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目的:探究乡村医生的职业认同、工作投入、工作嵌入和转行意愿的关系,并阐释内部作用机制。方法:问卷调查法收集有效问卷387份,采用路径分析模型对变量之间的关系进行验证。结果:乡村医生的职业认同和转行意愿具有显著负向相关,工作投入和工作嵌入在二者关系之间中扮演中介作用。结论:乡村医生的职业认同会影响其工作投入度和工作嵌入度,通过职业投入度和职业黏度进一步影响了他们是否考虑留在村医岗位的意愿。此外,研究对关系的作用机制进行了阐明,提出了稳定乡村医生队伍的政策建议。
OBJECTIVE: To explore the relationship between rural doctors’ occupational identity, job involvement, job embedding and willingness to switch jobs, and to explain the internal mechanism. Methods: 387 valid questionnaires were collected by questionnaire, and the path analysis model was used to verify the relationship between variables. Results: The rural doctors’ professional identity and willingness to change their jobs were significantly negatively related, and the job involvement and job embeddedness played an intermediary role in the relationship between the two. CONCLUSION: The occupational identification of rural doctors will affect the degree of job involvement and job embedding, further influencing their willingness to consider staying in village medical positions through occupational commitment and occupational viscosity. In addition, the research clarified the mechanism of the relationship and put forward the policy recommendations to stabilize the team of rural doctors.