Department of Social Medicine, School of Public Health, China Medical University, No. 92, Beier Road, Heping District, Shenyang, Liaoning 110001, People's Republic of China.
Public Health. 2013 Oct;127(10):946-51. doi: 10.1016/j.puhe.2012.12.017. Epub 2013 Oct 1.
The huge population basic and the transformational changes to healthcare system in China have gained wide public attention in recent years. Along with these issues is a growing literature about doctor's job satisfaction; however, more is known about its negative related factors. Thus, this study was an attempt to assess the level of job satisfaction among Chinese doctors and to explore factors that enhance their job satisfaction.
Cross-sectional questionnaire-based survey.
A cross-sectional study was conducted during the period of September/October 2010. A questionnaire containing job satisfaction assessed by Minnesota Satisfaction Questionnaire (MSQ), demographic characteristics, work conditions, psychological capital (PsyCap) and perceived organizational support (POS) was distributed to 1300 registered doctors in Liaoning province. A total of 984 respondents became our subjects (effective response rate 75.7%). Hierarchical regression was performed to explore the factors associated with satisfaction.
The average MSQ score was 65.86 (level ranking for MSQ, 20-100) in our study population. Hierarchical regression analysis showed that POS (β = 0.412, P < 0.001), PsyCap (β = 0.255, P < 0.001), incentive system (β = 0.119, P < 0.001) and educational background (β = 0.056, P = 0.042) were positively associated with job satisfaction.
The job satisfaction of Chinese doctors was at a moderate level. POS and PsyCap seemed to be the most crucial factors in relation to job satisfaction. Therefore, efficient measures such as building a supportive work environment and developing doctors' PsyCap should be considered by health administrators in order to promote job satisfaction among Chinese doctors.
近年来,中国庞大的人口基数和医疗体系转型变革引起了广泛的公众关注。伴随着这些问题的是越来越多的关于医生工作满意度的文献,但更多的是关于其负面相关因素的研究。因此,本研究试图评估中国医生的工作满意度水平,并探讨提高其工作满意度的因素。
基于横断面的问卷调查。
本研究于 2010 年 9 月至 10 月期间进行了一项横断面调查。采用明尼苏达满意度问卷(Minnesota Satisfaction Questionnaire,MSQ)评估工作满意度,同时还收集了人口统计学特征、工作条件、心理资本(Psychological Capital,PsyCap)和感知组织支持(Perceived Organizational Support,POS)等方面的信息。共向辽宁省注册医生发放了 1300 份问卷,最终有 984 名医生成为我们的研究对象(有效应答率为 75.7%)。采用分层回归分析方法来探讨与满意度相关的因素。
本研究人群的平均 MSQ 得分为 65.86 分(MSQ 得分范围为 20-100)。分层回归分析结果显示,POS(β=0.412,P<0.001)、PsyCap(β=0.255,P<0.001)、激励制度(β=0.119,P<0.001)和教育背景(β=0.056,P=0.042)与工作满意度呈正相关。
中国医生的工作满意度处于中等水平。POS 和 PsyCap 似乎是与工作满意度最相关的关键因素。因此,卫生管理者应该考虑采取有效的措施,如营造支持性的工作环境和培养医生的 PsyCap,以提高中国医生的工作满意度。