A Study On The Status Quo And Influencing Factors Of Outpatient Doctor Satisfaction In A Third-class Hospital In Shanxi Province

Objective:Through the investigation and analysis of the job satisfaction of outpatient doctors in a third-class hospital in Shanxi Province,the main factors affecting the work satisfaction of outpatient doctors are found,and the degree of influence of outpatient doctors with different demographic conditions and different dimensions on job satisfaction and the main influencing factors of outpatient doctors’ job satisfaction are studied,so as to provide a reference basis for formulating relevant policies and improving the work satisfaction of outpatient doctors in hospitals.Methods:A convenient sampling method was used to distribute 246 questionnaires to outpatient doctors in a third-class hospital in Shanxi Province for questionnaire surveys.The survey content includes three parts: the demographic situation,work situation and work satisfaction of outpatient doctors;the statistical software SPSS22.0 is used to conduct statistical analysis of the data,the descriptive statistics are used to analyze the demographic analysis of the survey situation,the one-factor analysis is based on t-test and ANOVA,and the two-by-two comparison between multiple sets of means use SD method to analyze the satisfaction and overall satisfaction of outpatient doctors with different characteristics in various dimensions.Multivariate linear regression was used to analyze the influencing factors of overall job satisfaction of outpatient physicians.Results:(1)The overall job satisfaction score of outpatient doctors is(3.56±0.42),and the satisfaction scores of 7 dimensions,from high to low,are doctor-patient relationship,work itself,working environment,organizational management,humanistic care,work pressure and work return.(2)There was a significant positive correlation between the satisfaction scores between each dimension and the overall satisfaction scores(P<0.05),of which the most correlated were humanistic care(r=0.811,P<0.05),followed by organizational management(r=0.807,P<0.05),doctor-patient relationship(r=0.785,P<0.05),work return(r=0.783,P<0.05),working environment(r=0.765,P<0.05),work pressure(r=0.714,P<0.05),and work itself(r=0.529,P<0.05).(3)The satisfaction and overall satisfaction of outpatient doctors with different demographic characteristics and work conditions in various dimensions will affect the job satisfaction of outpatient doctors.There were significant differences in the satisfaction scores of outpatient doctors in the humanistic care dimension of different genders,and the satisfaction scores of women were higher than those of men(t=-2.080,P<0.05);the satisfaction scores of outpatient doctors with different working years in the doctor-patient relationship and humanistic care dimensions were significantly different,among which the satisfaction scores of doctors who worked for 21-30 years were higher than those of 5 years of work and below,and the score of 6-10 years of work(P<0.05).The satisfaction score of doctors in 21-30 years of work is lower than that of 5 years of work and below,6-10 years of work,and 11-20 years of work(P<0.05);(4)The results of the binary logistic regression analysis show that overtime(OR:0.630,95%CI:0.183-2.166,P<0.05)and average overtime hours(OR:0.635,95% CI:0.348-1.159,P<0.05)are independent protective factors for doctors’ job satisfaction.There were significant differences in the satisfaction scores of outpatient doctors with different academic qualifications in the work environment and work return dimensions,and the two-to-two comparison found that the satisfaction scores of doctoral students in the work environment dimension were higher than those of master students(P<0.05).The two-two comparison found that doctoral students were higher than master students in the work return dimension than undergraduate students(P<0.05);there were significant differences in the satisfaction scores of outpatient doctors with different job titles in the humanistic care dimension,and the satisfaction scores of the two-to-two comparison were higher than those of intermediate and sub-senior(P<0.05);the satisfaction scores of doctors who occasionally worked overtime were higher than those of doctors who worked overtime frequently;doctors with less workload were under work pressure,working environment,The satisfaction scores of the human environment dimension were higher than the satisfaction scores of doctors for other workloads(P<0.05).(4)The results of multiple linear regression analysis show that overtime and workload have a significant impact on the total score of job satisfaction(P<0.05).Conclusion:The overall job satisfaction level of outpatient doctors in a tertiary hospital in Shanxi Province is at a medium level,and the satisfaction scores of outpatient doctors on the doctorpatient relationship and the work itself are higher,of which the lowest satisfaction scores are work pressure and work returns;there is a significant positive correlation between the satisfaction scores between each dimension and the overall satisfaction scores;and the satisfaction and overall satisfaction of outpatient doctors with different demographic characteristics and different work conditions gradually change in each dimension.The influencing factors of the overall job satisfaction of outpatient doctors are overtime and workload,according to the factors affecting the overall satisfaction of the work,analyze the reasons for its dissatisfaction,we hope that the hospital management department and relevant government agencies can take targeted measures to improve their satisfaction.