社区医务人员职业延迟满足情况调查

Occupational delay of gratification among community healthcare workers

目的 了解社区医务人员职业延迟满足情况及影响因素,为促进基层卫生人才队伍可持续发展提供参考。方法采用多阶段整群随机抽样方法,抽取贵州省9个市(州)各5~7家社区卫生服务中心在职在岗的医务人员为调查对象,采用问卷调查收集性别、年龄和学历等基本资料,采用职业延迟满足量表调查职业延迟满足情况。采用多重线性回归模型分析职业延迟满足的影响因素。结果 调查2 076人,其中男性367人,占17.68%;女性1 709人,占82.32%。学历为中专及以下112人,占5.39%;大专872人,占42.00%;本科1 087人,占52.36%;硕士及以上5人,占0.24%。有管理职务665人,占32.03%。月收入≤5 000元1 705人,占82.13%。职业延迟满足总得分为(33.22±4.33)分,总均分为(2.77±0.36)分,工作延迟、职业生涯延迟、持久性3个维度的均分分别为(2.67±0.48)分、(2.96±0.45)分和(2.75±0.46)分。多重线性回归分析结果显示,学历(大专,β=0.089;本科,β=0.088),管理职务(无,β=-0.046)和月收入(>6 000元,β=0.085)是社区医务人员职业延迟满足的影响因素(均P<0.05)。结论 大专以下学历、无管理职务和收入较低的社区医务人员的职业延迟满足水平相对较低。

Objective To investigate the occupational delay of gratification among community healthcare workers and its influencing factors,so as to provide insights into the sustainable development of primary healthcare personnel.Methods The in-service community healthcare workers from 5-7 community health service centers in 9 cities(prefectures)of Guizhou Province were selected using a multi-stage stratified random sampling method.Gender,age,and educational level and other basic information were collected through questionnaire surveys.The status of occupational delay of gratification was investigated using the Occupational Delay of Gratification Scale.Multiple linear regression model was used to analyze the influencing factors of occupational delay of gratification.Results A total of 2076 respondents were surveyed,including 367 males(17.68%)and 1709 females(82.32%).There were 112 respondents(5.39%)with secondary vocational school degree or below,872 respondents(42.00%)with junior college degree,1087 respondents(52.36%)with bachelor's degree,and 5 respondents(0.24%)with master's degree or above.There were 665 respondents(32.03%)with managerial positions.The monthly income of 1705 respondents(82.13%)was≤5000 Yuan.The total score of occupational delay of gratification was(33.22±4.33)points,and the total average score was(2.77±0.36)points.The average scores of work delay,career delay and persistence were(2.67±0.48),(2.96±0.45)and(2.75±0.46)points,respectively.Multiple linear regression analysis identified educational level(junior college,β=0.089;bachelor's degree,β=0.088),management position(not have,β=-0.046)and monthly income(>6000 Yuan,β=0.085)as factors affecting occupational delay of gratification(all P<0.05).Conclusion The community healthcare workers with an education below secondary vocational school,no management position and lower income have relatively lower level of occupational delay of gratification.