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  • 學位論文

軍職醫師職場選擇、生涯滿意度與健康狀態之調查研究

A Survey of Career Preference、Career Satisfaction and Health State among Military Physicians

指導教授 : 陳端容

摘要


軍人身負「保國衛民」之重責大任,服從命令隨時效命疆場是軍人天職,而國家提供軍人免費之醫療照顧,其主要是靠國軍醫療體系,對於此醫療體系功能的發揮,軍職醫師責無旁貸。然隨著服務役期縮短的規定與國軍精實案、精進案的推行,加上大環境的改變與醫療市場不斷競爭的結果,許多軍職醫師於服滿法定最低役期時,選擇退伍離開軍方體系,投入民間醫療行列,然而還是有不少軍職醫師在屆退時選擇留任軍醫院服務。 目的:本研究除了探討影響軍職醫師職場選擇的相關因素外,更進一步分析比較現任軍醫與離退軍醫目前生活滿意度與工作滿意度,以及個人在健康狀態上的自我評估。(註:本研究所提的現任軍醫是指已服滿法定最低役期後留任軍中者)。 方法:本研究以1983∼1994年畢業於國防醫學院醫學系的醫師(M76∼M87),共十二個畢業年班的校友為研究對象,採結構式問卷調查,樣本數為1628人,總計回收619份,有效回收率約38.0%。並採取橫斷式研究,使用描述性統計分析,one-way ANOVA、T檢定、卡方分析和皮爾森相關分析,羅吉斯迴歸,複迴歸分析等。 綜合本研究結果發現: 1.影響軍職醫師屆退時職場選擇的相關因素包括醫學系期別、軍種、籍貫、軍眷身份、學歷、畢業成績排名、專科資格,其中以期別,軍種,畢業成績排名對職場選擇有顯著的影響,而學歷對職場選擇有顯著相關。 2.職場選擇對生涯滿意度有顯著的影響,其中現任軍醫目前的生活滿意度與工作滿意度均顯著高於職退軍醫。 3.在控制個人屬性與執業生涯經歷兩控制變項下,職場選擇對於生涯滿意度有顯著的影響。 4.生涯滿意度越高,自我評估的健康狀態越好。

並列摘要


Soldiers hold a great responsibility of defending the nation and protecting its citizens. Obeying orders and dedicating to the war when required is what a soldier must do. The nation provides soldiers with free medical care, which relies mainly on its military medical system. As a military medical doctor, one is required to make sure this medical system works. Considering such factors as the shortening of the period of military service, military department budget cuts, human resources reduction, the changes of the health care environment and the competitive medical market etc, many doctors decide to leave the military sector after they have fulfilled the lawfully minimum period of the required services, to enter into private practice. Though, some doctors decide to remain in the force after retirement. Purposes: This research not only investigates what influences medical doctors’ choice in selecting their career paths, but also analyses & evaluates the level of satisfaction in life and work and in personal health condition for both serving and retired military doctors . (NB: The serving military doctors in this research refer to the doctors who decide to stay after having fulfilled their lawfully required minimum period) Methods: This research is based on graduates of the National Defense Medical Center; in the 12 years of 1983 to 1994(i.e.M76~M87) as research targets for structural surveys. 1628 questionaires were sent out and 619 responded, which gave an effective return ratio of 38%. A Cross-sectional study with Descriptive Analysis, one-way ANOVA, T-test, Chi-Square Analysis, Pearson’s Correlation, Logistic Regression Analysis and Multiple Regression Analysis were adopted. Consulsions: 1.Factors which influence the retiring military doctors’ choice of career selection are graduate classes, military categories, military ranks, birth places, families, professional qualification, education levels and graduate performances. Among which, graduate classes, military ranks & school performances show significant influence while professional education levels become significant correlation. 2.Career selection has a great impact on career satisfaction; Serving military doctor’s life satisfaction and work satisfaction level tend to be higher than retired military doctors’. 3.Under the control of personal category and career path experience, career selection tends to have an obvious influence towards career satisfaction. 4.The higher the career satisfaction, the better the self evaluated health state.

參考文獻


陳端容:醫師生涯路徑選擇相關因素的事件史分析-醫師職場階層化的效應,台灣社會學刊38: 105-133, 2007
陳端容:大型醫院主管職的生涯路徑與醫師職場結構,台灣社會學刊, 33:109-155, 2004
陳端容:工作組織社會心理特質與自評健康:比較DC與ERI工作壓力模式對醫師族群之適用性。台灣衛誌 2006; 25: 93-106
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謝宛修(2010)。國軍醫院員工工作滿意度之實證研究〔碩士論文,中臺科技大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0099-0508201017253903

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