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