基于结构方程模型的医务人员忠诚度影响因素分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (3): 370-374.

基于结构方程模型的医务人员忠诚度影响因素分析

肖淑雅¹, 刘杉², 谭蕾¹, 王孟花², 高莉³, 蒲新明²

1.新疆医科大学公共卫生学院，新疆乌鲁木齐 830011;
2.新疆维吾尔自治区第五人民医院，新疆乌鲁木齐 830000;
3.新疆维吾尔自治区维吾尔医药研究所，新疆乌鲁木齐 830000

收稿日期:2022-06-17 修回日期:2022-06-23 发布日期:2026-03-02
通信作者: 蒲新明，主任医师，E-mail：1279179270@qq.com
作者简介:肖淑雅，女，在读硕士研究生，研究方向为中医药管理。
基金资助:
新疆维吾尔自治区自然科学基金项目（2022D01D25）; 新疆维吾尔自治区第五人民医院院内科研项目（YNKY-2021006）

Research on influencing factors of medical staff loyalty based on structural equation model

XIAO Shu-ya¹, LIU Shan², TAN Lei¹, WANG Meng-hua², GAO Li³, PU Xin-ming²

1. College of Public Health，Xinjiang Medical University，Urumqi Xinjiang 830011，China;
2. Fifth People's Hospital of Xinjiang Uygur Autonomous Region，Urumqi Xinjiang 830000，China;
3. Xinjiang Lab of Uighur Medical Prescription，Urumqi Xinjiang 830000，China

Received:2022-06-17 Revised:2022-06-23 Published:2026-03-02
Contact: PU Xin-ming，Chief physician，E-mail：1279179270@qq.com

摘要/Abstract

摘要： 目的探索中西医结合医院医务人员忠诚度的影响因素，以及“西学中”培训情况、工作满意度、中医药专业素养与忠诚度的关系。方法采用随机抽样调查法，使用工作满意度调查表、中医药专业素养评价表、职工对医院忠诚度调查表，在新疆2家深度参与“西学中”转型的医院对457名医务人员进行问卷调查，并对数据进行分析。结果 457名医务人员完成问卷（97人已完成“西学中”培训，233人处于培训中，其余未参加培训），忠诚度得分[M（P₂₅，P₇₅）]为41（35，45）分。不同学历、岗位和“西学中”培训情况的医务人员忠诚度相比较，差异均有统计学意义（均P<0.01）;医务人员忠诚度“西学中”培训情况以中医药专业素养、工作满意度为中介作用对忠诚度产生正向影响。以中医药专业素养为唯一中介的路径，效应值为0.106;以中医药专业素养影响工作满意度为中介的路径，效应值为0.07，Bootstrap检验95%置信区间均>0，路径作用显著。结论学历、岗位和“西学中”培训情况是医务人员忠诚度的影响因素，“西学中”培训不仅对忠诚度产生直接效应，并通过中医药专业素养与工作满意度对忠诚度产生间接效应。因此，理解个体差异，加强协作，鼓励参与“西学中”培训有助于提高医务人员的忠诚度。

关键词: 中西医结合, 忠诚度, 结构方程模型

Abstract: Objective To explore the influencing factors of medical staff loyalty in integrated traditional Chinese and Western medicine hospitals，as well as the relationship between "Western medicine learns traditional Chinese medicine" training，job satisfaction，traditional Chinese medicine professional quality and loyalty. Methods A random sampling survey method was used to conduct questionnaire investigation on 457 medical workers in two hospitals in Xinjiang that were deeply involved in the transformation of "Western medicine learns traditional Chinese medicine" by the job satisfaction questionnaire，the evaluation form of professional quality of traditional Chinese medicine，and the loyalty questionnaire of employees to hospitals，and the data were analyzed. Results Totally 457 medical workers completed the questionnaire（97 completed the "Western medicine learns traditional Chinese medicine" training，233 were in training，and the rest did not participate in the training），with an average loyalty score[M（P₂₅，P₇₅）] of 41（35，45）points. There were statistically significant differences in the loyalty of medical personnel with different academic qualifications，positions and "Western medicine learns traditional Chinese medicine" training situation（all P<0.01）. The "Western medicine learns traditional Chinese medicine" training had a positive impact on loyalty through the intermediary of professional quality of traditional Chinese medicine and job satisfaction. For the path with professional quality of traditional Chinese medicine as the only intermediary，the effect value was 0.106. For the mediated by the influence of professional quality of traditional Chinese medicine on job satisfaction，the effect value was 0.07，and the 95% confidence interval of Bootstrap test was >0，and paths work significantly. Conclusions The academic qualifications，positions and "Western medicine learns traditional Chinese medicine" training are the influencing factors of medical staff loyalty，and "Western medicine learns traditional Chinese medicine" training not only has a direct effect on loyalty，but also has an indirect effect on loyalty through the professional quality of traditional Chinese medicine and job satisfaction. Therefore，understanding individual differences，strengthening collaboration，and encouraging participation in "Western medicine learns traditional Chinese medicine" training can help increase the loyalty of medical staff.

Key words: Integrated traditional Chinese and Western medicine, Loyalty, Structural equation model

中图分类号:

R181.3

肖淑雅, 刘杉, 谭蕾, 王孟花, 高莉, 蒲新明. 基于结构方程模型的医务人员忠诚度影响因素分析. [J]职业与健康, 2023, 39(3): 370-374.

XIAO Shu-ya, LIU Shan, TAN Lei, WANG Meng-hua, GAO Li, PU Xin-ming. Research on influencing factors of medical staff loyalty based on structural equation model. [J]OCCUPATION AND HEALTH, 2023, 39(3): 370-374.

参考文献

[1] 吴宝新.天津市中医医院医务人员工作满意度调查与影响因素分析[J].职业与健康,2021,37(3):415-418.
[2] 刘金艳.北京市综合性三甲医院员工工作满意度状况调查[J].医学与社会,2020,33(9):77-80,105.
[3] 刘龙,孙鹤立,赵春妮,等.医学毕业生就业现况及其满意度的影响因素分析[J].中国卫生统计,2018,35(3):405-408.
[4] 姚抒予,张杰,黄南祺,等.二、三级综合医院护士职业素养常模的构建[J].中国实用护理杂志,2022,38(10):741-746.
[5] CHEN G,SANG L,RONG J,et al.Current status and related factors of turnover intention of primary medical staff in Anhui Province,China:a cross-sectional study[J].Hum Resour Health,2021,19(1):23.
[6] 王晓,夏博洋,彭琳,等.麻醉科护士工作满意度与离职倾向的调查及分析[J].国际麻醉学与复苏杂志,2021,42(2):166-170.
[7] 贾海艺,尹文强,陈钟鸣,等.基于扎根理论与结构方程模型的乡村医生激励措施满意度影响因素研究[J].中国卫生统计,2017,34(6):907-911,914.
[8] 吴依诺,范新晨,杨思琪,等.我国三级公立医院医护人员离职意愿及影响因素研究[J].中国医院管理,2022,42(4):35-41.
[9] 朱跃州,万配,鲁翔,等.基于结构方程模型的医务人员忠诚度对患者满意度影响研究[J].中华医院管理杂志,2017,33(3):190-193.
[10] 叶飞.新疆某中医医院医务人员工作满意度调查研究[D].乌鲁木齐:新疆医科大学,2017.
[11] 晏利姣.中医医院护士中医药素养评价指标体系的构建研究[D].北京:北京中医药大学,2014.
[12] 蒋陆娟,徐爱军,张倩,等.基于结构方程的乡村医生胜任力、医患关系与工作满意度关系模型研究[J].中国卫生统计,2018,35(4):538-541,545.
[13] WOJCIK B E,STEIN C R,GUERRERO K,et al.Army physician career satisfaction based on a medical corps survey[J].Mil Med,2020,7(8):1200-1208.
[14] 姬旺华.中医专业学生职业认同现状调查[J].广西医学,2020,42(5):595-598.
[15] 赵明阳,洪学智,张怡淳子,等.二级公立医院医务人员薪酬公平感、职业认同感与离职倾向的关系研究[J].中国社会医学杂志,2021,38(5):575-579.
[16] 陶梦琪,鲁欣怡,陈晶.某三甲医院医师薪酬公平感与离职倾向的关系[J].中国医药导报,2022,19(5):52-55.
[17] 张会方,高强,罗翔予,等.公立医院医生职称晋升满意度现状及影响因素分析[J].中华医院管理杂志,2021,37(7):529-533.
[18] 董海,陈红梅,杨丽君,等.西藏地区农村医务工作者职业满意度影响因素的结构方程模型分析[J].中国卫生统计,2017,34(3):439-442.
[19] 王芬,元伟业,王瑜,等.职业承诺在中医院护士心理韧性与情绪耗竭间的中介作用[J].职业与健康,2019,35(11):1536-1539,1549.
[20] 曹丽琴,乔慧.某市市属公立医院职工工作满意度影响因素分析——基于结构方程模型[J].宁夏医科大学学报,2018,40(10):1157-1160.
[21] 王琪如,谭晓东.工作满意度和职业倦怠对医务人员离职意向的作用分析[J].中国卫生资源,2019,22(2):122-126,149.
[22] 程彬,施月仙,侯亚红,等.内部营销和工作满意度对军队医院护理人员忠诚度的影响[J].中国护理管理,2016,16(2):216-219.
[23] 龚慧媛.后疫情时期医院人力资源管理创新策略探析——以福建省三明市中西医结合医院为例[J].经济师,2021(1):256-257,260.
[24] 李敏,万申敏,卢洪洲.医院职工满意度和忠诚度影响因素分析[J].中国卫生质量管理,2017,24(6):57-59,62.
[25] WARSHAWSKI S,BARNOY S,KAGAN I.Professional,generational,and gender differences in perception of organisational values among Israeli physicians and nurses:Implications for retention[J].J Interprof Care,2017,31(6):696-704.
[26] 翁攀峰,郑卫荣,李恩昌.“西学中”历史考察及对中西医结合学科发展的意义[J].中国中西医结合杂志,2017,37(9):1034-1038.