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Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

机译：上海市家庭医生工作能力和稳定性影响因素的追踪研究

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Family doctors can fulfill the gatekeeper duty to protect the residents’ health, which depends on their work competency and stability. The study aimed to identify factors influencing work competency and stability among Shanghai family doctors. This study was a 2-year follow-up survey (2013/2016). A representative sample of 146 family doctors in Shanghai community health service centers was interviewed in 2013. The tracked sample (n?=?142) was resurveyed in 2016. A 50-item questionnaire organized into four parts, i.e., general demographic characteristics, working conditions, cognition about family doctor services, and job satisfaction was issued to all family doctors. Models for factors influencing family doctors’ work competency and stability were then established. The collected data were analyzed using ordinal regression methods and descriptive, factor, and multiple-factor analyses. The family doctors’ work competency model showed demographic characteristics (education level and job title), family doctors’ team, family doctors’ training, grasp of specific content regarding the family doctor system, and whether the family doctors’ ability was played and demonstrated were statistically significant at different levels (P??0.05). The analysis of family doctors’ work stability showed that work competency (whether it was possible to provide residents with all contents specified in the contract service package, employment form, and support satisfaction) and work cognition (whether the daily work was meaningful and had value) had a significant impact on work stability (P??0.05). Family doctors’ job satisfaction is a key factor affecting their work stability. Family doctors’ competency can also affect their job stability, and their work cognition may play a role in work competency and stability. This study provides evidence for strengthening the stability of the family doctor teams in Shanghai.
机译：家庭医生可以履行看门人的职责，以保护居民的健康，这取决于他们的工作能力和稳定性。该研究旨在确定影响上海家庭医生工作能力和稳定性的因素。这项研究是一项为期2年的随访调查（2013/2016）。 2013年对上海社区卫生服务中心的146位家庭医生的代表性样本进行了访谈。2016年对追踪样本（n = 142）进行了重新调查。一份50项问卷分为四个部分，即一般人口统计学特征，工作情况，对家庭医生服务的认识以及工作满意度都发给了所有家庭医生。然后建立了影响家庭医生工作能力和稳定性的因素模型。使用序数回归方法以及描述性，因子和多因子分析对收集的数据进行分析。家庭医生的工作能力模型显示了人口统计学特征（受教育程度和职称），家庭医生团队，家庭医生的培训，对家庭医生制度具体内容的掌握以及是否发挥和证明了家庭医生的能力。在不同水平上具有统计学显着性（P <0.05）。对家庭医生工作稳定性的分析表明，工作能力（是否有可能向居民提供合同服务包，雇用形式和支持满意度中指定的所有内容）和工作认知（日常工作是否有意义并具有价值） ）对工作稳定性有显着影响（P <0.05）。家庭医生的工作满意度是影响其工作稳定性的关键因素。家庭医生的能力也会影响他们的工作稳定性，他们的工作认知可能会影响工作能力和稳定性。该研究为加强上海家庭医生队伍的稳定性提供了证据。

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