上海市社区卫生服务工作人员工作满意度比较研究

目的 研究社区卫生服务中心工作人员的工作满意度及需求度，并对不同岗位人员之间的差异进行比较。 方法 本课题由上海市发展委员会立项，由专家组织对上海市14家社区卫生服务中心的医生、护士、公共卫生人员及管理行政人员四类人群进行调研。14家社区卫生服务中心中地处城区3家，共发放问卷400份，有效回收数280份；城郊结合部7家，共发放问卷995份，有效回收数665份；郊区4家，共发放605份，有效回收数395份。 结果 在有效回收的1 340份问卷中，社区从业人员男女比例约为3∶1；学历以本科生和专科生为主，分别占48.0%及36.2%；在岗人员主要为医疗及护理人员，分为占38.3%及34.4%；职称以初级最多，占51.6%。社区卫生服务人员总体满意度较高，评分为3.13；不同岗位满意度存在差异且岗位间比较发现管理人员的满意度要高于全科医生、护士和公共卫生人群，其中公共卫生人群人员满意度最低。 结论 制定医院政策时充分考虑岗位因素，制定相应继续培养政策；并提高不同岗位人群对社区卫生服务(community health service，CHS)各类内容的重视。加强社区卫生服务文化，创造学习型组织；借助学习型氛围提升社区卫生服务中心整体服务效果。 

A comparative study on job satisfaction of community health workers in Shanghai

Objective To investigate the requirements and job satisfaction of community health workers,and compare the differences among the personnel in different positions. Methods This project was sponsored by the Shanghai committee of development.Experts were employed to survey the requirements and job satisfaction of doctors,nurses,public health workers and administrative staffs from 14 community health service centers(CHCs).A total of 400 questionnaires were distributed to 3 CHCs in urban areas and 280 valid questionnaires were returned,995 questionnaires were distributed to 7 CHCs in rural-urban fringe area and 665 valid questionnaires were returned,and 605 questionnaires were distributed to 4 CHCs in suburbs and 395 valid questionnaires were returned. Results The 1 340 valid survey responses showed that male to female ratio was about 3∶1 among the community workers;the education was mostly undergraduate students or junior college student,accounted for 48.0% and 48.0%,respectively;the medical and nursing staffs accounted for the most of the personnel in the post(38.3% and 34.4%,respectively);51.6 % of them were with primary technical job title.The overall satisfaction degree of community health services staff was higher with a score of 3.13.The difference existed among the staffs from different jobs,and managerial personnel had higher job satisfaction as compared with other works,in which the public health groupswere at the end. Conclusion The job factors should be fully accounted into when the policies are formulated.The continuing education policy should benefit most works in CHCs.The CHCs should promote cultural progress and create learning organizations,and improve the overall effect of CHCs with the help of the learning atmosphere.