Sociodemographic characteristics, occupational characteristics, motivational factors, and job satisfaction among primary health service practitioners.

IF 2.6 Q2 MEDICINE, GENERAL & INTERNAL BMC primary care Pub Date : 2025-02-01 DOI:10.1186/s12875-025-02714-3
Di Liu, Huanyan Wang, Wenlin Zhang, Peixuan Chen, Yuqing Lin, Yujin Xie, Mingyang Zou, Debao Li, Ming Fang, Bingjie Hu, Lei Shi
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Abstract

Background: The Chinese Basic Public Health Service has achieved certain results since its implementation. As direct providers, understanding the job satisfaction and its influencing factors among basic public health service practitioners is crucial for enhancing service quality and efficiency. This study examines levels of motivational factors and their contribution to job satisfaction among community health workers in China.

Methods: A multistage sampling method was employed to measure socioeconomic and demographic status, motivational factors, and job satisfaction. Logistic regression analysis was used to assess key determinants of job satisfaction.

Results: Regarding overall occupational characteristics, influencing factors of overall and external satisfaction were respondents with different job titles and different working years. Years of service in primary health institutions and different authorized types influence satisfaction across various dimensions, including working arrangement, interpersonal relationship, environment, promotion opportunities, organizational culture, system and policy, professional identity, social identity, and overall, internal, and external satisfaction. Professional title, interpersonal relationship, work arrangement, system and policy, occupational identity, and other dimensions have a positive impact on satisfaction.

Conclusion: The overall job satisfaction of essential public health service practitioners is influenced by various factors. Healthcare managers should focus on improving job satisfaction among healthcare workers in low-resource settings. Establishing scientific and reasonable research on the incentive mechanism at grassroots medical institutions can help stabilize the team, enhance staff satisfaction and work performance, and optimize human resource utilization.

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初级卫生服务从业人员的社会人口特征、职业特征、动机因素和工作满意度。
背景:我国基本公共卫生服务项目实施以来取得了一定成效。基层公共卫生服务人员作为直接提供者,了解其工作满意度及其影响因素对提高服务质量和效率至关重要。本研究考察了中国社区卫生工作者工作满意度的激励因素水平及其对工作满意度的影响。方法:采用多阶段抽样方法,对被试的社会经济和人口状况、动机因素和工作满意度进行调查。Logistic回归分析用于评估工作满意度的关键决定因素。结果:在整体职业特征方面,不同职衔、不同工作年限的被调查者整体满意度和外部满意度的影响因素不同。在基层卫生机构工作年限和不同授权类型对满意度的影响涉及工作安排、人际关系、环境、晋升机会、组织文化、制度政策、职业认同、社会认同、整体满意度、内部满意度和外部满意度等多个维度。职称、人际关系、工作安排、制度政策、职业认同等维度对满意度有正向影响。结论:基层公共卫生服务人员的总体工作满意度受多种因素的影响。卫生保健管理人员应注重提高卫生保健工作者在低资源环境中的工作满意度。建立科学合理的基层医疗机构激励机制研究,有利于稳定团队,提高员工满意度和工作绩效,优化人力资源利用。
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