我国全科医生工作满意度及影响因素的系统综述  

The Job Satisfaction of General Practitioners in China and Its Influencing Factors:a Systematic Review

作　　者：黄晶 苗依婷 贺雪梅 蒋东洋 梁英[1] HUANG Jing;MIAO Yiting;HE Xuemei;JIANG Dongyang;LIANG Ying(Department of General Practice,the First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;Graduate School,Shandong First Medical University,Jinan 250021,China;Clinical Medical School,Weifang Medical University,Weifang 261053,China)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院)全科医学科,山东省济南市250014 [2]山东第一医科大学研究生院,山东省济南市250021 [3]潍坊医学院临床医学院,山东省潍坊市261053

出　　处：《中国全科医学》2025年第10期1220-1227,共8页Chinese General Practice

摘　　要：背景全科医生是居民健康的“守门人”,其工作满意度很大程度上影响着基层医疗卫生服务的质量与效率。由此可见,建立适合我国国情的全科医生工作满意度评价体系,提高全科医生工作满意度,对于促进基层医疗卫生服务体系改革具有重要意义。目的对我国全科医生工作满意度及影响因素进行系统综述,分析相关研究在评价指标、研究结果上的共性与差异,为建立适合我国国情的全科医生工作满意度评价体系提供参考。方法系统检索PubMed、Web of Science、Embase、中国知网、万方数据知识服务平台、维普网,以获取有关全科医生工作满意度及影响因素的横断面研究,检索时限均为建库至2023-06-12。由2名研究者独立筛选文献,并提取纳入文献的作者、调查时间、调查地区、样本量、工作满意度评价维度和指标、工作满意度的影响因素等信息,采取描述性分析法进行汇总、分析、比较。结果最终纳入中文文献19篇,涉及15354名全科医生。对全科医生工作满意度的评价主要涉及物质满意度、关系满意度、成长满意度、总体满意度4个维度,其中19篇文献提及收入、人际关系,14篇文献提及工作环境、职务晋升、个人价值,8篇文献提及培训。全科医生工作满意度的影响因素包括收入水平、性别、年龄、职称、学历、工作压力、工作量、晋升机会、聘任方式、工作环境、工龄、人际关系、福利待遇、单位类型、社会认可等。结论我国全科医生工作满意度总体水平不高,且受收入水平、性别、年龄、职称、学历、工作压力、工作量、晋升机会、聘任方式等因素影响。Background General practitioners are the"gatekeepers"of residents'health,and their job satisfaction largely affects the quality and efficiency of primary healthcare service,which shows that it is of great significance to establish a job satisfaction evaluation system of general practitioners suitable for Chinese national conditions,and to improve the job satisfaction of general practitioners in order to promote the reform of the primary healthcare service system.Objective To conduct a systematic review of the job satisfaction of general practitioners and its influencing factors in China,to analyze the commonalities and differences in evaluation indexes and research results of the job satisfaction of general practitioners and their influencing factors in different studies,in order to provide reference for the establishment of a general practitioners'job satisfaction evaluation system suitable for Chinese national conditions.Methods PubMed,Web of Science,Embase,National Knowledge Infrastructure,WanFang Data and CQVIP were searched to obtain cross-sectional studies on job satisfaction and influencing factors of general practitioners from inception to June 12,2023.Two researchers independently screened the literature and extracted the authors of the included literature,the time of the survey,the area of the survey,the sample size,the dimensions and indicators of the evaluation of job satisfaction,and the influencing factors of job satisfaction,and other information.The descriptive analysis method was adopted to summarize,analyze and compare.Results We included 19 Chinese studies,including 15354 general practitioners.The evaluation of the job satisfaction of general practitioners mainly involved four dimensions:material satisfaction,relationship satisfaction,growth satisfaction,and overall satisfaction,of which 19 articles mentioned income and interpersonal relationship,14 articles mentioned working environment,job promotion,and personal value,and 8 articles mentioned training.The influencing factors of job satisfacti

关 键 词：全科医生 职业满意 影响因素分析 系统综述 

分 类 号：R197[医药卫生—卫生事业管理]