Department of General Practice and Health Services Research, University of Heidelberg, Heidelberg, Germany.
BMC Fam Pract. 2013 Aug 5;14:110. doi: 10.1186/1471-2296-14-110.
Job satisfaction and organizational attributes in primary care teams are important issues as they affect clinical outcomes and the quality of health care provided. As practice assistants are an integral part of these teams it is important to gain insight into their views on job satisfaction and organizational attributes. The aim of this study was to evaluate the job satisfaction of practice assistants and the organizational attributes within their general practices in Germany and to explore the existence of possible associations.
This observational study was based on a job satisfaction survey and measurement of organizational attributes in general practices in the German federal state of Baden-Wuerttemberg. Job satisfaction was measured with the 10-item 'Warr-Cook-Wall job satisfaction scale'. Organizational attributes were evaluated with the 21-items 'survey of organizational attributes for primary care' (SOAPC). Linear regression analyses were performed in which each of SOAPC scales and the overall score of SOAPC was treated as outcome variables.
586 practice assistants out of 794 respondents (73.8%) from 234 general practices completed the questionnaire. Practice assistants were mostly satisfied with their colleagues and least of all satisfied with their income and recognition for their work. The regression analysis showed that 'freedom of working method' and 'recognition of work', the employment status of practice assistants and the mode of practice were almost always significantly associated with each subscale and overall score of SOAPC.
Job satisfaction is highly associated with different aspects of organizational attributes for primary care ('communication', 'decision-making' and 'stress'). Consequently, improved job satisfaction could lead to a better-organized primary care team. This implication should be investigated directly in further intervention studies with a special focus on improving the recognition for work and income.
初级保健团队中的工作满意度和组织属性是重要问题，因为它们会影响临床结果和所提供的医疗质量。由于实践助理是这些团队的重要组成部分，因此了解他们对工作满意度和组织属性的看法很重要。本研究的目的是评估德国实践助理的工作满意度和他们所在的一般实践中的组织属性，并探讨可能存在的关联。
这项观察性研究基于德国巴登-符腾堡州一般实践中的工作满意度调查和组织属性测量。工作满意度用 10 项“Warr-Cook-Wall 工作满意度量表”进行测量。组织属性用 21 项“初级保健组织属性调查”（SOAPC）进行评估。进行线性回归分析，其中 SOAPC 量表的每个和 SOAPC 的总得分作为结果变量。
234 家诊所中的 794 名受访者中有 586 名（73.8%）实践助理完成了问卷。实践助理对同事最为满意，对收入和工作认可最不满意。回归分析表明，“工作方法的自由”和“工作认可”、实践助理的雇佣状况以及实践模式几乎总是与 SOAPC 的每个子量表和总得分显著相关。
工作满意度与初级保健的不同组织属性方面高度相关（“沟通”、“决策”和“压力”）。因此，提高工作满意度可能会导致初级保健团队更好地组织。这一含义应在进一步的干预研究中直接进行调查，特别关注提高对工作和收入的认可。
