在医生中,轮流意图的全球流行:系统性审查和元分析
Jingjing Wang1,2, Hui Lv3, Qin Qin4
1Institutes of Health Central Plains, Xinxiang Medical University, Xinxiang, Henan, China.
Scientific reports
|July 2, 2025
概括
营业额的意图影响全球39%的医生. 较低的工作满意度是医生考虑离开职位的关键驱动因素,影响医疗保健工作人员的稳定性.
科学领域:
- 医疗保健管理的管理
- 医学劳动力研究 医学劳动力研究
- 职业健康心理学 职业健康心理学
背景情况:
- 医生之间的周转意图 (TI) 是一个重大的全球问题,可能导致医疗保健劳动力短缺和受损患者护理.
- 了解TI的患病率和促成因素对于开发医疗领域有效的保留策略至关重要.
研究的目的:
- 系统地审查和元分析医生之间轮流意图的流行情况.
- 确定影响医生离开当前职位的意图的关键决定因素.
主要方法:
- 针对2019年1月至2024年12月期间发表的研究,对四个电子数据库 (PubMed,Web of Science,Medline,Scopus) 进行了系统审查.
- 包括报告TI患病率的观察性研究,并使用随机效应元分析提取和分析数据.
- 使用子组分析和元回归来探索异质性和研究水平特征.
主要成果:
- 分析包括34项涉及97,672名医生的研究,显示TI总体患病率为39% (95%CI:0.34-0.44).
- 较低的工作满意度与更高的营业额意向显著相关 (OR=0.484,95% CI:0.358-0.654).
- 男性性别不是营业额意向的统计学上显著预测因素 (OR=1.251,95% CI:0.916-1.708).
结论:
- 大约39%的医生经历了轮流的意图,突出了医疗行业的大量保留挑战.
- 工作不满是影响医生离开决定的关键,可修改的因素.
- 提高工作满意度的有针对性的干预措施对于减轻医生流动和确保医疗保健系统弹性至关重要.
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