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目的了解贵州省普安县村医工作满意度水平,分析影响因素。方法 2010年1月对贵州省黔西南布依族苗族自治州普安县149名村医进行工作满意度自填式问卷调查。结果村医工作总满意度得分(3.44±0.62)分;福利与收入、工作条件、工作本身得分分别为(2.76±0.76)、(2.92±0.80)、(3.32±0.70)分,低于总满意度得分(P<0.01);医疗服务工作负担、在岗培训机会、获奖励晋升、医疗服务劳务补偿标准、村医医疗保险、医疗药品、工作成效等单项满意度能预测总满意度,偏回归系数分別为0.16、0.21、0.19、0.12、0.12、0.08、0.09(P<0.01);在岗培训机会、领导肯定村医工作、社会福利、完成工作任务、月收入和性别对总满意度有影响,OR值分别为32.48、31.70、8.20、5.72、5.55、4.32;卡克斯-史奈尔决定系数为0.53;模型χ2检验值为112.36(P<0.01)。结论村医工作总满意度水平较低;在岗培训机会对总满意度影响最大,其他依次为领导肯定村医工作、社会福利、完成工作任务、月收入和性別。
Objective To understand the satisfaction level of village doctors in Pu’an County of Guizhou Province and analyze the influencing factors. Methods In January 2010, 149 village doctors in Pu’an County of Guizhou Province in southwest Guizhou Buyi and Miao Autonomous Prefecture were surveyed by questionnaire about job satisfaction. Results The total satisfaction score of village doctors was (3.44 ± 0.62) points. The scores of welfare and income, working conditions and work itself were (2.76 ± 0.76), (2.92 ± 0.80) and (3.32 ± 0.70) points, respectively, (P <0.01). The overall satisfaction degree of medical service workload, on-the-job training opportunity, reward promotion, medical service labor compensation standard, village medical insurance, medical drugs and work effectiveness can predict total satisfaction, partial regression coefficient Respectively, 0.16, 0.21, 0.19, 0.12, 0.12, 0.08, 0.09 (P <0.01); On-job training opportunities, leading affirmation of village medical work, social welfare, completion of tasks, monthly income and gender have an impact on total satisfaction OR The values were 32.48,31.70,8.20,5.72,5.55,4.32 respectively; the coefficient of determination of the Kaks-Snell was 0.53; and the Chi-square test of the model was 112.36 (P <0.01). Conclusion The overall satisfaction level of village doctors is low. The chances of on-the-job training have the greatest impact on the total satisfaction. The other leaders are the leaders who affirm village medical work, social welfare, job satisfaction, monthly income and gender.