Wen Zongliang, Wu Shenqin, Bai Long, Jintao Xu, Zhao Yun, Fang Jinhua, Abdirizak Jama Hamdi
School of Management, Xuzhou Medical University, Xuzhou, China.
School of Public Health, Xuzhou Medical University, Xuzhou, China.
Front Psychiatry. 2024 Aug 29;15:1439636. doi: 10.3389/fpsyt.2024.1439636. eCollection 2024.
Primary care physicians (PCPs) are doctors in primary health care institutions, namely village clinics, township health centers and community health service centers (stations) who are the main providers of primary health care services in primary health care settings. Improving the overall health status of the population requires the support of a large number of primary care physicians; however, the job satisfaction of this group has not been sufficiently emphasized and recognized.
The purpose of this study was to examine the effects of primary care physicians' work-family conflict on their job satisfaction, as well as the mediating role of burnout and the moderating role of social support.
This cross-sectional study was conducted from February 2023 to March 2023. Participants were 749 primary care physicians from four cities of Xuzhou, Linyi, Huaibei, and Shangqiu in the Huaihai Economic Zone of China. SPSS statistical analysis was used to evaluate the relationship between work-family conflict, social support, burnout and job satisfaction among medical workers.
Work-family conflict had a significant negative effect on job satisfaction ( = -0.36, < 0.001), after adding burnout in the model, work-family conflict also negatively predicted job satisfaction ( = -0.32, < 0.001). Social support had a moderating effect on the direct effect of burnout on job satisfaction ( = 0.00, = 2.66, < 0.01, 95% [0.001, 0.007]), the predictive effect of burnout on job satisfaction at high level of social support ( = -0.45, < 0.001) was higher than a low level of social support ( = -0.33, < 0.001).
This study demonstrated the negative impact of work-family conflict on primary care physicians' job satisfaction, as well as the mediating role of burnout and the moderating role of social support on burnout and job satisfaction, which are important for improving primary care physicians' job satisfaction and enhancing the quality of primary care in the future.
基层医疗医生是基层医疗卫生机构，即村卫生室、乡镇卫生院和社区卫生服务中心（站）的医生，是基层医疗卫生服务的主要提供者。改善人群的整体健康状况需要大量基层医疗医生的支持；然而，这一群体的工作满意度尚未得到充分重视和认可。
本研究旨在探讨基层医疗医生工作家庭冲突对其工作满意度的影响，以及职业倦怠的中介作用和社会支持的调节作用。
本横断面研究于2023年2月至2023年3月进行。研究对象为来自中国淮海经济区徐州、临沂、淮北和商丘四个城市的749名基层医疗医生。采用SPSS统计分析评估医务人员工作家庭冲突、社会支持、职业倦怠与工作满意度之间的关系。
工作家庭冲突对工作满意度有显著的负向影响（β = -0.36，P < 0.001），在模型中加入职业倦怠后，工作家庭冲突也对工作满意度有负向预测作用（β = -0.32，P < 0.001）。社会支持对职业倦怠对工作满意度的直接效应有调节作用（β = 0.00，t = 2.66，P < 0.01，95% [0.001，0.007]），在高社会支持水平下职业倦怠对工作满意度的预测效应（β = -0.45，P < 0.001）高于低社会支持水平（β = -0.33，P < 0.001）。
本研究证明了工作家庭冲突对基层医疗医生工作满意度的负面影响，以及职业倦怠的中介作用和社会支持对职业倦怠及工作满意度的调节作用，这对未来提高基层医疗医生工作满意度和提升基层医疗服务质量具有重要意义。
