Determinants of primary care physicians' referral pattern: a structural equation model approach

Abstract Background: Global countries are suffering from a shortage of health professionals, turnover intention is closely related to job satisfaction and burnout, making good use of these relationship could alleviate the crises. Methods: This research was conducted in Huangpi, China. Convenience sampling methods and self-designed questionnaires was used. 1370 of valid samples were collected with 97.72% effective rate. Descriptive analyses were conducted to describe social demographic factors. The structural equation model (SEM) was performed to adjust model fitting, and the mediation effect test was carried out by using the bootstrap method. Sobel-Z test was used to verify the significance of mediation effect. Results: The mean age was 36.98 (SD=9.84). The fitting indices of hypothetical model is not good. After the adjustments, for job satisfaction, turnover intention and burnout, the Cronbach’s is 0.976, 0.910, 0.879, respectively. 2/df =5.590, GFI=0.932, AGFI=0.901, CFI=0.977, NFI=0.973, IFI=0.977, TLI=0.970, RESEA=0.058. The revised model fitted well, and the SEM was put up by using the bootstrap method. The mediating effect is partial, and Soble-Z test indicates that the mediation effect is significant. Burnout is negatively correlated with job satisfaction (p<0.01) and the standardized path coefficient is -0.41. Job satisfaction is also negatively correlated with turnover intention (p<0.01) and the standardized path coefficient is -0.18. Burnout is positively correlated with turnover intention (p<0.01) and the standardized path coefficient is 0.83. Conclusions: Job satisfaction is a mediating variable that affects the relationship between burnout and turnover intention. Turnover intention was negatively related to job satisfaction and positively related to burnout, job satisfaction was negative related to burnout. And the mediation effect has a low impact of 7.4%. Keywords: Turnover Intention, Burnout, Job satisfaction, Workers in primary care institution, Structural equation model

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PENGARUH PEMBERDAYAAN ZAKAT DALAM MENINGKATKAN MODAL MANUSIA DAN KESEJAHTERAAN MASYARAKAT MISKIN

Jurnal Ekonomi dan Pendidikan ◽

10.21831/jep.v17i1.33841 ◽

2020 ◽

Vol 17 (1) ◽

pp. 7-15

Author(s):

Maimun Sholeh

Keyword(s):

Human Capital ◽

Structural Equation Model ◽

Cross Section ◽

Structural Equation ◽

Equation Model ◽

Probability Sampling ◽

Purposive Sampling ◽

The Poor ◽

The Right ◽

Model Approach

Abstrak: Penelitian ini bertujuan untuk mengetahui pengaruh Modal manusia dan pemberdayaan terhadap kesejahteraan masyarakat miskin khususnya masyarakat miskin yang diberdayakan oleh lembaga zakat sehingga bisa dibuat strategi yang tepat untuk meningkatkan kesehteraan mereka. Penelitian ini merupakan studi eksplanatori dilakukan dengan menggunakan pendekatan SEM (Structural Equation Model). Anggota sampel ditentukan dengan metode non-probability sampling khususnya dengan purposive sampling. Data dikumpulkan secara cross section dianalisis secara kuantitatif. Hasil penelitian menunjukkan bahwa baik modal manusia maupun pemberdayaan berpengaruh terhadap kesejahteraan masyarakat miskin khususnya masyarakat penerima pemberdayaan zakat. Abstract: This study aims to determine the effect of human capital and empowerment on the welfare of the poor, especially the poor, who are empowered by zakat institutions so that the right strategy can be made to improve their health. This research is a descriptive study conducted using the SEM (Structural Equation Model) approach. The sample members are determined by the non-probability sampling method, especially by purposive sampling. Data were collected by cross-section and analyzed quantitatively. The results showed that both human capital and empowerment affected the welfare of the poor, especially those who received zakat empowerment.

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