摘要
目的:探讨湖北省乡村医生的生存质量现状及影响因素。方法:采用世界卫生组织生存质量简表(WHOQOL-BREF)对湖北省麻城市7个乡镇的276名乡村医生进行问卷调查。结果:麻城市乡村医生在生存质量简表的生理领域、心理领域、社会领域、环境领域及总评的得分为14.14±2.13、12.80±2.44、13.84±2.32、10.30±2.47及12.11±3.29;多元回归分析得到的主要影响因素是工作满意度,与4个领域及总评均呈正相关,年龄与生理领域和社会领域均呈负相关,居住方式影响环境领域和总评,养老保险和月均医疗收入影响环境领域,是否专职行医影响总评。结论:麻城市乡村医生的生存质量得分可能表明其生存质量较差,提高工作满意度是改善其生存质量的重要手段。政府需要重视提高乡村医生的生存质量,尤其应关注其心理领域和环境领域的生存质量。
Objective To study the status of the quality of life of rural doctors and its affecting factors. Methods 276 cases of rural doctors were selecting from seven towns in Macheng , Hubei province, and surveyed with WHOQOL-BREF questionnaires. Results The scores of physiological field, psychological field, social field, the field of environment and overall quality of life and health field were 14.14 ± 2.13,12.80 ± 2.44, 13.84 ± 2.32,10.30 ± 2.47 and 12.11 ± 3.29 ; Multiple regression analysis showed that job satisfaction in rural doctors was significantly associated with four domains of WHOQOL-BREF, age was associated with two fields (Physical and Social) , ways of living was associated with two fields (Environment and Overall) , endowment insurance and the average monthly income were associated with environment fields and whether full-time job was associated with overall field. Conclusion From the data, it appears that Macheng rural doctors has WHOQOL-BREF scores that might be considered to indicate a relatively poor quality of life. Improving job satisfaction is an important means to enhance the quality of life of rural doctors. Thus, the government must take measures to improve the quality of life of rural doctors, especially in psychological and environment fields.
出处
《中国卫生事业管理》
北大核心
2017年第2期134-136,151,共4页
Chinese Health Service Management
基金
国家自然科学基金"基于CAS理论的农村医疗服务纵向整合管理模型研究"(编号:71273099)