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公立医院医生工作幸福感的潜在剖面分析

A latent profile analysis of doctors' joy in work at public hospitals.

作者信息

Zhu Weilin, Li Jiayi, Wu Liqun, Du Fang, Zhou Yi, Diao Kaichuan, Zeng Huatang

机构信息

Shenzhen Health Development Research and Data Management Center, Shenzhen, China.

Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

Front Psychol. 2024 Mar 21;15:1330078. doi: 10.3389/fpsyg.2024.1330078. eCollection 2024.

Abstract

INTRODUCTION

When doctors' work stress increases, their joy in work decreases, severely affecting the quality of care and threatening patient safety. Analysis of the latent categories of joy in work of doctors in public hospitals and the differences in the characteristics of each category can help uncover hidden messages that enhance doctors' joy in work.

METHODS

Questionnaires were administered to 426 doctors working in public hospitals using the general information questionnaire and the public hospital doctor's joy in work evaluation scale. Upon identifying their potential categories using latent profile analysis, chi-square test, and multinomial logistic regression were performed to analyze the differences in the characteristics of each category.

RESULTS

The 426 public hospital doctors could be divided into three potential categories: "low joy in work" (11.27%), "medium joy in work" (59.86%), and "high joy in work" (28.87%). Most of the doctors did not have much joy in work, with 71.13% of them having "low to medium joy in work." Doctors who work in secondary or tertiary hospitals, have a personnel agency or contract, and are older than 45 years are more likely to belong to the "low joy in work" category. Some of the protective factors are having an average monthly income (RMB) of 10,001-15,000 yuan and having a fair or good self-rated health status.

CONCLUSION

There are obvious classification characteristics of doctors' level of joy in work. Hospital managers can take commensurate actions to improve their joy in work, thereby improving patient safety and the quality of medical services.

摘要

引言

当医生的工作压力增加时,他们的工作乐趣会减少,这严重影响医疗质量并威胁患者安全。分析公立医院医生工作乐趣的潜在类别以及各类别特征差异,有助于发现提升医生工作乐趣的隐藏信息。

方法

使用一般信息问卷和公立医院医生工作乐趣评估量表,对426名在公立医院工作的医生进行问卷调查。运用潜在类别分析确定其潜在类别后,进行卡方检验和多项逻辑回归分析各类别特征差异。

结果

426名公立医院医生可分为三个潜在类别:“工作乐趣低”(11.27%)、“工作乐趣中等”(59.86%)和“工作乐趣高”(28.87%)。大多数医生工作乐趣不高,71.13%的医生“工作乐趣低至中等”。在二级或三级医院工作、有人事代理或合同制且年龄超过45岁的医生更有可能属于“工作乐趣低”类别。一些保护因素包括月平均收入(人民币)为10001 - 15000元以及自我评估健康状况为良好或中等。

结论

医生工作乐趣水平存在明显的分类特征。医院管理者可采取相应措施提高他们的工作乐趣,从而提高患者安全和医疗服务质量。

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