广东省首批家庭医生式服务试点社区卫生技术人员工作满意度及影响因素分析研究

Background: Family doctor teams in primary care safeguard residents' health in a warm way. However, due to insufficient medical construction and other constraints in primary care, it is necessary to find ways to maintain the safeguard. We explored job satisfaction and influencing factors in the first batch of community health workers delivered pilot family doctor services in Guangdong Province, providing a reference for optimizing the delivery of such services. Objective: To investigate job satisfaction and influencing factors in the first batch of community healthcare workers delivered pilot family doctor services in Guangdong Province, offering a basis for the construction of primary healthcare workforce. Methods: From June 2014 to June 2016, a survey was conducted in 3 types of number-matched health workers, managers, health professionals and other workers selected from 36 community health centers delivered pilot family doctor services by stratified sampling using a self-developed questionnaire for collecting demographic data, overall job satisfaction and satisfaction with 21 job-related factors. The job satisfaction and influencing factors were analyzed. Results: Of the 275 cases participating in the survey, 251(91.3%) responded effectively, among whom 217(86.5%) were satisfied or very satisfied with the job. The overall job satisfaction score was(3.8±0.7). Among 21 job-related factors, "colleague relationship" was scored highest〔with an average satisfaction score of (4.1±0.5)〕, and "unit welfare" was scored lowest〔with an average satisfaction score of (2.8±1.1)〕. Age was associated with the significant difference in the satisfaction with "relationship with leaders"(P<0.05). Education level was associated with the significant differences in the satisfaction with "workload"(P<0.05). Professional title was associated with the significant difference in the satisfaction with "help from colleagues"(P<0.05). Multivariate Logistic regression analysis showed that the number and reasonable allocation of workers〔OR=2.118, 95% CI (1.072, 4.184)〕, personal ability improvement 〔OR=2.220, 95%CI (1.181, 4.173)〕, unit supervisory management system 〔OR=1.905, 95%CI (1.023, 3.546)〕, relationship with leaders 〔OR=4.640, 95%CI (1.328, 16.214)〕 and colleagues relationship 〔OR=5.111, 95%CI (1.330, 19.644)〕 were the factors affecting overall job satisfaction (P<0.05). Conclusion: Family doctor based community health technicians are satisfied with their job. The number of workers and the reasonable allocation, personal ability improvement, unit supervisory management system, relationship with leaders and colleagues relationship are the factors affecting overall job satisfaction.