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桃園地區醫事檢驗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 Medical Technologists in Taoyuan during Global Budget Payment System

摘要


Purpose: Due to frequent change of the payment system of Taiwan National Health Insurance (TNHI), especially after global budget, burnout and quit their job is resulted from increased workload and job stress among medical staff. In this study, we investigated the magnitude of job burnout and quit intention, and analyzed factors associated with burnout and quit intention among medical technologists (hereinafter referred to MTs) during the implementation of the global budget payment system of the TNHI.Methods: A stratified and proportional random sampling was used to obtain the study sample in Taoyuan, Taiwan. The Maslach Burnout Inventory-Health Service Survey (MBI-HSS), including three constructs (emotional exhaustion, depersonalization, personal accomplishment), was used.Results: From July to December 2006, 74 valid questionnaires (49.7%) were obtained. The mean score of emotional exhaustion was 24.8 (percentile=45.9), depersonalization was 7.7 (percentile= 25.7), and personal accomplishment was 29.5 (percentile=61.5), respectively. Multivariate analysis reveals that work perceptions about the global budget for medical employees (p=.0011) and control coping (p=.0192) was significantly associated with emotional exhaustion. Control coping (p=.0433) and job position (p=.0556) was significantly associated with depersonalization. Total working years (p=.0162) was significantly associated with personal accomplishment. 36 (48.6%) MTs had an intention to quit their job. Multivariate analysis reveals that emotional exhaustion (p<.0001) was significantly associated with quit intention.Conclusion: During implementation of global budget payment system, there was a serious problem of emotional exhaustion among MTs and nearly half of the MTs had an intention to quit their job.

並列摘要


Purpose: Due to frequent change of the payment system of Taiwan National Health Insurance (TNHI), especially after global budget, burnout and quit their job is resulted from increased workload and job stress among medical staff. In this study, we investigated the magnitude of job burnout and quit intention, and analyzed factors associated with burnout and quit intention among medical technologists (hereinafter referred to MTs) during the implementation of the global budget payment system of the TNHI.Methods: A stratified and proportional random sampling was used to obtain the study sample in Taoyuan, Taiwan. The Maslach Burnout Inventory-Health Service Survey (MBI-HSS), including three constructs (emotional exhaustion, depersonalization, personal accomplishment), was used.Results: From July to December 2006, 74 valid questionnaires (49.7%) were obtained. The mean score of emotional exhaustion was 24.8 (percentile=45.9), depersonalization was 7.7 (percentile= 25.7), and personal accomplishment was 29.5 (percentile=61.5), respectively. Multivariate analysis reveals that work perceptions about the global budget for medical employees (p=.0011) and control coping (p=.0192) was significantly associated with emotional exhaustion. Control coping (p=.0433) and job position (p=.0556) was significantly associated with depersonalization. Total working years (p=.0162) was significantly associated with personal accomplishment. 36 (48.6%) MTs had an intention to quit their job. Multivariate analysis reveals that emotional exhaustion (p<.0001) was significantly associated with quit intention.Conclusion: During implementation of global budget payment system, there was a serious problem of emotional exhaustion among MTs and nearly half of the MTs had an intention to quit their job.

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