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首页> 中文期刊> 《中国全科医学》 >我国四省市社区卫生技术人员的工作满意度及其影响因素研究

我国四省市社区卫生技术人员的工作满意度及其影响因素研究

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摘要

Objective To investigate the level and influencing factors of job satisfaction in community health technical personnel in 3 provinces and 1 municipality of China.Methods Multiplestage sampling was used in this study.By purposive sampling,we selected Shandong Province and Shanghai Municipality from eastern China,Anhui Province from central China and Shaanxi Province from western China.Then,the provincial capital and a prefecture-level city with capabilities of providing good community health services were extracted from each of the above 3 provinces,respectively.After that,we selected a district from each the above extracted 6 cities and Shanghai Municipality,respectively.Then the 7 districts were stratified by the characteristics of host of community health service organizations (CHSOs),3 CHSOs were drawn from each layer at most,and finally a total of 61 CHSOs were extracted.Between August and September 2013,we conducted a survey in 713 selected health technical personnel on duty on the survey day from the 61 CHSOs by cluster sampling with a self-administered questionnaire,which involved basic situation of the health technical personnel and job satisfaction (overall job satisfaction,satisfaction with workload,moral encouragement,training opportunities and welfare).A total of 713 questionnaires were handed out,and 656 responsive ones were returned with a response rate of 92.0％.Results Among the community health technical personnel,the mean scores of overall job satisfaction,satisfaction with workload,moral encouragement,training opportunities and welfare were (3.55 ±0.74),(3.31 ±0.78),(3.28 ±0.75),(3.33 ±0.78),and (3.03 ±0.88),respectively.Significant difference in mean scores of overall job satisfaction existed between community health technical personnel from different areas (P ＜ 0.05).The differences in mean scores of satisfaction with workload,moral encouragement,and welfare between community health technical personnel from different areas were statistically significant (all P ＜ 0.05).No significant difference in mean scores of satisfaction with training opportunities was found between community health technical personnel (P ＞ 0.05).Results of multivariate Logistic regression analysis showed that,professional and technical title,officially budgeted post and personal income in 2012 were the influencing factors for overall job satisfaction of community health technical personnel (P ＜ 0.05).Conclusion The overall job satisfaction of community health technical personnel was not satisfactory.It varied from one district to another and was affected by professional and technical title,officially budgeted post and personal income in 2012.In view of these,it is needed to establish a more effective system of payment allocation,and performance evaluation based on service price,form of payment of medical insurance fund,financial assistance and other aspects.%目的 了解我国四省市社区卫生技术人员的工作满意度及其影响因素.方法 本研究采用多阶段抽样方法.采用立意抽样,在东部地区选取山东省、上海市,在中部地区选取安徽省,在西部地区选取陕西省;在3个省各抽取省会所在市和1个社区卫生服务发展较好的地级市;在每个市(包括上海市)各抽取1个区,共7个区.采用分层抽样,在每个区依据社区卫生服务机构举办主体类型分层抽样,每层最多抽取3个社区卫生服务机构,共抽取61个社区卫生服务机构.采用整群抽样,在每个社区卫生服务机构选取调查当日所有在岗的卫生技术人员共713例作为本研究对象.自行编制调查问卷,问卷主要内容为:社区卫生技术人员的基本情况;工作满意度情况,包括总体满意度及工作量、精神鼓励、培训机会、福利待遇满意度.于2013年8-9月,采用自填式调查问卷进行调查.共发放问卷713份,回收有效问卷656份,问卷的有效回收率为92.0％.结果 社区卫生技术人员的总体满意度得分为(3.55±0.74)分,工作量、精神鼓励、培训机会、福利待遇满意度得分分别为(3.31±0.78)、(3.28±0.75)、(3.33±0.78)、(3.03±0.88)分.不同区域社区卫生技术人员的总体满意度得分比较,差异有统计学意义(P＜0.05).不同区域社区卫生技术人员的工作量、精神鼓励、福利待遇满意度得分比较,差异均有统计学意义(P＜0.05);培训机会满意度得分比较,差异无统计学意义(P＞0.05).多因素Logistic回归分析结果显示,职称、是否在编、2012年个人收入是社区卫生技术人员工作满意度的影响因素(P＜0.05).结论 社区卫生技术人员的工作满意度水平不高,不同区域社区卫生技术人员的工作满意度有差异.职称、是否在编、2012年个人收入对社区卫生技术人员的工作满意度有影响.建议从服务价格、医保支付方式、财政补偿等多方入手,建立更为有效的薪酬分配和绩效考核机制,提高社区卫生技术人员的工作满意度水平.

著录项

  • 来源
    《中国全科医学》 |2017年第4期|406-410|共5页
  • 作者

    郭敏璐; 张明吉; 王伟; 韩璐; 徐玲; 严非;

  • 作者单位

    200032上海市,复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,国民健康社会风险预警协同创新中心;

    200032上海市,复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,国民健康社会风险预警协同创新中心;

    200025上海市,上海交通大学公共卫生学院;

    200032上海市,复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,国民健康社会风险预警协同创新中心;

    200032上海市,复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,国民健康社会风险预警协同创新中心;

    200032上海市,复旦大学附属中山医院;

    100044北京市,国家卫生与计划生育委员会卫生统计信息中心;

    200032上海市,复旦大学公共卫生学院,卫生部卫生技术评估重点实验室,国民健康社会风险预警协同创新中心;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 医疗卫生制度与机构;
  • 关键词

    社区卫生服务; 卫生人员; 工作满意度; 影响因素分析;

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