Byers V L, Mays M Z, Mark D D
PRC, Inc., Litton, San Antonio, TX 78218, USA.
Mil Med. 1999 Feb;164(2):132-5.
The job satisfaction of physicians, nurse practitioners, and physician assistants was assessed during the course of a multicenter study of Army primary care clinics. All providers in nine clinics at three medical centers who were engaged in adult or family care were invited to participate in the study. Questionnaires on job satisfaction and other practice style variables were completed by 26 physicians, 19 nurse practitioners, and 13 physician assistants (46, 76, and 41% of eligible providers, respectively). Analysis revealed a broad range of job satisfaction in the sample. However, average levels of job satisfaction were not significantly different across the three groups of primary care providers. Autonomy and collaboration were significant predictors of job satisfaction. It is clear that changes in health care systems that reduce, or appear to reduce, the primary care provider's autonomy in clinical matters are likely to reduce provider satisfaction as well.
在一项针对陆军基层医疗诊所的多中心研究过程中，对医生、执业护士和医师助理的工作满意度进行了评估。三个医疗中心的九家诊所中，所有从事成人或家庭护理的医疗服务提供者都被邀请参与该研究。26名医生、19名执业护士和13名医师助理（分别占符合条件提供者的46%、76%和41%）完成了关于工作满意度和其他执业风格变量的问卷调查。分析显示样本中的工作满意度范围很广。然而，三组基层医疗服务提供者的平均工作满意度水平没有显著差异。自主性和协作是工作满意度的重要预测因素。显然，医疗保健系统中减少或似乎减少基层医疗服务提供者在临床事务中自主性的变革，也可能会降低服务提供者的满意度。
