汕头市三甲医院医生工作满意度调查与分析

目的 了解汕头市三甲医院医生工作满意度现状及影响因素.方法 采用调查问卷,对汕头市三甲医院医生进行调查.所得数据采用SPSS17.0进行统计分析.结果 汕头市三甲医院医生工作总体满意度得分为3.17±0.59,属于一般满意,最满意的是工作道德、同事关系,最不满意的是收入与工作量、职称晋升.结论 该市三甲医院医生工作满意度有待提高,建议从提高福利待遇、提供职称晋升机会、改善医院政策实施方式、适当增加人员配备等方面来改善医生工作满意度,进而提高医生临床服务质量.     

三级医院临床医生工作满意度研究

本研究通过半结构问卷调查和访谈三级医院临床医生、结合参考国内外大量的关于工作满意度文献,探讨影响临床医生工作满意度因素,编制适合临床医生使用的工作满意度问卷,利用工作满意度问卷对临床医生工作满意度现状进行抽样调查,并对调查的数据运用统计软件进行分析.研究的主要结果是:目前影响临床医生工作满意度的因素有13项;临床医生最满意的是同事关系,最不满意的是与患者的关系;不同婚姻状况、年龄和专业的临床医生总体满意度差异有统计学意义;不同个人属性的临床医生在某些构面因素上的工作满意度有所差异.     

南京市乡村医生满意情况调查及对策建议

目的:了解南京市乡村医生的工作满意情况及存在问题,并提出相关建议,为南京市相关部门加强乡村医生队伍建设提供依据。方法:对南京市各涉农区的乡村医生进行问卷调查,用Epidata3.1与SPSS22软件对问卷进行录入和统计分析。结果:南京市乡村医生中,约46.5%对现有工作不满意;不满意原因中,收入低、工作压力大、社会保障水平低分别占到90.1%、87.6%、87.2%。结论:建议南京市相关部门对乡村医生队伍建设工作以围绕解决乡村医生现有问题、提高乡村医生满意度为目的,改善其现有处境,保障其工作收入,完善其社会保障水平及养老机制等。     

福州社区卫技人员工作满意度与稳定性调查

采用问卷调查和半结构式访谈相结合的方法,对福州市社区卫生服务中心卫技人员进行工作满意度和稳定性调查。结果显示目前福州社区卫技人员的工作总体满意度不高,最不满意的是工资、福利;高学历年轻医生流失严重。对此,提出提高薪酬水平、满足自我实现需要、关注高学历年轻医生的发展等建议。     

个人深入访谈法在医生工作满意度量表中的应用

目的探讨个人深入访谈法在医生工作满意度量表编制中的应用。方法采用个人深入访谈法,对潍坊市二级、三级公立医院医生和部分社区卫生服务站人员共34人进行访谈。结果通过访谈发现,收入、医患关系、人际关系等对医生工作满意度的影响较大。并以这些影响因素为原始资料,编制医生工作满意度量表的项目库。结论个人深入访谈法可以挖掘出访谈对象内心最真实的想法,在医生工作满意度量表的编制中具有非常重要的作用。     

对两省医生收入满意度和期望收入的分析

为了了解医生对收入的意向，我们对山东和四川两省的三级公立医院各1所的所有临床医生的收入满意度和期望的收入、提高收入的途径进行了问卷调查，结果表明：公立医院的医生对目前收入不满意；医生目前的收入距离期望值还有很大差距；大多数医生希望通过调整收入政策和增发奖金来提高收入，33．3％的医生希望通过业余医疗服务兼职提高收入。因此，建议医院做好医疗服务价格和分配制度改革的工作，制定出相应的分配政策、医生兼职政策，同时也要给医生工作营造一个良好的人文环境。     

广州地区医生工作满意度调查研究

目的了解医生工作现状,探讨影响医生工作满意度的相关因素,为人力资源改革提出建议。方法根据卢嘉等学者2001年修订的"员工工作满意度调查研究"问卷修订的问卷,对广州地区35家二级、三级医院中1 320名在职医生进行问卷调查。结果医生群体对总体工作满意度一般,均数为3.6±0.620,达良好水平人数只占25.15%,不满意占22.80%。各维度得分:工作本身(76.00)、激励和发展(73.32)、环境与群体(72.57)、医院形象(71.50)、薪资和福利(65.44)。五个维度与满意度总分呈高度相关。结论广州地区医生总体工作满意度一般,对工作本身较为满意,最不满意的是薪资,福利偏低,工作内容太多,强度过大。建议应科学设计分配医生各岗位的工作量,劳动强度适当,按劳付酬,多劳多得,提高医生福利待遇,提高工作满意度,提高绩效。     

韩国医生工作满意度及对健康保险审查评议局信任度评价

该研究的目的是为了衡量韩国医生工作满意程度以及其与对健康保险审查评议局的信任程度之间的关系。通过分层抽样的方法,从公立医院的医生中抽取1593名医生样本进行了自填式问卷调查。获取相应数据后采用logistic多元统计方法来研究医生的工作满意度以及检验对健康保险审查评议局的信任程度是否与医生的工作满意程度有关。总体来看,医生的工作满意度非常低,拒绝偿付率与满意度无关。那些信任健康保险审查评议局的医生往往工作满意度较高。这些结果明确指出,是否信任健康保险审查评议局是影响医生工作满意度的关键因素。     

新疆某三甲医院员工满意度调查研究

目的了解新疆某医院员工总体满意度现状及不同群体特征满意度差异性,研究其主要影响因素,为完善医院管理提出建议。方法以整群抽样方法调查了新疆某医院员工1347名,运用统计描述、方差分析、非条件logistic回归及相关分析等方法进行研究。结果 46.1%的员工感到满意;不同工作类别、不同职称、不同职务和不同学历员工的满意度存在差异性,行政管理人员的满意度最高,最不满意的是医生;薪酬对员工满意度的影响最大;敬业度与总体满意度存在线性相关关系。结论医院员工对工作总体较为满意,薪酬是员工满意度的主要影响因素。     

乡村医生补偿和养老问题解决思路——基于九龙坡区的实证研究

目的 总结和分析九龙坡区乡村医生补偿和养老的主要做法及现状.方法 通过自行设计调查表调查了89名乡村医生,收集相关定量资料,并通过个人深入访谈和焦点组访谈收集定性资料.结果 九龙坡区首先通过乡村卫生一体化将村医变为乡镇卫生院临时聘用人员;然后作为临时聘用人员的村医参加入编考试解决身份问题,补偿和养老问题进而得到解决.九龙坡区村医目前月收入中位数为3 000元;与医改之前相比,41.00％的村医收入减少,39.80％的村医收入增加,19.30％的村医收入没有变化;九龙坡区村医期望收入中位数为4 500元,期望收入与目前收入中位数之差为1 500元;有61.80％的村医对收入不满意和非常不满意.九龙坡区80.90％的村医有城镇职工养老保险（或事业编制养老保险）,78.70％的村医对享有的养老保险满意和非常满意.结论 通过解决村医身份问题,村医的补偿和养老问题得到解决.尽管部分村医的收入有所下降,对收入满.意度较低,但由于解除了后顾之忧,对养老满意度较高.     

Die sogenannte Vinylchlorid-Krankheit—eine berufsbedingte Systemsklerose?

Zusammenfassung Es wurden 13 Arbeiter untersucht, die zwischen 1 3/4 und 18 Jahren in einem PVC-herstellenden Betrieb beschäftigt waren. 8 von ihnen wiesen sklerodermieartige Hautveränderungen (Abb. 2) auf, die histologisch charakterisiert sind durch Verbreiterung und Homogenisierung der kollagenen Faserbündel (Abb. 3 u. 4) sowie Fragmentation und Rarefizierung der elastischen Fasern (Abb. 5). Bei 7 Patienten bestanden trommelschlegelartige Auftreibungen einzelner Fingerendphalangen (Abb. 1). 11 Patienten zeigten Durchblutungsstörungen der Extremitäten (4 von diesen ein Raynaud-Syndrom) und 6 Patienten Acroosteolysen einzelner Fingerendphalangen (Abb. 6, Tabellen 1–3).Darüber hinaus bestand bei allen Patienten eine Thrombocytopenie, bei 12 Patienten eine Splenomegalie, bei 11 Patienten eine Einschränkung der Leberfunktion (erhöhte BSP-Retention). An der Leber ließ sich histologisch bei den 5 laparoskopierten Patienten eine deutliche Fibrosierung der Portalfelder nachweisen. Bei 4 Patienten bestanden Oesophagusvaricen (Tabellen 4 u. 5). 8 Patienten zeigten eine Partialinsuffizienz mit Hinweisen für vorwiegend restriktive Veränderungen.Die hier beschriebenen Veränderungen gehen weit über das bisher bekannte Acroosteolysesyndrom hinaus. Es wird der dringende Verdacht geäußert, daß langfristige Vinylchlorid-Exposition dieses komplexe Krankheitsbild verursacht. Daher wird für diese systemische Krankheit die Bezeichnung Vinylchlorid-Krankheit vorgeschlagen.Wir danken Frau E. Voigtländer für die Herstellung der klinischen und histologischen Abbildungen.     

Empathic processes: perception by medical students of patients'' anxiety and depression

Perceptions by medical students of patients' affective states were investigated, and the effect of the students' own emotions on such perceptions. One hundred and one fourth-year medical students rated the levels of anxiety and depression of three women patients presented on videotape, rated their own levels of anxiety and depression and completed a questionnaire on aspects of the rating process. Students had widely different and often inappropriate perceptions of patients' levels of anxiety and depression. Students who consistently overrated anxiety or depression in patients, compared to those who consistently underrated, were themselves significantly more anxious or depressed. These data suggest a need in medical education for systematic teaching of empathic skills and for recognition of potential bias in clinical decision-making arising from the clinician's own emotional state.     

The reported incidence of work-related ill-health in Scotland (2002-2003)

BACKGROUND: Although incidence data for work-related ill-health in the UK are available, more detailed information for smaller geographical areas has hitherto been unpublished. AIMS: To estimate the incidence of work-related ill-health reported by clinical specialists in Scotland, 2002-2003. METHODS: THOR (The Health and Occupation Reporting network) is a UK wide reporting scheme for work-related ill-health. In 2002-2003, 241 out of 2162 physicians in THOR were based in Scotland. We have summarized the reported cases and calculated incidence rates for categories of ill-health by age, gender and industry. The UK Labour Force Survey (2002) was used to provide denominator data, with comparisons made between rates for Scotland and the rest of the UK. RESULTS: In 2002-2003, 4043 estimated cases were reported from Scotland. Mental ill-health was most frequently reported (41%); followed by musculoskeletal disorders (31%), skin disorders (16%), respiratory disease (10%), hearing disorders (2%) and infection (1%). The reported average annual incidence rate per 100,000 employees for all work-related ill-health in Scotland was 86.0. The highest reported rate for mental ill-health was found for employees in public administration and defence (76.7 per 100,000), and health and social work (72.3 per 100,000). The construction industry had the highest reported rate of musculoskeletal disorders (41.6 per 100,000), while hairdressers appeared at most risk of developing occupational contact dermatitis (rate=86.4 per 100,000). CONCLUSIONS: Despite its limitations, THOR has indicated types of work-related ill-health and related industries for targeted disease prevention in Scotland.     

Function of the protein RPE65 in the visual cycle

A protein called RPE65 performs a key role in the trans-cis isomerization of retinol in the retinal pigment epithelium of the eye. The palmitoylation of RPE65 serves to switch off the visual cycle in darkness and to switch it on in the light.     

Acute symptoms following work with pesticides

BACKGROUND: Serious accidental poisoning by pesticides is rare in the UK, but more minor pesticide-related illness may be under-reported. Anecdotally, use of sheep dip has been linked with flu-like symptoms. AIM: To explore the frequency, nature and determinants of acute symptoms following work with pesticides. METHODS: A postal survey of men in three rural areas of England and Wales provided data on occupational use of five categories of pesticide, occurrence of 12 specified symptoms within 48 h of using pesticides and tendency to somatize. Risk factors for pesticide-related symptoms were assessed by modified Cox regression. RESULTS: Of 10 765 responders (response rate = 31%), 4108 had at some time used pesticides occupationally, including 935 (23%) who reported symptoms following such work on at least one occasion. In two areas, acute symptoms were most frequent following use of sheep dip (29 and 32% of users), but in the third area the rate was significantly lower (13% of users). The relative frequency of symptoms was similar for all five categories of pesticide, and flu-like symptoms did not cluster unusually among users of sheep dip. Risk of pesticide-related symptoms increased with somatizing tendency (prevalence ratio for highest versus lowest category 2.4, 95% confidence interval 2.0-3.0) and was higher in men who had used pesticides most often or handled concentrate. CONCLUSION: Acute symptoms are common following work with pesticides, but in many cases the illness may arise through psychological rather than toxic mechanisms.     

The Life Events Inventory: re-scaling based on an occupational sample.

The objective of this study was to compare the validity of the original weightings used by the Life Events Inventory (LEI) with those obtained from a contemporary occupational sample. Fifty male and 62 female manufacturing employees (age range 16-55 years) assigned scores to each item on a slightly modified version of the LEI scale. The current sample consistently assigned higher weights to events/items than did the original sample, but there was high agreement in terms of item ranking. Some distinct age and gender differences in scoring were apparent, and are discussed further. It was concluded that when separate weightings are employed for age and gender groups, the LEI remains a useful tool for quantifying background levels of stress in both workplace stress audits and epidemiological studies where statistical control for non-occupational sources of stress is required.     

Maxillofacial injuries related to work accidents: a new concept of a hospital-based full electronic occupational trauma surveillance system

The objective of this study was to investigate the occurrence of occupational maxillofacial injuries using a newly installed relational database. Twenty-six injuries were identified out of 28,624 patients admitted to the emergency unit during a 12 month period. Falls from height or being struck by moving objects were common causes of these injuries. Two-thirds of those identified were construction workers. This paper demonstrates the power of modern databases to identify specific occurrences that may provide the basis for prevention in the future.     

Rôles physiologiques des endocannabinoïdes dans le contrôle de l’homéostasie énergétique

Endocannabinoids are endogenous lipids which modulate the release of neurotransmitters and activate different signaling pathways, through the binding to cannabinoïd receptors, CB1 and CB2. Endocannabinoids are involved in the control of a variety of behavioural and neuroendocrine functions, including feeding behaviour. In the central nervous system, they essentially modulate the expression of orexigen or anorexigen neuropeptides thus resulting in the stimulation of food intake. Their peripheral targets are mainly the liver and the white adipose tissue where they stimulate lipogenesis, through the modulation of several enzymes and proteins expressions. Cannabinoïd receptor agonists are nowadays prescribed to improve appetite of people suffering from cancer or AIDS. In the same way, CB1 antagonist, such as Rimonabant, could provide efficient treatment of obesity.     

Stress in police officers: a study of the origins,prevalence and severity of stress-related symptoms within a county police force

BACKGROUND: High levels of stress-related illness are causing concern across industry. Against a background of impending legislative moves to try to improve this situation, there is a need to identify key work-related stressors. Police work tends to be regarded as inherently stressful because of the personal risk of exposure to confrontation and violence and the day-to-day involvement in a variety of traumatic incidents. As a result, high levels of stress-related symptoms might be expected in this population. OBJECTIVE: To examine the sources of stress-related symptoms within police officers and measure the prevalence of significant associated mental ill-health. METHOD: A cross-sectional questionnaire survey of a population of 1206 police officers was performed to assess levels of strain associated with a series of potential home and work related stressors. Participants were then split into low and high scoring groups on the basis of a General Health Questionnaire (GHQ) threshold score in order to identify those stressors most associated with mental ill-health effects. RESULTS: Occupational stressors ranking most highly within the population were not specific to policing, but to organizational issues such as the demands of work impinging upon home life, lack of consultation and communication, lack of control over workload, inadequate support and excess workload in general. The high scoring group constituted 41% of the population and differed significantly from those with low scores in perception of all stressors, ranking both personal and occupational stressors more highly, and from personality constraints appeared significantly more 'stress-prone'. A significant association between gender and mental ill-health was found, with females more likely to score more highly on the GHQ than males. CONCLUSION: This study confirms previous findings of organizational culture and workload as the key issues in officer stress. Given that the degree of symptomatology appears to be worsening, management action is required. Further research is indicated within the police population into a possible increased susceptibility in female officers.