Liang Ying, Wang Hanwei, Tao Xiaojun
Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Nanjing, People's Republic of China.
School of Fine Arts, Nanjing Normal University, Nanjing, People's Republic of China.
Int J Equity Health. 2015 Sep 24;14:85. doi: 10.1186/s12939-015-0199-2.
In contemporary Chinese society, obstacles such as frequent violence against medical workers and tense doctor-patient relationships affect the health of Chinese doctors. This study attempted to explore the quality of life (QOL) of young clinical doctors in public hospitals in China's developed cities to study the psychometric properties of QOL and related risk factors of doctors' health.
This study sampled young doctors aged 15-45 in 18 public hospitals of three cities in East China (Shanghai, Nanjing, and Hangzhou, N = 762). The Nottingham Health Profile was used to measure QOL, the dependent variable of this study. Methodologies such as reliability analysis, mean comparison, and exploratory factor analysis were used to study related psychometric properties.
Almost 90 % of young Chinese clinical doctors have a bachelor's degree or above. Approximately 70.4 % of the doctors have relatively low job titles. Among the sample, 76.1 % have a monthly income ranging from USD 326 to USD 1139, and 91.3 % work over eight hours daily. These respondents have poor sleeping habits and mental functions, but have relatively good physical functions. Being female, low education, low job title, low salary, and long work hours are factors associated with doctors' poor QOL. Regression analysis results emphasize the great effect of high education on the improvement of QOL.
Young clinical doctors in public hospitals in Chinese developed cities have poor QOL. Reforms on the current medical health system, improving the working environment of doctors and relieve their occupational stress should be required.
在当代中国社会,诸如频繁发生的针对医护人员的暴力行为以及紧张的医患关系等障碍影响着中国医生的健康。本研究试图探讨中国发达城市公立医院年轻临床医生的生活质量(QOL),以研究生活质量的心理测量特性以及医生健康的相关风险因素。
本研究对中国东部三个城市(上海、南京和杭州)18家公立医院的15 - 45岁年轻医生进行抽样(N = 762)。使用诺丁汉健康量表来测量本研究的因变量——生活质量。采用可靠性分析、均值比较和探索性因素分析等方法来研究相关的心理测量特性。
近90%的中国年轻临床医生拥有本科及以上学历。约70.4%的医生职称相对较低。在样本中,76.1%的医生月收入在326美元至1139美元之间,91.3%的医生每天工作超过8小时。这些受访者睡眠习惯和心理功能较差,但身体功能相对较好。女性、低学历、低职称、低工资和长时间工作是与医生生活质量差相关的因素。回归分析结果强调高学历对改善生活质量有很大影响。
中国发达城市公立医院的年轻临床医生生活质量较差。需要对当前医疗卫生系统进行改革,改善医生的工作环境并减轻他们的职业压力。