广西柳州市公立医院医师执业满意度调查及其影响因素分析

目的了解柳州市市属公立医院医师执业满意度及其影响因素。方法采用分层随机抽样的方法抽取柳州市市属9家二级及以上公立医院的306名执业医师作为调查对象。采用问卷调查的方式了解其对执业的满意度,分析影响医师执业满意度的相关因素。结果54.58%(167/306)的执业医师对当前的执业环境感到满意。当以医院级别、年龄、性别、文化程度、科室、职称、每周工作时间及聘用形式进行分组时,组间满意度得分差异有统计学意义(P<0.05)。二分类Logistic回归结果显示,认为医师行业的整体形势会变更好、表示非常喜欢医师这个职业及表示没有产生过转行的想法等10个条目特征的医师总体满意度较高(P<0.05)。结论广西柳州市公立医院医师执业满意度居于一般水平,应加强医疗资源的优化配置、推行分级诊疗制度、完善薪酬制度及创造和谐的工作环境,以提升医务人员的执业满意度。

Survey on practice satisfaction of medical practitioners in Liuzhou public hospitals and analysis of its influencing factors

Objective To study the practice satisfaction of medical practitioners in Liuzhou public hospitals and its influencing factors.Methods Three hundred and six medical practitioners were selected from Liuzhou City′s 9 public hospitals at or above the second level as the survey subjects by stratified random sampling method.The questionnaire survey was used to study the practice satisfaction of the medical practitioners and analyze the related factors influencing their satisfaction in practice.Results In this study,54.58%(167/306)of the practitioners were satisfied with the current practice environment.When the hospital level,age,gender,education level,department,professional title,working hours per week and employment form were grouped,the difference of satisfaction scores among the groups was statistically significant(P<0.05).The results of binary Logistic regression analysis showed that the overall situation of physician profession would be better,and the overall satisfaction of the practitioners having ten item characteristics including having the idea that they liked the profession very much and that they did not have the idea of changing their profession was higher(P<0.05).Conclusion The medical practitioners′professional satisfaction of public hospitals in Liuzhou City of Guangxi is at a general level.It is necessary to strengthen the optimal allocation of medical resources,implement the hierarchical diagnosis and treatment system,improve the salary system and create a harmonious working environment to improve the professional satisfaction of medical staff.