| Research background:The comprehensive state of medical workers mainly consists of physical and mental health conditions, bodily and emotional feelings, occupational features and requirements, enthusiasm for work, degree of career satisfaction, personal and social influences an so on. It not only affects the personal life of medical workers but also related to the quality of health service they provide to the whole society. So the related research is helpful to understand on the comprehensive state of medical workers and to define the major factors so that we can improve the current situation and guarantee a better health service quality in our country. The 2008 health service survey across Jiangsu Province, which based on a sample of 1483 medical workers, made a thorough investigation on the physical, mental health conditions and medical practices and other elements of medical workers. The result shows that the sample manifests the characteristics of small mobility and good compliance. My research, based on the related statistics in the survey mentioned above, probes into the comprehensive state of medical workers in Jiangsu province.Objectives: This research studies the licensed ratio and degree of career satisfaction of medical workers in Jiangsu province and discusses the major factors influencing the comprehensive state of medical workers. It aims at providing further scientific evidences to make national health care policy and management of the medical workers. It is hoped that the research will lay a good foundation to the further studies and researches of the comprehensive state of medical workers in China.Material and methods: This research is based on the 2008 health service survey across Jiangsu Province. By using the structured questionnaire, the 2008 health service survey across Jiangsu Province takes into account of the regional factors in Southern, central and northern parts of Jiangsu province and fully considers different situations in urban and rural areas of Jiangsu province. The sample of 1483 medical workers is chosen by cluster sampling. The Health Departments at all levels in Jiangsu province is responsible for the organization of survey, questionnaire collecting, and quality auditing. Each chosen medical workers is required to fill out the questionnaire, which is then input into the computer using software edidata3.10 and analyzed by software SPSS11.O. SPSS11.0 provides a detailed description and multivariate analysis of the comprehensive state of medical workers by doingΧ2 check and comparing the gender, age, length of service and working position etc.Results:(1)1483 medical workers participant in the survey and 1483 valid questionnaire are collected. (2) The physical and mental health status is scored with 95.7 points and the self-perceived health status is scored with 81.97 points, which is a clear indication of good health status. (3) The number of medical workers who feels fatigue caused by overwork ranks the highest, which is 41.59 percent. (4) The overwhelming majority of medical workers hold that medical work has great significance, skill variety, and heavy working load, which are scored with 83.43 points, 82.49 points and 82.64 points respectively; the majority of medical workers think themselves as self-motivated, which is scored with 78.34 points; Many need to hide their dissatisfaction to show friendliness to difficult patients, which is scored with 75.24 points; many need feedbacks from patients, which is scored with 69.59 points. (5) A good many medical workers feel depressed during work, which gained an average 70.03 points, while relatively small number feel they are excited, which is scored with 40.52 points. A majority of medical workers get along well with their colleagues, which is scored with 67.57 points among male workers and 69.65 points among female workers; many think that their work has no negative influence on their family life and can balance their work and family life, which gained an average 50 points; medical workers on the whole feels working pressure, which is scored with 57.23 points among male workers and 60.75 points among female workers; intention to leave their job is also relatively higher, which is scored with 74.53 points among male workers and 75.27 points among female workers.(6)The average working time per week for medical workers is 52 hours; the monthly income is mainly between 1000-3000 yuan; 58.88 percent medical workers want to increase their salary and 19.78 percent of them want a better working environment and order.Discussions and conclusions:(1) The medical workers involved in the survey in Jiangsu Province claim that they are in good health conditions. The result is determined by their professional characteristics as well as the highly developed economy in Jiangsu province. (2) The common feeling of fatigue among medical workers has already affected not only their Physical and mental feelings but also caused the negative effect in the quality of healthcare service. The situation should be improved from strengthening both the management mechanism and the public education, especially the education in the consciousness of medical risk. (3) Medical workers think highly of the significance of their work, however, since they work under high stress, there are more likely to feel depressed and their enthusiasm cannot be aroused very easily. In consideration of the above problems, it is necessary to improve the situation by redistributing the human resources in medical department, improving the treatment of medical workers, developing reasonable reward and punishment system and establishing people-oriented management system. (4) The relatively lower career satisfaction is mainly due to the lower income and welfare treatment as well as the certain confinement of individual career development. This should be improved by strengthening public education, optimize the models of social security; improve the investment to increase the income and welfare treatment of the medical workers. (5) The relationship between the medical workers is intimate and friendly in most cases. This is influenced by factors like working environment, relationship between superiors and subordinates and among colleagues, chances of promotion and reward. (6) The high working pressure and inclination to leave their work is mainly caused by the increasing demand of medical service but lack of medical stuff and the unreasonable quantity and structure in human resource distribution. This should be improved by rationally arranging human resource, placing great importance on human-centered management, establishing the safety management policy. (7) There exists common tension of relationship between doctor and patient. This is caused by unreasonable elements healthcare system, inadequacy of social security system and reasons exist in doctors and patients themselves. This should be improved by building up better teams of medical workers, strengthen the communication between doctors and patients and working hard to reduce medical disputes. |
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