江苏省传染病科医生职业满意度及影响因素研究  

Study on the job satisfaction and influencing factors of infectious disease physicians in Jiangsu Province

作　　者：王晶 刘汝佳 肖菡 林振平[1] 钱东福 Wang Jing;Liu Rujia;Xiao Han;Lin Zhenping;Qian Dongfu(School of Health Policy&Management,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学医政学院,南京211166

出　　处：《中华医院管理杂志》2023年第12期939-944,共6页Chinese Journal of Hospital Administration

基　　金：江苏高校哲学社会科学优秀创新团队(2020);江苏省公共卫生机构薪酬制度改革研究(2021)。

摘　　要：目的了解江苏省传染病科医生的职业满意度现状,探讨其影响因素。方法2021年4—5月,采用分层随机抽样方法抽取江苏省10家设区市的市级传染病医院,通过问卷星平台对上述医院传染病科医生进行电子问卷调查,问卷内容主要包括Greenhaus和Wormley制定的职业满意度量表,以及基于资源保存理论自行设计的职业满意度影响因素量表;同时就薪酬待遇、职业发展等方面存在的问题对相关知情人进行半结构式访谈。对问卷数据进行描述性分析,对影响传染病科医生职业满意度的因素采用单因素分析和多元线性回归分析,对访谈资料的分析采用Colaizzi七步分析法。结果回收有效问卷457份,传染病科医生的职业满意度得分为(3.38±0.76)分。单因素分析结果显示,不同年龄、学历、职称、编制的传染病科医生的职业满意度得分差异具有统计学意义(P<0.05)。多元线性回归分析结果显示,薪酬福利(B=0.141,P<0.001)、工作环境(B=0.128,P<0.001)、领导支持(B=0.112,P=0.014)、发展保障(B=0.177,P<0.001)、自我效能(B=0.084,P=0.045)、社会支持(B=0.285,P<0.001)均是传染病科医生职业满意度的影响因素。访谈结果显示存在薪酬水平低、薪酬保障不足、编内和编外医生社会保障水平差距大、职业发展潜力不足等问题。结论江苏省传染病科医生的职业满意度处于一般水平,建议增加对传染病科医生的人员经费投入,优化薪酬待遇结构,关注中青年医生的职业发展需求,重视传染病科医生的社会关系需要,以提升其职业满意度。Objective To investigate the current situation and analyze the influencing factors of job satisfaction of infectious disease physicians in Jiangsu Province.Methods From April to May 2021,a stratified random sampling method was used to select 10 municipal level infectious disease hospitals in Jiangsu province.An electronic questionnaire survey was conducted on the infectious disease physicians of these hospitals using an online questionnaire platform.The questionnaire mainly included the job satisfaction scale developed by Greenhaus and Wormley,and a self-designed job satisfaction influencing factor scale based on resource conservation theory.At the same time,semi-structured interviews were made with relevant insiders on such issues as salary and benefits,and career development among others.Descriptive analysis was conducted on the questionnaire data,while single factor analysis and multiple linear regression analysis were used to identify the factors that affect their job satisfaction,and the results of the interviews were studied with Colaizzi 7-step analysis.Results A total of 457 valid questionnaires were recovered.The job satisfaction score of infectious disease physicians was(3.38±0.76).The results of univariate analysis showed significant differences in job satisfaction scores among infectious disease physicians of different ages,educational backgrounds,professional titles,and positions.The results of multiple linear regression analysis showed that salary and benefits(B=0.141,P<0.001),work environment(B=0.128,P<0.001),leadership support(B=0.112,P=0.014),development security(B=0.117,P<0.001),self-efficacy(B=0.084,P=0.045)and social support(B=0.285,P<0.001)were both influencing factors of their job satisfaction.The interview results identified such problems as low salary,insufficient salary security,large gap in social security levels between in-staff and off-staff physicians,and insufficient career development potential.Conclusions The job satisfaction of infectious disease physicians in Jiangsu Province wa

关 键 词：卫生人力 传染病科 医生 职业满意度 影响因素 资源保存理论 

分 类 号：R192.3[医药卫生—卫生事业管理]