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首页> 外文期刊>BMC Health Services Research >Job satisfaction of certified primary care physicians in rural Shandong Province, China: a cross-sectional study
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Job satisfaction of certified primary care physicians in rural Shandong Province, China: a cross-sectional study

机译：山东省农村认证初级保健医生的工作满意度：横断面研究

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The purpose of this study was to measure the level of job satisfaction of certified physicians in rural primary health care facilities (PHCFs) in Shandong Province in order to ascertain the key factors affecting their satisfaction and to provide effective information for policy decisions. This cross-sectional study was conducted among certified physicians in PHCFs in rural Shandong from June to August 2016. An anonymous questionnaire was completed by 495 participants (valid response rate: 91.6%). Data were analyzed using an exploratory factor analysis (EFA), one-way analysis of variance (ANOVA), and multiple linear regression. The participants consisted of 310 (62.6%) males and 185 (37.4%) females. The overall mean score for job satisfaction among respondents was 3.41 (standard deviation (SD) 0.68), which indicated that certified physicians were partially satisfied with their jobs. Results also indicated that factors for the highest level of satisfaction among certified physicians were the internal environment and job description. Moreover, physicians were more satisfied with competency behaviours and organizational management than with working conditions and job rewards. In contrast, physicians were dissatisfied with the external environment to an extent. Overall job satisfaction decreased with more years of service. Older physicians were less satisfied with their jobs than younger ones. Physicians with a higher level of education or senior professional title were less satisfied with their jobs than those with a lower level of education or junior professional tilte. Organizational management and the external environment were the most important factors influencing job satisfaction. Certified physicians working in PHCFs in rural Shandong had a slightly higher level of overall job satisfaciton than usual. After recent healthcare reforms, the job satisfaction of primary health care physicians in Shandong has changed little in comparison to that of physicians in other provinces in China. More attention should be paid to the impacts of these variables (age, educational background, technical title, monthly salary, form of employment, and years of service) on job satisfaction. Numerous recommendations may be considered to enhance organizational management and the external environment. The Government should enhace the formulation, implementation, and evaluation of policies to ensure that physicians continue to enjoy working in PHCFs. In short, the Government should pay more attention to protecting the legitimate rights and interests of primary care physicians when devising medical reforms.
机译：本研究的目的是衡量山东省农村初级卫生保健设施（PHCFS）的认证医师的工作满意度，以确定影响他们满意的关键因素，并为政策决策提供有效信息。该横断面研究于2016年6月至8月山东省山东省PHCFS的经过认证的医生进行。匿名问卷由495名参与者完成（有效的回复率：91.6％）。使用探索性因子分析（EFA），单向分析方差（ANOVA）和多元线性回归进行分析数据。参与者由310（62.6％）男性和185名（37.4％）女性组成。受访者之间的工作满意度的总体平均分数是3.41（标准差（SD）0.68），这表明认证的医生对其工作有所满意。结果还表明，经过认证的医生中最高满意度的因素是内部环境和工作描述。此外，医生对能力行为和组织管理更满意，而不是与工作条件和工作奖励。相比之下，医生对外部环境不满意。全面的工作满意度随着多年的服务而减少。老年医生比年轻的工作更不满意。教育水平或高级职业头衔的医生对其工作不满意，而且比具有较低教育或初级专业倾斜的工作。组织管理和外部环境是影响工作满意度的最重要因素。在山东省山东博士学位工作的经过认证的医生略高于平时的整体工作略高。在最近的医疗改革之后，与中国其他省份的医生相比，山东初级医疗医师的工作满意度很大。应更多地关注这些变量（年龄，教育背景，技术标题，月薪，雇佣方式和多年的服务）的影响。可以考虑众多建议，以提高组织管理和外部环境。政府应加强对政策的制定，实施和评估，以确保医生继续在PHCF中享受工作。简而言之，政府应在制定医疗改革时更加注重保护初级保健医生的合法权益。

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