Zafar Hanna M, Lewis Rebecca S, Sunshine Jonathan H
Department of Radiology, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
Radiology. 2007 Jul;244(1):223-31. doi: 10.1148/radiol.2441061049. Epub 2007 May 23.
To prospectively ascertain what characteristics of radiologists, their practices, and their work environment affect professional satisfaction and to describe recent changes in satisfaction.
Survey respondents were guaranteed confidentiality. Those who consented to participate were informed of the nature of the study. The authors analyzed nonindividually identified data from the American College of Radiology 2003 Survey of Radiologists, a nationally representative, confidential, stratified random-sample mail survey of radiologists in the United States, which had a 63% response rate, with a total of 1924 responses. Data were weighted to be representative of all U.S. radiologists and were analyzed by using univariate and multivariate analyses. The five answer options to questions regarding level of satisfaction corresponded to scores of +2, +1, 0, -1, and -2. Results were compared with those of a similar 1995 survey.
Although 93% of radiologists enjoyed radiology very much or somewhat, the mean satisfaction score for posttraining professionally active radiologists decreased from 1.62 in 1995 to 1.47 in 2003. Thirty-two percent of radiologists reported enjoying radiology more than 5 years ago; 41% said they enjoyed it less. Excessive workload reduced current satisfaction and satisfaction relative to 5 years ago. Working in the Midwest enhanced current satisfaction and satisfaction relative to 5 years ago. Practice type and practice ownership had more varied effects on professional satisfaction; subspecialty type had relatively little effect. In 2003, medicolegal climate, workload, and reimbursement and/or financial pressures were the three most common reasons for decreased satisfaction. In 1995, interference from managed care; government regulations, control, and red tape; and increased administrative burden were the three most common reasons. Lifestyle and/or work hours, and income were the most common causes of increased satisfaction in 2003, but these were also often mentioned as causes of decreased satisfaction.
Radiologists have higher levels of professional satisfaction than do other physicians; however, as with physicians overall, their satisfaction has decreased over time.
前瞻性地确定放射科医生的哪些特征、他们的执业情况以及工作环境会影响职业满意度，并描述满意度的近期变化。
向调查对象保证其信息保密。同意参与的人员被告知研究的性质。作者分析了美国放射学会2003年放射科医生调查中的非个体识别数据，该调查是对美国放射科医生进行的具有全国代表性、保密的分层随机抽样邮件调查，回复率为63%，共收到1924份回复。对数据进行加权以代表所有美国放射科医生，并采用单变量和多变量分析。关于满意度水平问题的五个答案选项对应于+2、+1、0、-1和-2的分数。将结果与1995年的类似调查结果进行比较。
尽管93%的放射科医生非常喜欢或有点喜欢放射学，但培训后从事专业工作的放射科医生的平均满意度得分从1995年的1.62降至2003年的1.47。32%的放射科医生表示比5年前更喜欢放射学；41%的人表示更喜欢程度降低。工作量过大降低了当前的满意度以及与5年前相比的满意度。在中西部地区工作提高了当前的满意度以及与5年前相比的满意度。执业类型和执业所有权对职业满意度的影响更为多样；亚专业类型的影响相对较小。2003年，医疗法律环境、工作量以及报销和/或财务压力是满意度下降的三个最常见原因。1995年，管理式医疗的干扰、政府法规、控制和繁琐手续以及行政负担增加是三个最常见原因。生活方式和/或工作时间以及收入是2003年满意度提高的最常见原因，但这些也经常被提及为满意度下降的原因。
放射科医生的职业满意度水平高于其他医生；然而，与所有医生一样，他们的满意度随着时间的推移而下降。
