中文摘要：

目的：了解基本药物制度背景下乡村医生的流失意图，并探讨其影响因素。方法于2012年8—12月，采用多阶段分层随机抽样法，以山东省为样本地区抽取乡村医生621名。采用课题组自行设计的问卷对乡村医生进行调查，内容包括人口学信息、职业信息及流失意图信息3部分。剔除不合格问卷14份，最终确定有效问卷607份。采用Logistic回归分析探讨乡村医生流失意图的影响因素，结合重要性象限推导模型分析乡村医生流失意图各影响因素的重要程度。结果有流失意图的乡村医生数为386名（占63.6％）。单因素Logistic回归分析显示，不同年龄、工作年限、技术职称、执业资格、工资水平满意度、工作环境满意度、人际关系满意度、个人能力和潜力发挥满意度、发展前景满意度及管理水平满意度乡村医生的流失意图比较，差异有统计学意义（P＜0.05）。多因素Logistic回归分析显示，工作环境满意度、人际关系满意度、个人能力和潜力发挥满意度、发展前景满意度对乡村医生流失意图的影响有统计学意义（P＜0.05）。重要性象限推导模型分析显示，发展前景满意度为重要程度较低、可暂时搁置因素；人际关系满意度为重要程度较高、需要优先解决因素；个人能力和潜力发挥满意度、工作环境满意度为重要程度较低，但满意度得分较高的因素。结论基本药物制度实施后，乡村医生的流失意图较高，工作环境满意度、人际关系满意度、个人能力和潜力发挥满意度、发展前景满意度是其流失意图的影响因素。其中，人际关系满意度为重要程度较高，需要优先解决的因素。

英文摘要：

Objective To investigate the turnover intention of rural doctors under essential medicine system and the influencing factors. Methods We selected Shandong Province as the sample area and enrolled 621 rural doctors there using multistage stratified random sampling method from August to December,2012. A self - designed questionnaire was used to conduct survey on enrolled doctors. The survey included demographic information, professional information, and turnover intention. After the exclusion of 14 unqualified questionnaires,we at last acquired 607 effective questionnaires. Logistic regression analysis was conducted to investigate the influencing factors for turnover intention of rural doctors,and important quadrant model was adopted to explore the influence degree. Results There were 386 （ 63. 6% ） rural doctors who had turnover intention. Univariate logistic regression analysis showed that age,years of working,professional titles,practicing requirements and the satisfaction degrees with salary, working environment, interpersonal relation, personal capability and potential development,development prospect and management level had significant influence on the turnover intention of rural doctors（P〈 0. 05）. Multiple logistic regression analysis showed that the satisfaction degrees with working environment,interpersonal＆amp;nbsp;relation,personal capability,potential development and development prospect had significant influence on the turnover intention of rural doctors （ P 〈 0. 05 ） . Important quadrant model analysis showed the following results： satisfaction degree with development prospect has low influence degree,thus it can be overlooked;satisfaction degree with interpersonal relation has high influence degree,thus it needs to be solved first;sastification degrees with personal ability,potention development and working environment have low influence degree but have high score of satisfaction degree. Conclusion After the implementation of essential medicine system,the turnover intention of ru