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[墨西哥社会保障局基层医疗医生的工作满意度]

[Job satisfaction among primary care physicians at the IMSS].

作者信息

Valderrama-Martínez José Arturo, Dávalos-Díaz Guillermina

机构信息

Unidad de Medicina Familiar No. 51 IMSS de León.

出版信息

Rev Invest Clin. 2009 Mar-Apr;61(2):119-26.

Abstract

OBJECTIVE

To know factors related to job satisfaction among primary care Physicians from the Mexican Social Security Institute.

MATERIAL AND METHODS

Cross-sectional survey applied to physicians of outpatient visit areas in four Family Medicine Units in Leon, Guanajuato, from February to May 2007. The survey explored six areas. We used 95% confidence intervals and One-Way ANOVA to compare means among clinics and Chi square and OR'95% confidence intervals to compare proportions.

RESULTS

One hundred sixty physicians participated (response rate 88.9%), three were excluded. Most physicians were satisfied with their work (86%). Half of the doctors feel satisfied with their economic benefits (48%), non-economic benefits (52%), and those from the collective bargaining agreement (53%), as well as with the labor union (46%) and their actual insurances (45%). Only one third or less of participants refer to receive incentives (31%) or recognitions for their work (33%), were satisfied with the opportunities for training (31%), the economic incentives (29%), or the salary (24%). The satisfaction's means of work, benefits, insurances, labor union and collective bargaining agreement were significantly higher than the means of salary and economic incentives. Satisfaction means were significantly higher in Clinic #53 than in Clinic #51 for job satisfaction and opportunities for training, as well as percentages of response in institutional support, incentives and recognitions for their work, were higher in Clinic 53 compared to all other clinics; however, it's the smallest clinic in this study.

CONCLUSIONS

Family doctors find satisfaction in their practice, and factors such as institutional support, recognition and incentives may improve their general job satisfaction.

摘要

目的

了解墨西哥社会保障机构基层医疗医生工作满意度的相关因素。

材料与方法

2007年2月至5月,对瓜纳华托州莱昂市四个家庭医疗单位门诊区域的医生进行横断面调查。该调查探索了六个领域。我们使用95%置信区间和单因素方差分析来比较各诊所之间的均值,并使用卡方检验和OR的95%置信区间来比较比例。

结果

160名医生参与调查(回复率88.9%),3人被排除。大多数医生对工作满意(86%)。一半的医生对经济福利(48%)、非经济福利(52%)、集体谈判协议中的福利(53%)、工会(46%)以及实际保险(45%)感到满意。只有三分之一或更少的参与者表示获得了工作激励(31%)或认可(33%),对培训机会(31%)、经济激励(29%)或薪资(24%)感到满意。工作、福利、保险、工会和集体谈判协议的满意度均值显著高于薪资和经济激励的均值。在工作满意度和培训机会方面,53号诊所的满意度均值显著高于51号诊所,并且在机构支持、工作激励和认可方面的回复率,53号诊所高于所有其他诊所;然而,它是本研究中规模最小的诊所。

结论

家庭医生对其工作感到满意,机构支持、认可和激励等因素可能会提高他们的总体工作满意度。

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