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中国急诊科医生的工作满意度及其相关因素。

Job satisfaction and its related factors among emergency department physicians in China.

机构信息

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

School of Nursing, Wuchang University of Technology, Wuhan, China.

出版信息

Front Public Health. 2022 Jul 22;10:925686. doi: 10.3389/fpubh.2022.925686. eCollection 2022.

Abstract

BACKGROUND

Job satisfaction is recognized as an important factor affecting the performance and quality of medical services of emergency department physicians. However, little is known about the status of job satisfaction among emergency department physicians in China. This study aimed to explore the current level of job satisfaction and its associated factors among emergency department physicians in China.

METHODS

A nationwide cross-sectional survey was conducted in China from July to August 2018. A total of 10,457 emergency department physicians completed the questionnaire. The structured online questionnaire collected information on socio-demographic characteristics, work-related factors, work-family conflict, and job satisfaction. Student's -test or ANOVA were used to compare the job satisfaction scores in different characters. The generalized linear model was used to investigate the related factors of job satisfaction among emergency department physicians.

RESULTS

The respondents' job satisfaction average score was 12.2 ± 3.6, of which 42.01% were satisfied of which the job. The results showed that emergency department physicians over 41 years old, with a higher income and working in central and western regions were positively associated with job satisfaction. In contrast, bachelor degree and above, fixed posts, long years of service, a high frequency of night shift, perceived shortage of physicians, perceived medical errors, and higher work-family conflict scores were negatively correlated with job satisfaction among emergency department physicians.

CONCLUSION

Job satisfaction of emergency department physicians in China is low. It is suggested that hospital administrators could improve the job satisfaction of emergency department physicians by establishing an acceptable shift system, ensuring adequate emergency department staffing, increasing their income appropriately and alleviating work-family conflict.

摘要

背景

工作满意度是影响急诊科医师医疗服务绩效和质量的重要因素之一。然而,目前中国急诊科医师工作满意度的现状尚不清楚。本研究旨在探讨中国急诊科医师工作满意度的现状及其相关因素。

方法

2018 年 7 月至 8 月,在中国进行了一项全国性的横断面调查。共有 10457 名急诊科医师完成了问卷。结构化的在线问卷收集了社会人口统计学特征、工作相关因素、工作-家庭冲突和工作满意度等信息。采用学生 t 检验或方差分析比较不同特征的工作满意度评分。采用广义线性模型探讨急诊科医师工作满意度的相关因素。

结果

被调查者的工作满意度平均得分为 12.2±3.6,其中 42.01%对工作感到满意。结果表明,41 岁以上、收入较高、工作在中西部地区的急诊科医师与工作满意度呈正相关。相比之下,本科及以上学历、固定岗位、服务年限长、夜班频率高、认为医生短缺、认为发生医疗差错、工作-家庭冲突得分较高与急诊科医师工作满意度呈负相关。

结论

中国急诊科医师的工作满意度较低。建议医院管理人员通过建立可接受的轮班制度、确保急诊科有足够的人员配置、适当增加收入以及缓解工作-家庭冲突,来提高急诊科医师的工作满意度。

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