桃園地區中、牙醫師在健保總額預算期間的工作倦怠及離職意向

Burnout and Quit Intention among Chinese Medical Doctors and Dentists in Taoyuan during Global Budget Payment System

探討總額預算期間，中、牙醫師的工作倦怠、離職意向及影響因素。以分層比例隨機取樣，邀請桃園中、牙醫師填寫問卷。結果2006年7−12月得51位中醫師、30位牙醫師。情緒耗竭的平均數為18.3、去人性化為6.2、個人成就為37.5，29.6%有離職意向。中、牙醫師在工作倦怠三種向度及離職意向皆沒有顯著意義。多變量分析結果顯示，工作壓力源感受(p=.0070)、婚姻狀況(p=.0049)、月薪(p=.0019)及薪資滿意度(p=.0046)，與情緒耗竭有顯著意義。婚姻狀況(p=.0173)與去人性化有顯著意義。年齡(p=.0257)與個人成就有顯著意義。情緒耗竭(p=.0372)對離職意向有顯著意義。推論總額預算期間，中、牙醫師情緒耗竭及去人性化的分數不嚴重，又個人成就較高。離職意向比例不高，離職意向的原因與情緒耗竭有關。

We investigated the magnitude of job burnout and quit intention, and analyzed factors associated with burnout and quit intention among Chinese medical doctors and dentists during the implementation of the global budget payment system of the Taiwan National Health Insurance. A study with a stratified and proportional random sampling was used to obtain the study sample in Taoyuan, Taiwan. From July to December 2006, 51 Chinese medical doctors, 30 dentists were obtained. The mean score of emotional exhaustion was 18.3, depersonalization was 6.2, and personal accomplishment was 37.5, respectively. 29.6% of Chinese medical doctors and dentists had an intention to quit their job. Chinese medical doctors and dentists did not had significantly different level of emotional exhaustion, depersonalization, personal accomplishment and intention to quit their job. Multivariate analysis reveals that questionnaire on medical worker’s stress (p=.0070), marital status (.0049), salary (p=.0019) and salary satisfaction (.0046) was significantly associated with emotional exhaustion. Marital status (p=.0173) was significantly associated with depersonalization. Age (p=.0257) was significantly associated with personal accomplishment. Emotional exhaustion (p=.0372) was significantly associated with quit intention. During implementation of global budget payment system, Chinese medical doctors and dentists had low level of emotional exhaustion and depersonalization, but high level of personal accomplishment. 29.6% of Chinese medical doctors and dentists had an intention to quit their job. The reason had quit intention was emotional exhaustion.