湖北省基层中医院医生工作满意度研究.docVIP

湖北省基层中医院医生工作满意度提升研究 官翠玲，祖国强，周蓉 摘要：目的：了解湖北省基层中医院医生工作满意度现状及其影响因素，探讨医生工作满意度对其离职倾向和患者满意度的影响，发现湖北省基层中医院医生工作满意度存在的问题，提出改进建议。方法：采用文献研究、问卷调查和个人访谈法，以湖北省基层中医院医生为研究对象。结论：湖北省基层中医院医生满意度处于一般水平；影响因素根据影响程度从大到小依次为职业发展、工作成就感、报酬与工作条件、压力与职业风险、人际关系和医院管理；医生工作满意度与离职倾向存在负相关，与患者满意度存在正相关。建议：改善工作条件、提高工作收入、制定合理薪酬制度、加强进修培训、降低职业风险、强化医院管理。 关键词：基层中医院； 医生工作满意度； 离职倾向； 患者满意度 Abstract: Objective: To understand the current situation of the job satisfaction of traditional Chinese doctor at the basic-level and influencing factors, analyzing the doctor job satisfaction on their turnover intention and the influence of patient satisfaction. Methods: Using literature research, questionnaire and individual interview method, taking the primary hospital of traditional Chinese medicine doctors in Hubei province as the research object. Conclusion: the basic-level hospital doctors satisfaction is in the general level; primary hospital of traditional Chinese medicinal doctor job satisfaction factors in turn, is career development,job satisfaction, remuneration and working conditions,pressure and occupation risk,interpersonal relationship,hospital management according to the size of the effect on job satisfaction; there is a negative correlation between job satisfaction and turnover intention and a positive correlation between patient satisfaction. Suggestions: improve working conditions and income, establish reasonable salary system, attaches great importance to the career development, reduce the risk of occupational, to strengthen the management of the hospital. Keywords: Primary Chinese medicine hospital；Doctors’ job satisfaction；Turnover intention；Patient satisfaction 1 引言 工作满意度(job satisfaction)是指个体对其所在工作环境中各个方面的所持的积极的主观的评价或态度(Hoppock.R,1935)。国外研究表明，医生工作满意度有下降趋势[1]。如美国许多医生曾出现对职业生涯不满的现象；医生高的工作满意度可能会为患者带来更好的医疗服务，医生工作满意度直接影响患者满意度，二者之间存在直接的关联[2-3]。国内研究发现，当前医务人员收入福利待遇较差，个人职业发展受限等原因导致其工作满意度不高；工作满意度高的医生可能会对患者提供更好的医疗卫生服务，医生工作满意度水平对患者的满意度水平有着直接的影响；满意度低的护士可能直接影响对患者的护理服务质量(许军、胡敏燕、王以彭等，2003；童俐俐、骆宏，2003)。可见，医务人员工作满意度的高低