医院管理论坛2024,Vol.41Issue(3) :7-11,15.DOI:10.3969/j.issn.1671-9069.2024.03.002

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

冯玲莉 李雪迎 田雨
医院管理论坛2024,Vol.41Issue(3) :7-11,15.DOI:10.3969/j.issn.1671-9069.2024.03.002

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

冯玲莉 1李雪迎 1田雨1
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作者信息

  • 1. 北京大学第一医院
  • 折叠

摘要

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.

Abstract

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.

关键词

卫生技术人员/离职/人力资源管理/回归

Key words

Health personnel/Resignation/Human resource management/COX/COX regression

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出版年

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
参考文献量12
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