[1]陈锦郝宏恕陶惠高振峰李才勇谭嘉文李莎莎李燕柏杨.重庆市城区家庭医生工作满意度及影响因素分析[J].中国卫生质量管理,2022,29(12):66-71.[doi:10.13912/j.cnki.chqm.2022.29.12.15 ]
　CHEN Jin,HAO Hongshu,TAO Hui.Job Satisfaction and Influencing Factors of Family Doctors in Chongqing City[J].Chinese Health Quality Management,2022,29(12):66-71.[doi:10.13912/j.cnki.chqm.2022.29.12.15 ]

点击复制

重庆市城区家庭医生工作满意度及影响因素分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年12期页码: 66-71 栏目: 服务质量出版日期: 2022-12-28

Title:: Job Satisfaction and Influencing Factors of Family Doctors in Chongqing City

作者:: 陈锦郝宏恕陶惠高振峰李才勇谭嘉文李莎莎李燕柏杨; 陆军军医大学第二附属医院

Author(s):: CHEN Jin; HAO Hongshu; TAO Hui; The Second Affiliated Hospital of Army Medical University

关键词:: 医共体; 家庭医生; 行医体验; 工作满意度

Keywords:: Medical Group; Family Doctor; Medical Experience; Job Satisfaction

分类号:: R197.3；R197.6

DOI:: 10.13912/j.cnki.chqm.2022.29.12.15

文献标志码:: A

摘要:: 目的调查重庆市城区家庭医生工作满意度，分析其影响因素。方法于2021年5月，采用自行设计问卷对重庆市L区、S区、J区243名家庭医生行医体验和工作满意度等进行调查。采用SPSS 19.0软件对所得数据进行统计分析。结果3区家庭医生总体工作满意度得分为（3.61±0.81）分，3区家庭医生满意度得分比较差异有统计学意义（F=5.650，P=0.004）。3区家庭医生团队协作性条目得分较高；人力资源配备条目得分最低。S区家庭医生工作满意度影响因素有家庭医生团队解决难题能力、签约人数、每日工作时间、人力资源配备、平均月收入、个人岗位胜任力；L区家庭医生工作满意度影响因素有医共体诊疗支持、性别、每月上门服务人次数；J区家庭医生工作满意度影响因素有家庭医生团队协作性、医共体诊疗支持、个人岗位胜任力、年龄、工作年限。结论城市医疗集团紧密型医共体模式下的家庭医生工作满意度较高。重庆市3区家庭医生人力资源配备有待完善。各区基层医疗卫生机构应结合家庭医生满意度影响因素，制定家庭医生个人岗位胜任力和团队能力提升计划。同时，建议在医共体建设中，做好运行机制顶层设计，给予基层医疗卫生机构切实支持。

Abstract:: ObjectiveTo investigate the job satisfaction of family doctors in Chongqing city and analyze its influencing factors.MethodsIn May 2021, 243 family doctors in L, S and J districts of Chongqing were investigated with a self-designed questionnaire on their experience and job satisfaction. SPSS 19.0 software was used to analyze the data.ResultsThe average job satisfaction score of family doctors in the three regions was (3.61±0.81), and the difference was statistically significant (F=5.650, P=0.004). The score of team collaboration of family doctors in the three districts was the highest. The lowest score was in human resource equipment item. The influencing factors of job satisfaction of family doctors in district S included the ability of family doctors to solve difficult problems, the number of contract members, daily working hours, human resources allocation, average monthly income, and individual post competency. The influencing factors of job satisfaction of family doctors in District L were diagnosis and treatment support from the medical group, gender, and number of visits per month. The influencing factors of job satisfaction of family doctors in District J were family doctor teamwork, medical support, personal post competency, age, and working years.Conclusion The job satisfaction of family doctors in urban medical group was high. The human resources of family doctors in the three districts of Chongqing needed to be improved. The primary medical and health institutions in each district should combine the influencing factors of family doctors' satisfaction and formulate the improvement plan of individual post competency and team ability of family doctors. Furthermore, it was suggested that the top-level design of the operation mechanism should be done well in the construction of the medical community, and practical support should be given to primary medical and health institutions.

参考文献/References:

［1］彭雅睿,施楠,陶帅,等.分级诊疗实施中家庭医生团队建设现状及对策研究［J］.中国全科医学,2020,23(1):14-18. ［2］赵晶,范盛然,石晓峰,等.供方视角下家庭医生工作满意度调查及影响因素研究［J］.中国初级卫生保健,2021,35(11):14-16. ［3］上海市浦东新区卫生和计划生育委员会,浦东卫生发展研究院.2016浦东新区卫生发展报告［M］.上海:上海科学技术出版社,2017:1-30. ［4］吴士勇.2021中国卫生健康统计年鉴［M］.北京:中国协和医科大学出版社，2022:180. ［5］黄仕强.重庆探索解决基层医疗卫生机构人才荒难题，“县聘乡用”“乡聘村用”激活卫生人才“一池春水”［N］.工人日报,2022-03-19（01）. ［6］王小娜,瓦热斯·土尔孙,马国芳.乌鲁木齐市家庭医生团队成员签约服务工作满意度情况调查［J］.医学与社会,2020,33(9):63-66,71. ［7］杨建玲,朱洪其,魏新萍,等.家庭医生签约服务模式下全科团队年度考核指标体系构建［J］.中国卫生质量管理,2022,29(1):86-90. ［8］申正付,韩布新,杨秀木,等.胜任力对全科医生工作满意度的影响:工作绩效和组织认同的链式中介作用［J］.中国临床心理学杂志,2018,26(5):1021-1025. ［9］刘冬莹,郭宜鹏,曹立春,等.天津市家庭医生团队服务能力现况调查与分析［J］.中国卫生质量管理,2021,28(10):83-88. ［10］王显君,唐智友,杨文梅,等.基层医疗卫生机构医防“五融合”健康管理服务模式研究［J］.中国全科医学，2020,23(31):3924-3929. ［11］顾蕾.我国行政权力结构调整中选择性集权与分权的新模式探讨［D］.唐山:华北理工大学,2018.

相似文献/References:

[1]杜汋孙华君宁杰王延赏骆达詹引.J市家庭医生签约服务满意度聚类分析[J].中国卫生质量管理,2019,26(01):66.[doi:10.13912/j.cnki.chqm.2019.26.1.20]
[2]吴静娜王志强邵宇群.县域医共体模式下薪酬制度改革实践与研究[J].中国卫生质量管理,2020,27(01):127.[doi:10.13912/j.cnki.chqm.2020.27.1.32]
[3]高亚娟王蜜源张凤銮吴欣.我国家庭医生服务签约意愿相关因素的Meta分析[J].中国卫生质量管理,2021,28(04):99.[doi:10.13912/j.cnki.chqm.2021.28.4.28 ]
　GAO Yajuan,WANG Miyuan,ZHANG Fengluan.Factors Related to Signing Intention of Family Doctor Service in China: a Meta-Analysis[J].Chinese Health Quality Management,2021,28(12):99.[doi:10.13912/j.cnki.chqm.2021.28.4.28 ]
[4]刘冬莹郭宜鹏曹立春范海鸣龚超张华.天津市家庭医生团队服务能力现况调查与分析[J].中国卫生质量管理,2021,28(10):83.[doi:10.13912/j.cnki.chqm.2021.28.10.22 ]
　LIU Dongying,GUO Yipeng,CAO Lichun.Survey on the Service Capacity of Family Physician Team in Tianjin[J].Chinese Health Quality Management,2021,28(12):83.[doi:10.13912/j.cnki.chqm.2021.28.10.22 ]
[5]郭昱君郑振佺杜芳邱亨嘉.应用可避免住院疾病指标评价基层医疗服务质量[J].中国卫生质量管理,2021,28(09):46.[doi:10.13912/j.cnki.chqm.2021.28.9.13 ]
　GUO Yujun,ZHENG Zhenquan,DU Fang.To Evaluate the Quality of Primary Medical Service by Using Indicators of Ambulatory Care Sensitivity Conditions[J].Chinese Health Quality Management,2021,28(12):46.[doi:10.13912/j.cnki.chqm.2021.28.9.13 ]
[6]贾乘一李丽娟.基于CiteSpace的我国基层医疗卫生机构服务能力研究热点分析[J].中国卫生质量管理,2022,29(02):42.[doi:10.13912/j.cnki.chqm.2022.29.2.11 ]
　JIA Chengyi,LI Lijuan.Analysis of Research Hotspots of Service Capability of Primary Medical Istitutions in China Based on CiteSpace[J].Chinese Health Quality Management,2022,29(12):42.[doi:10.13912/j.cnki.chqm.2022.29.2.11 ]
[7]钮登魏靖高晶.上海市家庭医生签约服务绩效考核指标体系的合理性评价[J].中国卫生质量管理,2023,30(03):87.[doi:10.13912/j.cnki.chqm.2023.30.3.18 ]
　NIU Deng,WEI Jing,GAO Jing.The Rationality Evaluation of the Performance Evaluation Index System of Contracted Service for Family Doctors in Shanghai[J].Chinese Health Quality Management,2023,30(12):87.[doi:10.13912/j.cnki.chqm.2023.30.3.18 ]
[8]刘冬莹.家庭医生服务适宜技术培训模式构建研究[J].中国卫生质量管理,2025,32(01):80.[doi:10.13912/j.cnki.chqm.2025.32.1.19]
　LIU Dongying.A Research on the Construction of Appropriate Technology Training Mode for Family Physician Service[J].Chinese Health Quality Management,2025,32(12):80.[doi:10.13912/j.cnki.chqm.2025.32.1.19]
[9]马鸣骁侯冷晨苗润阳徐巨梁.上海市家庭医生签约居民优先预约市级医院门诊号源实践[J].中国卫生质量管理,2025,32(11):77.[doi:10.13912/j.cnki.chqm.2025.32.11.15]
　MA Mingxiao,HOU Lengchen,MIAO Runyang.Practice of Giving Priority to Contracted Residents of Shanghai’s Family Doctors in Booking Outpatient Appointments at Municipal Hospitals[J].Chinese Health Quality Management,2025,32(12):77.[doi:10.13912/j.cnki.chqm.2025.32.11.15]
[10]焦岳龙王娟娟马鸣骁金逸耿益民王瑱张煜婷余飞.分级诊疗背景下上海市三级医院家庭医生签约居民预约转诊服务模式实践[J].中国卫生质量管理,2025,32(11):80.[doi:10.13912/j.cnki.chqm.2025.32.11.16]
　JIAO Yuelong,WANG Juanjuan,MA Mingxiao.Practice of Referral Service Models for Family Doctor-Contracted Residents in Tertiary Hospitals of Shanghai under the Background of Hierarchical Medical System[J].Chinese Health Quality Management,2025,32(12):80.[doi:10.13912/j.cnki.chqm.2025.32.11.16]

更新日期/Last Update: 2022-12-28