11个西方国家的初级保健医生的工作满意度:一个横截面研究
Enzo Dattoli1, Christine Cohidon2
1Department of Family Medicine, Center for Primary Care and General Medicine (Unisanté), University of Lausanne, Lausanne, Switzerland. enzo.dattoli@unisante.ch.
BMC primary care
|August 5, 2025
概括
初级保健医生 (PCP) 经历了工作不满,受到薪水,工作量和患者时间的影响. 政策变化,如跨专业工作和工资再平衡,可能会改善PCP工作满意度.
科学领域:
- 卫生政策 卫生政策
- 主要护理医学 医疗保健
- 职业健康 职业健康 职业健康
背景情况:
- 工作不满和压力是高收入国家的初级保健医生 (PCP) 的重要关注点.
- 了解影响PCP工作满意度的因素对于医疗保健系统的稳定性至关重要.
研究的目的:
- 调查初级保健医生对工作不满的决定因素和后果.
- 确定潜在的政策干预措施,以提高PCP的工作满意度.
主要方法:
- 对2019年英联邦基金国际卫生政策调查数据的分析,包括13,200名PCP.
- 检查了与工作压力,收入,患者时间,工作量和行政任务有关的工作不满.
- 根据医生的性别,年龄和实践地点评估结果.
主要成果:
- 在PCP中,工作满意度因国家而异,从法国的33%到瑞士的69%.
- 在工作满意度和工资满意度 (OR=2.64),工作量 (OR=2.80) 和与患者共度时间 (OR=1.91) 之间发现了强烈的相关性.
- 大多数医生并不寻求减少工作时间或提前退休,尽管退休意图随着年龄的增长而增加.
结论:
- 虽然大多数PCP报告了工作满意度,但薪水和工作量等特定决定因素对其产生了重大影响.
- 该研究提出了包括专业间合作和公平的薪酬结构在内的政策途径,以提高PCP工作满意度.
- 需要进一步的研究来充分解释PCP工作满意度的跨国差异.
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