重庆理工大学
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作者签名：
2022年 5月 28日
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日期：2022年 5月 28日
日期：2022年 5月 28日
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摘
要
摘要
在新形势下的医疗环境中，医疗机构面临巨大的发展和挑战，需要集中精力发展
医疗技术，而将非医疗项目外包成为医疗机构的优选。国内医疗机构外包战略还处在
探索阶段，目前存在外包员工流动性大和离职率高的问题，必会影响医疗机构的服务
质量和稳定发展。为此，本研究围绕医疗机构外包员工的离职倾向及其影响因素开展
研究，对医疗机构的稳定、高质量发展具有重要意义。
本文运用文献综述法梳理了国内外学者对外包员工、离职、离职倾向及其影响因
素的研究现状。为深入了解医疗机构外包员工离职倾向，以 S医疗机构外包员工作为
研究对象，结合近 5年来外包员工离职现状，设计了包含员工人口统计学特征及需求
实现度、工作满意度及离职倾向三个维度的问卷，并开展了调查。调查得知，医疗机
构外包人员离职倾向表现出中度的离职倾向；通过分析离职倾向与需求实现度、工作
满意度的关系，得知需求实现度与离职倾向呈显著的负相关，其中自我实现需求、尊
重需求和安全需求分别可以解释 3%、3%和 16%的离职倾向原因；工作满意度与离职
倾向呈显著的负相关，其中工作回报满意度、个人发展满意度、人际关系满意度、工
作本身满意度和工作满意度分别可以解释 6%、4%、5%、5%和 8%的离职倾向原因。
本文根据结论从加强外包员工安全管理、坚持以人为本、建立标准化操作流程、
完善绩效考评体系、加强团队文化建设等角度提出了降低医疗机构外包人员离职倾向
的对策建议，旨在唤起医疗机构对外包员工离职倾向的关注，并为降低外包人员离职
倾向的对策提供理论依据和实践参考。
关键词：医疗机构；外包人员；离职倾向；需求实现度；工作满意度
I

Abstract
Abstract
There are great challenges of medical development under new situations. As a result,
the burgeoning trends are inevitable towards outsourcing non-medical projects and
development of medical technologies. As the exploratory outsourcing strategies related to
medical reformation in China, there are problems, including the high turnover and mobility
rate of outsourcing employees, which negatively impacts the quality of logistics services and
the holistic development. To solve these problems, the study focuses on the turnover
intention of outsourced employees in medical institutions and its factors, which is beneficial
to the stable high-quality and stable development of medical institutions.
This research generalizes the current findings in domestic and overseas research, in the
fields of outsourcing employees, turnover, turnover intention and its factors. To gain insight
into factors related to the turnover intention of outsourcing employees in healthcare
institutions, a questionnaire is proposed and designed for the outsourcing employees
working in S healthcare as research objects. This research contains employee demographic
characteristics and a three-dimensional investigation (demand fulfillment, job satisfaction
and turnover intention), combining
The characteristics of outsourcing employees who resigned in the five years. The survey
shows that the turnover intention of outsourcing employees is slightly larger than the average,
showing a moderate level of turnover intention. The survey finds that demand realization is
significantly negatively correlated with turnover intention, by analyzing the factors of
turnover intention associated with demand realization and job satisfaction. Specifically, self-
actualization needs, esteem needs, and safety needs can explain 3%, 3%, and 16% of
turnover intentions, respectively. Moreover, there is a significant negative correlation
between job satisfaction and turnover intention, among which job return satisfaction,
personal development satisfaction, interpersonal satisfaction, job satisfaction and job
satisfaction can explain 6%, 4%, 5%, 5% and 8% of reasons for turnover intention,
respectively.
Key words：Medical institutions; Outsourcing employees; Turnover intention; Demand
realization degree; Job satisfaction
III
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