结核病防治人员的工作满意度及稳定性

目的]了解我国东、中、西部6省12县的县乡两级结核病防治机构（结防）人员的工作满意度和稳定性，为提高结防人员的工作积极性提出有针对性的建议。方法]采用自填式问卷调查，结合小组座谈和关键人物访谈，对结防相关人员进行调查，其中定量调查县乡两级结防人员286入，定性调查县乡相关管理和医务人员212人。结果]县乡两级结防机构的286名结防人员对工作总体满意的占64％，满意度最低的方面均为收入，不满意的比例分别为40．8％和43．2％，满意度较低的方面还有福利待遇、报酬分配、工作条件等；有超过一半的人产生过调换工作内容或离开本单位的想法，主要原因是报酬太少、工作任务重。结论]我国结防人员对工作的总体满意度仍有较大提升空间，收入相对低和工作任务重是影响结防人员满意度及稳定性的主要因素。应健全结防工作体系，加强结防人员的规划和培养，同时制定合理的薪酬制度。

Job Satisfaction and Stability of Tuberculosis Control Staff

Objective ] To investigate the job satisfaction and stability of tuberculosis control staff in county and township level tuberculosis control institutions from 12 counties of 6 provinces in eastern, central and western China respectively, so as to provide directed suggestion for raising their work enthusiasm. Methods ] Self-filling questionnaires, qualitative interviews and group discussion were employed. Tuberculosis control staff in county and township level were involved, including quantitative investigation for 286 health workers and qualitative interviews with 212 administrators and health workers. Results] There were 64% of 286 tuberculosis control staff in county and township level tuberculosis control institutions satisfied their job generally. They had the same least satisfying aspects, which was about incomes, and the proportion of dissatisfaction were accounted for 40.8% and 43.2% respectively. There was also a lower satisfaction with welfare, payment allocation and working conditions. More than half had the thought of job position change or leaving the facility, mainly because of too little payment and heavy workload. Conclusion ] Job satisfaction of tuberculosis staff in China has large room for improvement still, the relatively lower rewards and heavy work tasks are the main influence factors of job satisfaction. It is suggested to further improve the tuberculosis control system, more strengthen the planning and training for tuberculosis control staff, meanwhile develop a reasonable payment and evaluation system.