摘要
背景人才队伍是影响乡镇卫生院服务水平和发展状况的核心因素,党的十九大提出要加强基层医疗卫生服务体系和全科医生队伍建设。目前关于乡镇卫生院基层医生单位满意度、职业发展满意度、工作满意度关系的研究尚少。目的了解乡镇卫生院基层医生单位满意度、职业发展满意度、工作满意度之间的逻辑关系,为卫生院人才队伍建设提出科学建议。方法2019年12月至2020年8月,采用分阶段分层抽样方法,抽取陕西省榆林、宝鸡和商洛3个市9个县(区)193所乡镇卫生院的1736例基层医生为调查对象。调查问卷内容包括卫生院基层医生基本信息、单位满意度、职业发展满意度、工作满意度。对收集到的数据使用SPSS AU及R语言软件进行处理。采用Pearson相关分析基层医生单位满意度、工作满意度与职业发展满意度的相关性。采用分层回归方法进行中介分析,利用乘积系数检验法中的Bootstrap抽样法对工作满意度的中介作用进行进一步检验。结果共发放问卷1736份,获得有效问卷1727份,问卷有效回收率为99.48%。研究对象单位满意度中的管理水平满意度、管理制度满意度、福利待遇满意度、发展前景满意度、对单位认同感维度得分分别为(1.94±0.93)、(2.55±1.21)、(2.17±0.73)、(1.91±0.80)、(1.57±0.72)分,单位满意度总平均得分为(2.03±0.52)分;工作满意度平均得分为(1.98±0.45)分;职业发展满意度平均得分为(2.42±0.49)分。Pearson相关分析结果显示,职业发展满意度与单位满意度、工作满意度之间呈正相关(P<0.05)。分层回归结果显示工作满意度在福利待遇、单位发展前景、对单位认同感与职业发展满意度之间发挥着中介作用(P<0.05)。采用Bootstrap法进一步验证中介效应,结果显示工作满意度在单位满意度的3个方面,包括单位福利待遇(中介效应值为0.020)、单位发展前景(中介效应值为0.
Background Talent team is a key factor that affects the service level and development of township hospitals.The 19th CPC National Congress held in 2017 proposed to strengthen the construction of primary care system and general practitioners team.There are few available studies on primary care physicians'satisfaction with work unit,job and career development in township hospitals.Objective To examine the relationships among work unit satisfaction,career development satisfaction and job satisfaction in primary care physicians working at township hospitals,providing scientific evidence for the construction of healthcare talent team in township hospitals.Methods This study was implemented from December 2019 to August 2020.By use of stratified multistage sampling,1736 physicians were selected from 193 township hospitals in 9 counties(districts)of Yulin,Baoji and Shangluo,three cities of Shaanxi to attend a questionnaire survey for understanding their basic demographics,work unit satisfaction,career development satisfaction and job satisfaction.SPSS AU and R were used for data analysis.Pearson correlation was used to analyze correlations among work unit satisfaction,job satisfaction and career development satisfaction.Hierarchical regression was used for mediation analysis.The mediating effect of job satisfaction was further tested by bootstrap test for product of coefficients.Results Among the 1736 cases,1727(99.48%)who returned responsive questionnaires were included for final analysis.The average score of work unit satisfaction in the respondents was(2.03±0.52)points,and the average scores for its five dimensions(satisfaction with the overall management,the management system,welfare benefits,and development prospect,as well as the sense of identity obtained from the unit)were(1.94±0.93),(2.55±1.21),(2.17±0.73),(1.91±0.80),and(1.57±0.72)points,respectively.The average score of job satisfaction was(1.98±0.45),and that of career development satisfaction was(2.42±0.49).Pearson correlation analysis showed that ca
作者
刘军林
冯巩
杜直前
贺娜
LIU Junlin;FENG Gong;DU Zhiqian;HE Na(School of Marxism,Xi'an Medical University,Xi'an 710021,China;Institute of General Medicine,Xi'an Medical University,Xi'an 710021,China;Shaanxi Talent Exchange and Service Center,Xi'an 710000,China;Department of Gastroenterology,the First Affiliated Hospital of Xi'an Medical University,Xi'an 710077,China)
出处
《中国全科医学》
CAS
北大核心
2022年第28期3537-3543,共7页
Chinese General Practice
基金
陕西省社会科学基金项目(2019G017)
西安医学院思政专项(2018S202)
陕西省教育科学“十三五”规划2020年度课题(SGH20Y1330)。
关键词
卫生人力
基层医疗卫生机构
职业发展满意度
工作满意度
单位满意度
中介作用
Health workforce
Primary healthcare institutions
Career development satisfaction
Job satisfaction
Unit satisfaction
Mediation
