의료급여관리사의 직무요인과 조직요인이 이직의도에 미치는 영향
The Impact of Job and Organizational Factors on Turnover Intentions of Case Managers in Medicaid
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본 연구는 의료급여관리사의 직무요인과 조직요인이 이직의도에 미치는 영향을 파악하는데 목적이 있다. 연구방법은 시･군･구 의료급여관리사를 대상으로 2020년 6월 1일부터 2주간 자료수집을 하였다. 총 484명이 응답하였으며, 403부를 최종분석에 사용하였다. 자료분석은 SPSS WIN 29.0를 이용하여 이분형 로지스틱 회귀분석을 실시하였다. 연구결과는 일반적 특성과 이직의도는 관련이 없었으며, 직무요인에서는 재직기간, 직무만족도, 연간 가정방문 인원, 건당 서류작성 시간, 외근업무 비중이 이직의도와 관련이 있었다. 조직요인에서는 고용형태, 의료급여관리사가 부족한 지역, 의료급여관리사 채용이 어려운 지역에서 이직의도가 높게 나타났다. 이직의도를 줄이기 위하여 서류작성 시간을 최소화하도록 전산화를 구축하고 양식을 간소화할 것을 제안한다. 그리고 지역별 및 재직기간별 특성을 고려한 의료급여관리사의 업무량과 배치기준을 개선하고 의료급여관리사 채용이 어려운 지역의 원인을 탐색하는 추가 연구가 필요하다.
Abstract
This study aims to identify the impact of job and organizational factors on turnover intentions of case managers in Medicaid. Data were collected over a two-week period starting from June 1, 2020, targeting case managers working in city, county, and district offices. A total of 484 responses were received, and 403 were used for the final analysis. Data analysis was conducted using binary logistic regression with SPSS WIN 29.0. The results showed no significant relationship between general characteristics and turnover intentions. However, regarding job factors, turnover intentions were related to period of employment, job satisfaction, the number of annual home visits, time spent on documentation per case, and the proportion of fieldwork duties. In terms of organizational factors, turnover intentions were higher among employment type, in regions with a shortage of case managers and in areas where recruiting case managers is difficult. To reduce turnover intentions, it is suggested to establish computerized systems and simplify forms to minimize the time spent on documentation. Additionally, further research is needed to explore the causes of recruitment difficulties in certain regions and to improve the workload and deployment standards for case managers, considering regional characteristics and period of employment.
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