首页|基于双因素理论的基层医疗岗位满意度及影响因素研究

基于双因素理论的基层医疗岗位满意度及影响因素研究

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目的 了解基层医疗岗位满意度及影响因素,并制订改善措施。方法 2021年 7月至 8月,对南京某区所有基层医疗机构的人口学特征情况、岗位满意度开展线上调查。结果 本研究发放问卷 866 份,有效问卷 862 份,有效回收率为99。5%。满意度得分为(3。55±0。77)分。在保健因素方面,不同性别、岗位、用工形式人群满意比例比较,差异有统计学意义(P<0。05);在激励因素方面,不同性别、年龄、学历、职称、岗位、工作年限、用工形式比较,差异无统计学意义(P>0。05)。不同性别人群进修培训、政治保障、职称提升、福利水平、薪酬水平、职务提升满意度比较,差异有统计学意义(P<0。05);不同岗位任务充实、进修培训、工作稳定、职务提升满意度比较,差异有统计学意义(P<0。05);不同用工形式人群工作稳定、福利水平、薪酬公平满意度比较,差异有统计学意义(P<0。05)。多因素logistic回归分析显示,任务充实(OR=1。779,95%CI:1。110~2。851)、福利水平(OR=1。977,95%CI:1。200~3。257)、薪酬水平(OR=1。752,95%CI:1。024~2。998)和薪酬公平(OR=1。957,95%CI:1。207~3。172)是岗位满意度的影响因素(P<0。05)。结论 建议重点保障保健因素,辅以激励因素,可从优化人才结构、建设信息一体化、扩大财政补助,健全绩效考核制度等多方面入手。
Research on job satisfaction and influencing factors of primary medical post based on two-factor theory
Objective To understand the post satisfaction of primary medical care and its influencing factors,and formulate improvement measures.Methods From July to August 2021,an online survey was conducted on the demographic characteristics and job satisfaction of all primary medical institutions in a district of Nanjing.Results In this study,a total of 866 questionnaires were issued,862 were valid,and the effective recovery rate was 99.5%.The satisfaction score was(3.55±0.77)points.In terms of health care factors,the satisfaction ratio of different gender,position,and employment form was statistically significant(P<0.05).In terms of motivation factors,there were no statistical significances among different gender,age,education,professional title,position,working years,and employment form(P>0.05).There were statistically significant differences in satisfaction of continuing training,political security,professional title promotion,welfare level,salary level,and job promotion among different gender groups(P<0.05).There were statistical significances in the satisfaction of task enrichment,further training,job stability,and job promotion among different posts(P<0.05).There were statistically significant differences in job stability,welfare level,and salary equity satisfaction among different employment form groups(P<0.05).Multivariate logistic regression analysis showed that task enrichment(OR=1.779,95%CI:1.110-2.851),welfare level(OR=1.977,95%CI:1.200-3.257),salary level(OR=1.752,95%CI:1.024-2.998)and salary equity(OR= 1.957,95%CI:1.207-3.172)were the influencing factors of job satisfaction(P<0.05).Conclusion It is suggested that the emphasis should be placed on health care factors,supplemented by incentive factors,which can be started from many aspects,such as optimizing talent structure,constructing information integration,expanding financial subsidies,and perfecting performance appraisal system.

Two-factor theoryPrimary medical postSatisfactionInfluencing factor

陆婷婷、盛文奇、巫蓉、胡丹、朱靖

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南京医科大学附属南京医院(南京市第一医院)科技处,江苏南京 210006

南京医科大学第一附属医院(江苏省人民医院)科技处,江苏南京 210009

南京医科大学医政学院,江苏南京 211166

南京医科大学附属江宁医院医务处,江苏南京 211166

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双因素理论 基层医疗岗位 满意度 影响因素

国家自然科学基金资助项目江苏省政策引导类计划(软科学研究)专项资金项目江苏省卫生健康委员会指导性项目

72104111BR2021075Z2021030

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(2)
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