positive correlations between PsyCap and professional identity，professional identity and intention to stay，PsyCap and intention to stay（r=0.402，0.459，0.236，respectively，P<0.001）. The results of hierarchical multiple regression analysis showed positive predictive effects of PsyCap and professional identity on intention to stay（b=0.079 and 0.361，respectively，P<0.001），and professional identity had a mediating effect between PsyCap and intention to stay. The structural equation model showed that PsyCap and professional identity had a positive predictive effect on intention to stay（b=0.032，P<0.05；b=0.446，P<0.001），and professional identity had a part mediating effect between PsyCap and intention to stay. Conclusion The intention to stay among GPs in China is at a moderate level. There are positive correlations among PsyCap，professional identity，and intention to stay among GPs in China. PsyCap can affect intention to stay through professional identity. Improving the PsyCap and professional identity of GPs is conducive to improving their intention to stay.

• 分类： 医学、药学 >> 预防医学与公共卫生学
• 引用： ChinaXiv:202306.00023 (或此版本 ChinaXiv:202306.00023V1)
  DOI:10.12114/j.issn.1007-9572.2022.0838
  CSTR:32003.36.ChinaXiv.202306.00023.V1
• 推荐引用方式： 潘雯,冯晶,郑艳玲,雷子辉,甘勇.(2023).中国全科医生心理资本与留职意愿的关系研究：职业认同的中介作用.中国全科医学.doi:10.12114/j.issn.1007-9572.2022.0838 (点此复制)