湖南省县级结核病防治机构人员工作满意度影响因素分析

Analysis on factors affecting job satisfaction of health care workers in county-level TB institutions of Hunan province

目的探讨湖南省县级结核病防治(简称结防)机构人员工作满意度的影响因素。方法 2009年以湖南省110个县区级结防机构为研究现场,采用分层随机抽样的方法,抽取在职的县级结防工作者660名为研究对象,对其进行包括领导行为、单位管理体系、工作报酬、工作环境、工作人际关系、工作意愿和工作升迁7个维度的工作满意度问卷调查。回收的629份问卷中,最终纳入统计分析的有效问卷612份,对每个影响因素不同水平的县级结防工作者工作满意度差异进行方差分析,并用多元线性逐步回归分析结防工作者工作满意度的影响因素。结果县级结防工作者总体工作满意度主要受收入和职务因素的影响(β=0.133、0.114,P值均<0.05,R2=0.412)。其中,领导行为满意度主要受年龄和收入因素的影响(β=-0.153、0.148,P值均<0.05,R2=0.300);单位管理主要受岗位因素的影响(β=0.115,P<0.05,R2=0.373);工作报酬和工作环境主要影响因素为收入和职务(β=0.161、0.106,P值均<0.05,R2=0.404;β=0.198、0.133,P值均<0.05,R2=0.353);,工作升迁主要影响因素为年龄和职务(β=-0.177、0.093,P值均<0.05,R2=0.301)。结论湖南省结防机构需加强人力资源建设,提高从业人员的数量和质量;提高县级结防人员工作收入,建立合理公平的分配制度。

Objective To explore the factors affecting job satisfaction of health care workers in county-level TB institutions of Hunan province. Methods 660 health care workers （HCWs） were sampled by stratified ran- dom sampling method from 110 county level TB institutions of Hunan province, and they were given the job satis-faction questionnaire survey. The content of the survey include seven dimensions： leadership behavior, management system, working remuneration, working environment, working interpersonal relationships, willingness to work and job promotion. 629 pieces of questionnaires were collected, among which, 612 were valid for analysis. The differ-ences of job satisfaction between different levels of each influencing factor were tested by Analysis of Variance. Mul- tiple linear stepwise regression was used to analyze the influencing factors of job satisfaction. Results The overall job satisfaction was mainly affected by income and position （β= 0. 133,0. 114, P〈0. 05,R^2 = 0. 412）. Meanwhile, the major influencing factors of the satisfaction of leadership behavior were age and income （β=-0. 153,0. 148,P〈 0.05,R2=0. 300）. The satisfaction of management system was mostly affected by the posts（β=0. 115, P〈0. 05, R^2 =0. 373）. The satisfaction of remuneration and working environment were both mainly influenced by income and position （β=0. 161,0. 106,P〈0.05,R^2 =0. 404;β=0. 198,0. 133,P〈0. 05,R^2 =0. 353）. The major influencing factors of the satisfaction of job promotions were age and position （β=-0. 177,0. 093, P〈 0. 05, R^2 = 0. 301）. Conclusion TB institutions in Hunan should strengthen human resources construction, improve the staffing quanti- ty and quality, improve HCWs income and establish a rational and fair distribution system.