CAJ | 학술논문

目的：了解兰州市各县区乡村医生的工作满意度，为进一步提高乡村医生工作效率，制定完善的管理措施提供一定的政策建议。方法2O12年7月选取兰州市各县区参加培训的552名乡村医生，在参考大量文献的基础上，结合兰州市各县区乡村医生的实际状况，编制符合乡村医生实际情况的有针对性的乡村医生满意度调查问卷。运用结构方程模型找出影响工作满意度的因素，提出改善建议。结果不同性别、从医年限乡村医生工作满意度得分比较，差异有统计学意义（P<O. O5）；不同受教育水平、职称、职业资格情况乡村医生工作满意度得分比较，差异均无统计学意义（P>O. O5）。结构方程模型显示，业务素质与受教育水平的系数为7. O756，与收入水平的系数为O. O184；工作负荷与工作责任的系数为O.8397，与工作任务的系数为O.6817；工作环境与科室设备的系数为O.1739，与绩效考核的系数为1.2762；患者认可与患者信任的系数为O.7642，与患者尊重的系数为O.7132；工作满意与职业愉快感的系数为O.85O 4，与工作自豪感的系数为O.7185；离职倾向与离职念头的系数为O.7187，与留职可能性的系数为O.8O56。结论兰州市各县区乡村医生的总体满意度较低，应该采取进一步措施提高乡村医生满意度，进而提高乡村医生的工作效率。
목적：료해란주시각현구향촌의생적공작만의도，위진일보제고향촌의생공작효솔，제정완선적관리조시제공일정적정책건의。방법2O12년7월선취란주시각현구삼가배훈적552명향촌의생，재삼고대량문헌적기출상，결합란주시각현구향촌의생적실제상황，편제부합향촌의생실제정황적유침대성적향촌의생만의도조사문권。운용결구방정모형조출영향공작만의도적인소，제출개선건의。결과불동성별、종의년한향촌의생공작만의도득분비교，차이유통계학의의（P<O. O5）；불동수교육수평、직칭、직업자격정황향촌의생공작만의도득분비교，차이균무통계학의의（P>O. O5）。결구방정모형현시，업무소질여수교육수평적계수위7. O756，여수입수평적계수위O. O184；공작부하여공작책임적계수위O.8397，여공작임무적계수위O.6817；공작배경여과실설비적계수위O.1739，여적효고핵적계수위1.2762；환자인가여환자신임적계수위O.7642，여환자존중적계수위O.7132；공작만의여직업유쾌감적계수위O.85O 4，여공작자호감적계수위O.7185；리직경향여리직념두적계수위O.7187，여류직가능성적계수위O.8O56。결론란주시각현구향촌의생적총체만의도교저，응해채취진일보조시제고향촌의생만의도，진이제고향촌의생적공작효솔。
Objective Toinvestigatethevillagedoctors'jobsatisfactionofeachcountyareainLanzhoucity,inorder to further improve the working efficiency of village doctors and to put forward some policy suggestion for making perfect manage-mentmeasures.Methods 552villagedoctors,ineverydistrictLanzhou,whotookpartinthetraining,wereinvestigatedusing a doctor satisfaction questionnaire tally with the actual situation of the country doctors that was complied by referring to a large number of literature and review and combining with the actual condition of each county village doctor in Lanzhou city,using the structuralequationmodeltofindouttheinfluencingfactorsofjobsatisfactionandputforwardimprovingsuggestions.Results The difference between sex and working years was significant(P<O. O5). There were no difference among educational background, professional title,professional qualification( P>O. O5 ) . Structural equation showed that the coefficient of professional quality and education level was 7. O75 6,professional quality and income was O. O18 4;the coefficient of work load and work responsibil-ity was O. 839 7 , work load and work task was O. 681 7;The coefficient of work condition and department equipment was O. 173 9 ,work condition and performance appraisal was 1. 276 2;the coefficient of patient approval and patient confidence was O. 764 2 ,patient approval and patient respect was O. 713 2;the coefficient of work satisfaction and work pleasure was O. 85O 4 , work satisfaction and work pride was O. 718 5;the coefficient of turnover intention and turnover thought was O. 7187,turnover in-tentionandemploymentstaypossibilitywasO.8O56.Conclusion Villagedoctors'overallsatisfactionislowineverydistrictof Lanzhou city. It is necessary to take further measures to improve the village doctor satisfaction in order to enhance the working effi-ciency.