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机构实践中的满意度与不满意度:美国军队医生调查结果

Satisfaction and dissatisfaction in institutional practice: results from a survey of U.S. military physicians.

作者信息

Kravitz R, Thomas N, Sloss E, Hosek S

机构信息

RAND, Santa Monica, CA.

出版信息

Mil Med. 1993 Jan;158(1):41-50.

PMID:8437739
Abstract

Because of recent concerns about the professional satisfaction of physicians in general and of military physicians in particular, the authors surveyed a national sample of 1,392 military physicians; 88% responded. Two-thirds of physicians were at least somewhat satisfied with the professional abilities of their peers and with the quality of care they were able to provide, but only 19% were satisfied with salary and 27% with practice efficiency. Characteristics of physicians that were independently related to overall satisfaction included age, recruitment pathway, workload, specialty, and perceived availability of key resources. Indicator variables for the individual medical facilities were also significantly related to global satisfaction, suggesting a separate "hospital effect" that bears additional investigation. Efforts to improve satisfaction may enhance recruitment and retention of military physicians.

摘要

由于近期人们普遍关注医生的职业满意度,尤其是军队医生的职业满意度,作者对全国范围内的1392名军队医生进行了抽样调查,88%的医生进行了回应。三分之二的医生至少对同行的专业能力以及他们能够提供的医疗服务质量感到有些满意,但只有19%的医生对薪资满意,27%的医生对工作效率满意。与总体满意度独立相关的医生特征包括年龄、招募途径、工作量、专业以及关键资源的可获得性。各个医疗设施的指标变量也与总体满意度显著相关,这表明存在一个单独的“医院效应”,值得进一步研究。提高满意度的努力可能会增强军队医生的招募和留用。

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Trends in Department of Defense hospital efficiency.美国国防部医院效率趋势
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