三峡库区基层公卫服务人员职业倦怠状况分析及对策建议.docx

三峡库区基层公卫服务人员职业倦怠状 况分析及对策建议 刘亚军 郑代坤 张欢欢 张晓峰 许红 重庆医科大学公共卫生与管理学院/医学与社会发展 研究中心/健康领域社会风险预测治理协同创新中心 重庆市万州区疾病预防控制中心 摘要： 目的了解地处三峡库区的重庆市万州区基层医疗机构从事基本公共卫生服务人 员职业倦怠状况，探讨其职业倦怠影响因素，减轻其职业倦怠状况，让其更好地为 广大居民健康服务。方法 采用普查的方式，自编一般人口学资料问卷及李超平翻 译并修订的国际通用职业倦怠普适量表(Maslach Burn-out Inventory-general Survey, MBI-GS)对重庆市万州区1 266名基木公共卫生服务人员的职业倦怠情况 进行问卷调查。结果万州区基层医疗机构基本公共卫生服务人员情绪衰竭维度 平均得分(1.51± 1. 39)分，玩世不恭维度平均得分(1. 03 ±1.21)分，成就感低落 维度平均得分(3?70±1. 94)分;各个维度中、高度倦怠程度比例分别为32. 0%、 19. 3%. 48. 2%o结论基层医疗机构从事基本公共卫生服务人员在情绪衰竭、成 就感低落2维度比较严重，职业倦怠现象明显存在，其中性别、工作地点、学历、 职称、薪酬等是其职业倦怠的主要影响因素。 关键词： 职业倦怠;基层医疗机构;基本公共卫生服务人员；三峡库区;调查; 作者简介：刘亚军(1991-),男，硕士研究生，研究方向：医学教育，卫生资源配置研 究 作者简介：许红,E-mail:hongxul2@126. com 收稿日期：2016-09-05 基金：我国公共卫生医师岗位胜任力模型构建研究课题 Analysis of job burnout and its countermeasures and suggestions to essential public hea1th service personnel in three gorges reservoir area LIU Ya-jun ZHENG Dai-kun ZHANG Huan-huan ZHANG Xiao-feng XU Hong School of Public Hea 1th and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Hea1th; Abstract： Objective The aim of this study was to understond the job burnout situation of the staff who work on essential public health service in the basic medical institutions located in three gorges reservoir area, and discuss the influencing factors, in order to relieve their job burnout, and serve residents better. Methods The method of census, self-designed questionnaire about demographic data and MBT-GS were applied to investigate the job burnout of 1266 staffs who worked in essential public health service institution in Wanzhou district of Chongqing. Results In the basic medical institutions of Wanzhou district, the staffs of essential public health service scored an average of 1. 51 +1.39 for emotional exhaustion. For cynical attitude, they scored an average of 1. 03+1.21. For the sense of low accomplishment, they scored an average of 3. 70+1. 94. Middle and high level of burnout ratios