关键词: 基层医院, 医务人员, 职业承诺, 职业获益感, 稳定性, 中介作用

Abstract: Objective To investigate the status quo of occupational commitment,occupational benefit and occupational stability of medical staff in primary medical institutions in Sichuan Province,analyze the mediating effect of occupational commitment on occupational benefit and turnover intention of medical staff. Methods Using convenience sampling method,a questionnaire survey was conducted among 387 medical workers in primary medical institutions in Sichuan Province from October to December 2021 by using general information questionnaire,occupational commitment,occupational benefit and turnover intention scales,and intermediary effect was analyzed by AMOS 24.0. Results The scores of occupational commitment,occupational benefit and turnover intention of 387 medical workers in primary medical institutions were （80.14±11.71）,（132.38±9.65） and （10.54±2.96）points,respectively. The correlation analysis showed that occupational commitment,occupational benefit and turnover intention were negatively correlated（all P<0.05）. The structural equation model analysis showed that occupational commitment and occupational benefit had a direct effect on turnover intention,and occupational commitment had a partial mediating effect on occupational benefit and turnover intention,the mediating effect was -0.227. Conclusions The turnover intention of medical staff in primary medical institutions in Sichuan Province is at a medium level,and occupational commitment plays a partial mediating role in the influence of occupational benefit on turnover intention. Improving the level of occupational commitment of medical staff helps to improve their occupational benefit and occupational stability.

Key words: Primary hospitals, Medical staff, Occupational commitments, Sense of professional benefit, Stability, Mediating effect