东北三省基层医疗服务提供者工作满意度和社会支持对工作绩效的影响：一项横断面研究。
Impact of Job Satisfaction and Social Support on Job Performance Among Primary Care Providers in Northeast China: A Cross-Sectional Study.
机构信息
School of Economics and Management, Harbin Engineering University, Harbin, China.
School of Marxism, Harbin Medical University, Harbin, China.
出版信息
Front Public Health. 2022 Jun 21;10:884955. doi: 10.3389/fpubh.2022.884955. eCollection 2022.
BACKGROUND
Primary health care institutions face major challenges in maintaining the accessibility and affordability of health services. This requires primary care providers to change and improve their performance. Therefore, Study on the job performance is conducive to improve the quality of primary health care services and the sense of access of primary care providers.To understand the current status of job performance among primary care providers in Heilongjiang Province, China, and explore the impact of job satisfaction and social support on job performance, further to improve the job performance of primary care providers and ensure the stable development of primary health services.
METHODS
A stratified sampling method was adopted to select 1,500 primary care providers from seven cities in Heilongjiang Province, China, using the gross domestic product development level of each city as a basis. A questionnaire survey was conducted (effective response rate was 85.8%) by using sociodemographic factors, job satisfaction scale, social support scale and job performance scale. One-way ANOVA or independent sample -test was used to analyze the differences of demographic factors on job performance. Pearson correlation analysis was used to measure relationship between job satisfaction, social support and job performance. Hierarchical linear regression was used to analyze the relevant influencing factors associated with job performance among primary care providers.
RESULTS
Among the primary care providers who participated in this survey, the mean job performance score was 22.189 (SD = 7.695). The job performance of primary care providers was positively correlated with job satisfaction (r=0.574, < 0.001), and was also positively correlated with social support (r = 0.534, < 0.001). Model 3 showed that job satisfaction (β = 0.299, < 0.001) and social support (β = 0.149, p <0.001) are positive predictors of job performance, respectively. Moreover, the regression relationship explained that 37.6% for the variation of the dependent variable.
CONCLUSIONS
The job performance of primary care providers in Heilongjiang province is relatively low. Job satisfaction and social support are the relevant factors affecting the job performance of primary care providers. It is necessary to provide assistance to primary care providers in terms of family, organization, society, policy, etc., to improve their job performance, and to better provide high-quality health services to the grassroots.
背景
基层医疗机构在维持医疗服务的可及性和可负担性方面面临重大挑战。这需要基层医疗服务提供者改变和提高他们的绩效。因此，对工作绩效的研究有利于提高基层医疗服务的质量和基层医疗服务提供者的可及感。为了解中国黑龙江省基层医疗服务提供者的工作绩效现状，探讨工作满意度和社会支持对工作绩效的影响，进一步提高基层医疗服务提供者的工作绩效，确保基层卫生服务的稳定发展。
方法
采用分层抽样方法，以每个城市的国内生产总值发展水平为基础，从中国黑龙江省的 7 个城市中选取 1500 名基层医疗服务提供者。采用社会人口学因素、工作满意度量表、社会支持量表和工作绩效量表进行问卷调查（有效应答率为 85.8%）。采用单因素方差分析或独立样本 t 检验分析人口统计学因素对工作绩效的差异。采用 Pearson 相关分析测量工作满意度、社会支持与工作绩效之间的关系。采用层次线性回归分析基层医疗服务提供者工作绩效的相关影响因素。
结果
在参与本次调查的基层医疗服务提供者中，工作绩效平均得分为 22.189（SD=7.695）。基层医疗服务提供者的工作绩效与工作满意度呈正相关（r=0.574， <0.001），与社会支持呈正相关（r=0.534， <0.001）。模型 3显示，工作满意度（β=0.299， <0.001）和社会支持（β=0.149，p<0.001）分别是工作绩效的正预测因子。此外，回归关系解释了因变量变化的 37.6%。
结论
黑龙江省基层医疗服务提供者的工作绩效相对较低。工作满意度和社会支持是影响基层医疗服务提供者工作绩效的相关因素。有必要从家庭、组织、社会、政策等方面为基层医疗服务提供者提供帮助，提高他们的工作绩效，为基层提供更好的高质量卫生服务。
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