Monash University, Melbourne, VIC, Australia.
Med J Aust. 2011 Jan 3;194(1):30-3. doi: 10.5694/j.1326-5377.2011.tb04142.x.
To compare the level and determinants of job satisfaction between four groups of Australian doctors: general practitioners, specialists, specialists-in-training, and hospital non-specialists.
DESIGN, PARTICIPANTS AND SETTING: National cross-sectional questionnaire survey as part of the baseline cohort of a longitudinal survey of Australian doctors in clinical practice (Medicine in Australia - Balancing Employment and Life [MABEL]), undertaken between June and November 2008, including 5193 Australian doctors (2223 GPs, 2011 specialists, 351 hospital non-specialists, and 608 specialists-in-training).
Job satisfaction scores for each group of doctors; the association between job satisfaction and doctor, job and geographical characteristics.
85.7% of doctors were moderately or very satisfied with their jobs. There were no differences in job satisfaction between GPs, specialists and specialists-in-training. Hospital non-specialists were the least satisfied compared with GPs (odds ratio [OR], 0.56 [95% CI, 0.39-0.81]). For all doctors, factors associated with high job satisfaction were a good support network (OR, 1.72 [95% CI, 1.41-2.10]), patients not having unrealistic expectations (OR, 1.48 [95% CI, 1.25-1.75]), and having no difficulty in taking time off work (OR,1.48 [95% CI, 1.20-1.84]). These associations did not vary across doctor types. Compared with GPs, on-call work was associated with lower job satisfaction for specialists (OR, 0.48 [95% CI, 0.23-0.98]) and hospital non-specialists (OR, 0.25 [95% CI, 0.08-0.83]).
This is the first national survey of job satisfaction for doctors in Australia. It provides an important baseline to examine the impact of future health care reforms and other policy changes on the job satisfaction of doctors.
比较澳大利亚四组医生（全科医生、专科医生、专科培训医生和医院非专科医生）的工作满意度水平和决定因素。
设计、参与者和设置：这是一项全国性的横断面问卷调查，作为澳大利亚临床医生纵向调查（医学在澳大利亚——平衡就业和生活[MABEL]）的基线队列的一部分，于 2008 年 6 月至 11 月进行，包括 5193 名澳大利亚医生（2223 名全科医生、2011 名专科医生、351 名医院非专科医生和 608 名专科培训医生）。
每位医生的工作满意度评分；工作满意度与医生、工作和地理特征之间的关系。
85.7%的医生对自己的工作表示中度或非常满意。全科医生、专科医生和专科培训医生之间的工作满意度没有差异。与全科医生相比，医院非专科医生的满意度最低（比值比[OR]，0.56[95%可信区间，0.39-0.81]）。对于所有医生，与高工作满意度相关的因素包括良好的支持网络（OR，1.72[95%可信区间，1.41-2.10]）、患者没有不切实际的期望（OR，1.48[95%可信区间，1.25-1.75]）和没有休假困难（OR，1.48[95%可信区间，1.20-1.84]）。这些关联在不同医生类型之间没有差异。与全科医生相比，专科医生（OR，0.48[95%可信区间，0.23-0.98]）和医院非专科医生（OR，0.25[95%可信区间，0.08-0.83]）的轮班工作与较低的工作满意度相关。
这是澳大利亚首次对医生工作满意度进行的全国性调查。它为未来的医疗改革和其他政策变化对医生工作满意度的影响提供了一个重要的基线。
