首页|医院离职卫生技术人员特征分析及对策研究

医院离职卫生技术人员特征分析及对策研究

Study on Characteristics and Countermeasures of Hospital Health Personnel Turnover

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目的 分析医院卫生技术人员离职特征及影响因素,探讨降低离职率的策略和措施.方法 收集北京某三甲医院2012-2022年卫生技术人员信息(34312人次),分析不同年份、不同岗位分组间离职率.采用Kaplan-Meier法和多因素COX回归,以离职为终点事件,入职时长为时间变量,纳入 2012-2022年4453人,探索离职特征及因素.结果 2012-2022 年间,卫生技术人员离职率介于 1.05%~2.12%.入职第 5 年、10 年、15 年、20 年,累积离职率分别为 5.1%、9.8%、13.2%、15.4%.多因素COX回归显示,入职前为外埠户籍、非党员、博士、护士离职风险较高(p<0.05).结论 高学历、外埠户籍、非党员、护士人员是离职高风险人群,入职前5年是离职高峰期,医院可建立职业导师制度、科学的考核和薪酬制度、加强组织文化建设,以降低员工离职率.
Objective To analyze the characteristics and influencing factors of hospital health personnel leaving their jobs,and to explore strategies and measures to reduce the rate of leaving.Methods Information on health technicians(34312)in a tertiary hospital in Beijing from 2012 to 2022 was collected to analyze the turnover rates between different years and job subgroups.The Kaplan-Meier method and multifactor COX regression were used to explore the characteristics and factors of turnover by including 4453 individuals from 2012-2022 with turnover as the endpoint event and length of entry as the time variable.Results From 2012 to 2022,the turnover rate of health technicians ranged from 1.05%to 2.12%.In the fifth,10th,15th and 20th years,the cumulative turnover rate was 5.1%,9.8%,13.2%and 15.4%,respectively.Multivariate COX regression showed that the risk of turnover was higher in non-local household registration,non-party members,doctors and nurses(p<0.05).Conclusion Highly educated,non-local household registration,non-party members,and nurses were the high-risk groups of turnover.The first five years of employment are the peak period of turnover.Hospitals can establish a career mentor system,a scientific assessment and compensation system,and strengthen the construction of organizational culture to reduce the turnover rate of employees.

Health personnelResignationHuman resource managementCOXCOX regression

冯玲莉、李雪迎、田雨

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北京大学第一医院

卫生技术人员 离职 人力资源管理 回归

2024

医院管理论坛
北京大学

医院管理论坛

影响因子:0.807
ISSN:1671-9069
年,卷(期):2024.41(3)
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