Liu Di, Wang Huanyan, Zhang Wenlin, Chen Peixuan, Lin Yuqing, Xie Yujin, Zou Mingyang, Li Debao, Fang Ming, Hu Bingjie, Shi Lei
School of Marxism, Harbin Medical University, Harbin, China.
Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
BMC Prim Care. 2025 Feb 1;26(1):24. doi: 10.1186/s12875-025-02714-3.
The Chinese Basic Public Health Service has achieved certain results since its implementation. As direct providers, understanding the job satisfaction and its influencing factors among basic public health service practitioners is crucial for enhancing service quality and efficiency. This study examines levels of motivational factors and their contribution to job satisfaction among community health workers in China.
A multistage sampling method was employed to measure socioeconomic and demographic status, motivational factors, and job satisfaction. Logistic regression analysis was used to assess key determinants of job satisfaction.
Regarding overall occupational characteristics, influencing factors of overall and external satisfaction were respondents with different job titles and different working years. Years of service in primary health institutions and different authorized types influence satisfaction across various dimensions, including working arrangement, interpersonal relationship, environment, promotion opportunities, organizational culture, system and policy, professional identity, social identity, and overall, internal, and external satisfaction. Professional title, interpersonal relationship, work arrangement, system and policy, occupational identity, and other dimensions have a positive impact on satisfaction.
The overall job satisfaction of essential public health service practitioners is influenced by various factors. Healthcare managers should focus on improving job satisfaction among healthcare workers in low-resource settings. Establishing scientific and reasonable research on the incentive mechanism at grassroots medical institutions can help stabilize the team, enhance staff satisfaction and work performance, and optimize human resource utilization.
中国基本公共卫生服务自实施以来取得了一定成效。作为直接提供者，了解基本公共卫生服务从业者的工作满意度及其影响因素对于提高服务质量和效率至关重要。本研究考察了中国社区卫生工作者的激励因素水平及其对工作满意度的贡献。
采用多阶段抽样方法来衡量社会经济和人口状况、激励因素及工作满意度。运用逻辑回归分析来评估工作满意度的关键决定因素。
就总体职业特征而言，总体满意度和外部满意度的影响因素是不同职称和不同工作年限的受访者。在基层医疗卫生机构的服务年限和不同的授权类型会影响各个维度的满意度，包括工作安排、人际关系、工作环境、晋升机会、组织文化、制度与政策、职业认同感、社会认同感以及总体满意度、内部满意度和外部满意度。职称、人际关系、工作安排、制度与政策、职业认同感等维度对满意度有积极影响。
基本公共卫生服务从业者的总体工作满意度受多种因素影响。卫生保健管理者应关注提高资源匮乏地区医护人员的工作满意度。在基层医疗机构建立科学合理的激励机制研究有助于稳定团队、提高员工满意度和工作绩效，并优化人力资源利用。
