县级医院医生工作积极性影响因素分析

Investigation on doctors＇ working enthusiasm in county level hospitals

目的分析县级医院医生工作积极性及其影响因素。方法在3省8县召开17场座谈会，对1055名医生进行问卷调查，对其工作积极性、工作积极性影响因素、2009年新医改后的变化3个分量表进行分析。结果工作积极性由内在驱动性、工作愉悦性、工作认可性、外部认可性4个因子构成，其中内在驱动性最为重要，方差贡献率为20．55％；影响因素的6个维度中，工作环境影响最大，方差贡献率为19．46％。结论优化医改措施、改善工作环境和社会环境，可提高县级医院医生工作积极性。

Objective To analyze the doctors＇ working enthusiasm and its influencing factors on county level hospitals. Methods 17 seminars were held in 8 counties of 3 provinces to investigate 1055 doctors with questionnaires, analyzing the three scales of working enthusiasm, working enthusiasm influencing factors, and changes since the 2009 new healthcare reform. Results Working enthusiasm comprises inner drive, working pleasure, work recognition and external recognition, and inner drive of which is found to play the most important part, with 20. 55% variance contribution. Among the six dimensions of the influencing factors, working conditions rank the highest with 19.46% variance contr＇lbution. Conclusion Optimized measures in the healtheare reform, better working conditions and social environment can improve working enthusiasm of these doctors.