Chuck J M, Nesbitt T S, Kwan J, Kam S M
Department of Family Practice, University of California, School of Medicine, Davis, Sacramento.
West J Med. 1993 Dec;159(6):665-9.
Over the past two decades, a decline in physician job and career satisfaction has been reported. This study was developed to determine the current state of physician satisfaction and to define factors correlated with overall satisfaction. We mailed a survey to 406 physicians in Solano County, California. Responses were anonymous, and data were analyzed by several methods. Of the 406 physicians, 251 (62%) responded. Most respondents were satisfied with their jobs (80%). The vast majority felt good about their ability to help their patients (92%), enjoyed the relationships they had with patients (93%) and colleagues (86%), and found their work intellectually satisfying (89%). Nearly two thirds (63%) of respondents thought their job was "fun." This ability to derive great pleasure from work showed the strongest correlation with overall satisfaction. Overall satisfaction did not differ between primary care and non-primary care physicians or between physicians in a large health maintenance organization and those in mostly solo and small-group fee-for-service practices. Despite substantial challenges to physician morale and autonomy, most responding physicians in our study continued to enjoy overall job satisfaction, and a solid majority thought that their work was fun.
在过去二十年里，有报道称医生的工作和职业满意度有所下降。开展这项研究是为了确定医生满意度的现状，并界定与总体满意度相关的因素。我们向加利福尼亚州索拉诺县的406名医生邮寄了一份调查问卷。回答是匿名的，数据通过几种方法进行了分析。在406名医生中，251名（62%）做出了回应。大多数受访者对他们的工作感到满意（80%）。绝大多数人对自己帮助患者的能力感觉良好（92%），享受与患者（93%）和同事（86%）的关系，并从工作中获得智力上的满足感（89%）。近三分之二（63%）的受访者认为他们的工作“有趣”。这种从工作中获得极大乐趣的能力与总体满意度的相关性最强。初级保健医生和非初级保健医生之间，以及大型健康维护组织中的医生与大多为单人执业和小团体按服务收费执业的医生之间，总体满意度没有差异。尽管医生的士气和自主权面临重大挑战，但我们研究中大多数做出回应的医生仍然对工作总体满意，而且绝大多数人认为他们的工作很有趣。
