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[基层医疗的工作氛围:哪些方面需要改进?]

[Working atmosphere in primary care: what needs improving?].

作者信息

Cortés Rubio J A, Martín Fernández J, Morente Páez M, Caboblanco Muñoz M, Garijo Cobo J, Rodríguez Balo A

机构信息

Area 11 de Atención Primaria. Instituto Madrileño de la Salud, Madrid, España.

出版信息

Aten Primaria. 2003 Sep 30;32(5):288-95. doi: 10.1016/s0212-6567(03)79277-4.

DOI:10.1016/s0212-6567(03)79277-4
PMID:14519291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7668944/
Abstract

OBJECTIVE

To evaluate the factors linked to the perception of professional quality of life (PQL) in a health area.

DESIGN

Analytical cross-sectional study.

SETTING

Area 11, primary care, Madrid.

PARTICIPANTS

The professionals in the area (1436) were stratified into three groups: I) doctors, pharmacists and psychologists; II) nurses, midwives, physiotherapists and social workers, and III) administrative and nursing assistants and caretakers.

INTERVENTIONS

A satisfaction questionnaire (PQL-35) was sent out to 450 professionals selected at random. 282 replies were received (62.7%). All calculations used 95% confidence intervals.

RESULTS

The mean PQL score (scale from 1 to 10) was 5.14 (4.90-5.37); for intrinsic motivation (IM), 7.41 (7.26-7.53); for management support (MS), 4.80 (4.64-4.96); and for work-loads (WL), 6.06 (5.91-6.21). Perception of PQL was higher in women, group II and professionals with fewer work demands. Perception of best MS was in women, urban centres and people in charge of administrative areas. Women and temporary workers had higher IM. WL perception was higher in groups I and III. Age, marital status, work shift, length of employment, number of companions and belonging to management committees were not related to PQL. In the multi-variate analysis MS was found to be the factor most affecting PQL.

CONCLUSIONS

Perception of PQL is medium-low, with adequate intrinsic motivation but a certain discontent related to high work-loads and perception of scant management support.

摘要

目的

评估与健康领域职业生活质量(PQL)认知相关的因素。

设计

分析性横断面研究。

地点

马德里第11区初级保健机构。

参与者

该地区的专业人员(1436名)被分为三组:I)医生、药剂师和心理学家;II)护士、助产士、物理治疗师和社会工作者;III)行政和护理助理以及护工。

干预措施

向随机挑选的450名专业人员发放一份满意度问卷(PQL - 35)。共收到282份回复(62.7%)。所有计算均采用95%置信区间。

结果

PQL平均得分(1至10分制)为5.14(4.90 - 5.37);内在动力(IM)为7.41(7.26 - 7.53);管理支持(MS)为4.80(4.64 - 4.96);工作负荷(WL)为6.06(5.91 - 6.21)。女性、第二组专业人员以及工作需求较少的人员对PQL的认知较高。对最佳管理支持的认知体现在女性、城市中心以及行政区负责人身上。女性和临时工的内在动力较高。第一组和第三组对工作负荷的认知较高。年龄、婚姻状况、工作班次、工作时长、同伴数量以及是否属于管理委员会与PQL无关。在多变量分析中,发现管理支持是对PQL影响最大的因素。

结论

职业生活质量的认知处于中低水平,内在动力充足,但对高工作负荷和管理支持不足存在一定不满。

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Why are doctors so unhappy? There are probably many causes, some of them deep.为什么医生如此不开心?可能有许多原因,其中一些原因很深刻。
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