目的：全民健康保險給付制度不斷更新，特別在總額預算後，醫療人員的工作量及壓力增加，容易產生工作倦怠甚至有離職的傾向。本研究探討在健保總額預算期間，醫事檢驗師(以下簡稱醫檢師)的工作倦怠及離職意向。
方法：採用問卷調查，對桃園縣醫檢師以分層比例隨機取樣，邀請醫檢師填寫問卷。以工作倦怠-醫療行業調查(MBI-HSS)(含三個向度：情緒耗竭、去人性化、個人成就)來測量工作倦怠。
結果：2006年7-12月得有效問卷74份(49.7%)。情緒耗竭的平均數為24.8(百分位為45.9)、去人性化為7.7(百分位為25.7)、個人成就為29.5(百分位為61.5)。多變量分析結果顯示，健保總額預算前後工作感受改變(p=.0011)及控制性因應(p=.0192)，與情緒耗竭有統計顯著關係。控制性因應(p=.0433)及工作職等(p=.0556)，與去人性化有統計顯著關係。總年資(p=.0162)與個人成就有統計顯著關係。高達36位(48.6%)醫檢師有離職意向。多變量分析結果顯示，情緒耗竭(p<.0001)對離職意向有統計顯著關係。
結論：健保總額預算後，醫檢師的情緒耗竭嚴重，近一半的醫檢師有離職意向。

Purpose: Due to frequent change of the payment system of Taiwan National Health Insurance (TNHI), especially after global budget, burnout and quit their job is resulted from increased workload and job stress among medical staff. In this study, we investigated the magnitude of job burnout and quit intention, and analyzed factors associated with burnout and quit intention among medical technologists (hereinafter referred to MTs) during the implementation of the global budget payment system of the TNHI.
Methods: A stratified and proportional random sampling was used to obtain the study sample in Taoyuan, Taiwan. The Maslach Burnout Inventory – Health Service Survey (MBI-HSS), including three constructs (emotional exhaustion, depersonalization, personal accomplishment), was used.
Results: From July to December 2006, 74 valid questionnaires (49.7%) were obtained. The mean score of emotional exhaustion was 24.8 (percentile=45.9), depersonalization was 7.7 (percentile= 25.7), and personal accomplishment was 29.5 (percentile=61.5), respectively. Multivariate analysis reveals that work perceptions about the global budget for medical employees (p=.0011) and control coping (p=.0192) was significantly associated with emotional exhaustion. Control coping (p=.0433) and job position (p=.0556) was significantly associated with depersonalization. Total working years (p=.0162) was significantly associated with personal accomplishment. 36 (48.6%) MTs had an intention to quit their job. Multivariate analysis reveals that emotional exhaustion (p<.0001) was significantly associated with quit intention.
Conclusion: During implementation of global budget payment system, there was a serious problem of emotional exhaustion among MTs and nearly half of the MTs had an intention to quit their job.