Chinese General Practice ›› 2025, Vol. 28 ›› Issue (07): 875-879.DOI: 10.12114/j.issn.1007-9572.2023.0801

• Original Research·Focus on Management of Family Doctor Teams • Previous Articles    

Study on Village Clinic Doctors' Organization Identification to Family Doctor Team and Its Influencing Factors

  

  1. 1. School of Management, Shandong Second Medical University, Weifang 261053, China
    2. "Health Shandong" Severe Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
    3. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, China
  • Received:2023-12-20 Revised:2024-06-07 Published:2025-03-05 Online:2025-01-23
  • Contact: CHEN Zhongming

乡村医生对家庭医生团队组织认同感及影响因素研究

  

  1. 1.261053 山东省潍坊市,山东第二医科大学管理学院
    2.261053 山东省潍坊市,"健康山东" 重大社会风险预测与治理协同创新中心
    3.200032 上海市,国民健康社会风险预警协同创新中心
  • 通讯作者: 陈钟鸣
  • 作者简介:

    作者贡献:

    于云聪、邵佳娴、陈钟鸣负责文章构思与整体框架设计;高敏、李晓娜负责数据整理和录入;于云聪、邵佳娴负责结果的分析与解释;马东平、尹文强、陈钟鸣负责论文的修订;陈钟鸣负责文章的质量控制及审校,对论文负责,监督管理。所有作者确认论文终稿。

  • 基金资助:
    国家自然科学基金资助项目(71804131,72004164)

Abstract:

Background

The organizational identity that rural doctors have towards the family doctor team will exert an impact on the work enthusiasm of rural doctors and the work quality of the family doctor team, which is related to the quality of the family doctor contracted service enjoyed by rural residents.

Objective

To explore the influencing elements of the organizational identity of rural doctors with respect to the family doctor team, and to provide practicable measures for the better operation of the family doctor team in rural districts and the improvement of the quality of the family doctor contracted service in rural areas.

Methods

From November to December in 2021, through the use of the stratified random sampling approach, a total of 1 004 rural doctors in 3 cities in Shandong Province were selected. By employing a self-designed questionnaire, the demographic characteristics, work situation and the organizational identity situation towards the family doctor team of rural doctors were investigated. Pearson correlation analysis was utilized to explore the correlation between the organizational identity of rural doctors and work-family conflict, work stability, business training and organizational isolation, and multiple hierarchical regression analysis was adopted to explore the influencing factors of the organizational identity of rural doctors.

Results

The organizational identity of rural doctors towards the family doctor team was relatively high, with a score of (3.757 ± 0.713) points. The results of the correlation analysis showed that there is a positive correlation between business training and organizational isolation (r=0.156, P<0.01), and a negative correlation between organizational isolation and organizational identity (r=-0.287, P<0.01). The regression analysis results indicated that business training (β=0.154, P<0.001) and organizational identity (β=-0.262, P<0.001) were the influencing factors of the organizational identity of rural doctors towards the family doctor team.

Conclusion

Rural doctors have a relatively strong sense of identity towards the family doctor team. Doing a good job in the business training of rural doctors and reducing the degree of organizational isolation among family doctor team members will help to further strengthen the organizational identity of rural doctors towards the family doctor team.

Key words: Village clinic doctors, Family doctor team, Organizational identification, Village health, Health workforce

摘要:

背景

乡村医生对家庭医生团队的组织认同感会对乡村医生的工作积极性和家庭医生团队的工作质量产生影响,关系到农村居民所享受的家庭医生签约服务质量。

目的

探究乡村医生对家庭医生团队组织认同感的影响因素,为农村地区家庭医生团队更好地运行,提升农村地区家庭医生签约服务质量提供可行措施。

方法

2021年11—12月,采用分层随机抽样的方法,选取山东省内3个地市加入家庭医生团队的乡村医生共1 004名,利用自行设计的问卷,调查乡村医生人口学特征、工作状况以及对家庭医生团队的组织认同感情况。采用Pearson相关性分析探讨乡村医生的组织认同感与工作—家庭冲突、工作稳定性、业务培训、组织隔离的相关性,采用多元分层回归分析探究乡村医生组织认同感的影响因素。

结果

乡村医生对家庭医生团队的组织认同感较高,得分为(3.757±0.713)分。相关性分析结果显示,业务培训与组织认同感呈正相关(r=0.156,P<0.01),组织隔离与组织认同感呈负相关(r=-0.287,P<0.01)。回归分析结果显示,工作年限、从业方式、业务培训(β=0.154,P<0.001)、组织隔离(β=-0.262,P<0.001)是乡村医生对家庭医生团队组织认同感的影响因素。

结论

乡村医生对家庭医生团队的认同感较强,做好乡村医生的业务培训,降低家庭医生团队成员的组织隔离程度,有助于进一步强化乡村医生对家庭医生团队的组织认同感。

关键词: 乡村医生, 家庭医生团队, 组织认同感, 农村卫生, 卫生人力

CLC Number: