公立医院医生工作内部环境满意度调查  

A survey on the internal job-circumstance satisfaction of physicians in public hospitals

作　　者：张宜民[1] 尹文强[1] 黄冬梅[1] 孙葵[1] 王培承[1] 赵延奎[1] 

机构地区：[1]潍坊医学院卫生管理学院,潍坊261042

出　　处：《中华行为医学与脑科学杂志》2009年第1期49-50,共2页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金资助项目（70573078）;山东省卫生厅资助项目（2005HZ097）

摘　　要：目的了解我国公立医院医生工作内部环境满意度现状，发现存在的问题，并识别其影响因素。方法按照多阶段整群分层抽样调查了全国4省区5677名公立医院医生，运用一般性描述、F检验、多元逐步线性回归等进行统计分析。结果公立医院医生对工作内部环境总体满意评价得分较低，为（2．61±0．95）分，较不满意者占总数的49．50％，最不满意之处主要集中在工作人际关系的软环境层面，应优先解决部门合作、学术氛围与医德医风等方面的问题；行政管理对工作内部环境满意度的决定作用较大（b=0．42，t=34．35，P〈0．01），同时受年龄（F=10．84，P〈0．01）、工作年限（F=6．73，P〈0．01）、最高学位（F=3．56，P〈0．01）、职称（F=11．60，P〈0．01）、科室（F=4．28，P〈0．01）等个人特征因素的影响。结论我国公立医院医生内部环境满意度不高，尤其是工作关系方面，不同群体满意度存在差异；行政管理因素的预测效用较明显。Objective To understand the status on internal job-circumstance satisfaction of physicians in public hospitals, find out the existent problems and identify influential factors. Methods Gaining 5677 individuals according to the multi-stages stratified random sampling, and carrying on statistic analysis through popular description, F inspection and multiple linear stepwise regression. Results The overall internal job-circumstance satisfaction of physicians was low（2.61 ±0. 954）,soft environment like interpersonal relationship in the process of working should be resolved in priority. The internal job-circumstance satisfaction was mainly determined by admin- istrative management（ B = 0.420, t = 34.347, P 〈 0.01 ） ,simultaneously affected by such individual attributes as age（F= 10. 837, P〈0.01 ） ,working period（F= 6. 725, P〈 0.01 ）, technical title（F= 11. 597, P〈 0.01 ）, degree （F=3.557, P〈0.01）and section office（F=4.279, P〈0.01）. Conclusion The internal circumstance satisfaction of physicians in low, especially in term of working relationship. There＇ re different with many denology characteristics;and the factor of administrative management can positively forecast the satisfaction.

关 键 词：公立医院 医生 工作内部环境 满意度 

分 类 号：R686[医药卫生—骨科学]