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医生的工作满意度与工作状况:德国一家大学医院的调查

Job satisfaction and the work situation of physicians: a survey at a German university hospital.

作者信息

Laubach Wilfried, Fischbeck Sabine

机构信息

Abteilung für Medizinische Psychologie und Medizinische Soziologie, Johannes Gutenberg-Universitat Mainz.

出版信息

Int J Public Health. 2007;52(1):54-9. doi: 10.1007/s00038-006-5021-x.

Abstract

OBJECTIVE

Job demands and workload of hospital physicians are increasing. The object of this survey was to examine the factors that constitute job satisfaction and to analyse physicians' work situation in the area of in-patient care.

METHODOLOGY

447 physicians at a German University Hospital received questionnaires with regard to work situation, job satisfaction and personal health. Data were analysed by MANOVA and multiple regression models.

RESULTS

A first regression model explained 53% of the variance in satisfaction with "work and profession". Among the explanatory variables "superiors and hierarchy" showed the highest beta-weight (beta = -0.49). "Personal health" also determined job satisfaction, for female physicians stronger (beta = -0.31) than for male physicians (beta = -0.11). In a second regression model on satisfaction with "Financial situation" only 18% of the variance was explained, whereby "work condition on the ward", "personal health" and "collaboration between occupational groups" showed the highest beta-weights.

DISCUSSION

Among resident physicians, work conditions, superiors, hierarchy, transparency and participation in decisions are very important variables for job satisfaction. Improvements in these aspects may improve job satisfaction and help to reduce physician shortage in hospitals.

摘要

目的

医院医生的工作要求和工作量在不断增加。本次调查的目的是研究构成工作满意度的因素,并分析住院护理领域医生的工作状况。

方法

德国一家大学医院的447名医生收到了关于工作状况、工作满意度和个人健康的问卷。数据通过多变量方差分析和多元回归模型进行分析。

结果

第一个回归模型解释了“工作和职业”满意度方差的53%。在解释变量中,“上级和层级”的β权重最高(β = -0.49)。“个人健康”也决定工作满意度,对女医生的影响(β = -0.31)比对男医生的影响(β = -0.11)更大。在关于“财务状况”满意度的第二个回归模型中,仅解释了18%的方差,其中“病房工作条件”“个人健康”和“职业群体之间的协作”的β权重最高。

讨论

在住院医生中,工作条件、上级、层级、透明度和参与决策是工作满意度的非常重要的变量。这些方面的改善可能会提高工作满意度,并有助于减少医院的医生短缺问题。

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