北京市三级综合性医院医生工作满意度的结构方程模型

Analysis of job satisfaction of physicians from third-class general hospitals in Beijing with structural equation modeling study

目的:探讨北京市三级综合性医院医生工作满意度的影响性因素。方法:采用"三级综合性医院医生工作满意度量表"对1880名北京市三级综合性医院医生进行工作满意度调查,运用结构方程模型对医生工作满意度影响因素进行分析。结果:调查对象工作满意度总体处于一般水平,性别、受教育程度和职称影响医生工作满意度(P<0.05)。结构方程模型结果显示工作回报(β=0.62,P<0.05)、工作群体(β=0.24,P<0.05)、工作背景(β=-0.17,P<0.05)和医院管理满意度(β=0.16,P<0.05)对工作本身满意度的影响差异有统计学意义,工作本身满意度(β=0.28,P<0.05)和医院管理满意度(β=0.11,P<0.05)对职业忠诚度的影响差异有统计学意义。工作背景、工作群体和工作回报满意度对职业忠诚度的影响差异无统计学意义。结论:北京市三级综合性医院医生工作满意度主要受工作回报影响。

Aim： To explore the influencing factors of job satisfaction of physicians from third-class general hospitals in Beijing. Methods： Basing on a sample of 1 880 physicians from third-class general hospitals in Beijing,the data about job sat-isfaction of physicians were collected,and were analyzed by structural equation modeling（ SEM） . Results： The current status of job satisfaction was at ordinary level. Job satisfaction of physicians were affected by gender,education background and professional titles（ P 0. 05） . The results of SEM showed that job-reward satisfaction（ β = 0. 62,P 0. 05） ,job-group satisfaction （ β =0.24,P 0.05） ,job-background satisfaction（ β = -0.17,P 0.05） and leader-management satisfaction（ β =0. 16,P 0. 05） had statistically effect on job-itself satisfaction. Job-itself satisfaction（ β = 0. 28,P 0. 05） and leader-management sat-isfaction （ β = 0. 11,P 0. 05） had a statistically effect on loyalty satisfaction. Conclusion： The general job satisfaction of physicians from third-class general hospitals in Beijing is mainly influenced by job-reward satisfaction.