目的 了解我国公立医院医生工作本身满意度的现状和人口学特征差异,并识别其内部决定因素,为改善公立医院管理体制提供科学依据.方法 自行设计量表,按照多阶段分层抽样的方法,从全国4个省区抽取公立医院医生5 677名,对所获样本数据进行实证分析.结果 量表信度和效度良好;公立医院医生工作本身满意度的平均得分较高,表示"较满意"及以上的人群占样本总量的78.20%;在是否带教及不同级别医院、年龄、工作年限、职称、科室等变量上,差异有统计学意义;主要受专业兴趣、性格适合、医疗保险自主及工作胜任等因素的影响.结论 注意不同医生群体间的差异,积极发挥主要决定因素的内在激励作用,提高公立医院医生对工作本身的满意程度,可有效改善医疗服务质量.%Objective To understand the current status and demographic differences in job satisfaction of doctors in public hospitals and find out the internal determinants, with the aim of providing scientific basis for improving the management mechanism of public hospitals. Methods A total of 5 677 doctors in public hospitals from four provinces were enrolled by method of multi-stage stratifiedsampling, and they were tested by the self-designed scale. Empirical analysis was conducted on the acquired data. Results The reliability and validity of the self-designed scale were good. Most doctors in public hospitals were highly satisfied with their job, with the population being 78.20% of the total. The differences were significant on partial demographic variables, including whether teaching, grade of hospital, age, length of service, professional title, department, etc. The job satisfaction was mainly determined by such factors as interest on speciality, whether in suit with character, medical autonomy, job competence, etc. Conclusion The quality of medical services can be improved by attaching importance to the differences among doctors, giving full play to intrinsic motivation of the main determinants, and enhancing the job satisfaction of doctors in public hospitals.
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