关键词: 社区卫生工作者, 社区卫生服务, 家庭医生, 工作满意度, 影响因素分析

Abstract: Background　Family doctor teams in primary care safeguard residents' health in a warm way.However，due to insufficient medical construction and other constraints in primary care，it is necessary to find ways to maintain the safeguard.We explored job satisfaction and influencing factors in the first batch of community health workers delivered pilot family doctor services in Guangdong Province，providing a reference for optimizing the delivery of such services.Objective　To investigate job satisfaction and influencing factors in the first batch of community healthcare workers delivered pilot family doctor services in Guangdong Province，offering a basis for the construction of primary healthcare workforce.Methods　From June 2014 to June 2016，a survey was conducted in 3 types of number-matched health workers，managers，health professionals and other workers selected from 36 community health centers delivered pilot family doctor services by stratified sampling using a self-developed questionnaire for collecting demographic data，overall job satisfaction and satisfaction with 21 job-related factors.The job satisfaction and influencing factors were analyzed.Results　Of the 275 cases participating in the survey，251（91.3%） responded effectively，among whom 217（86.5%） were satisfied or very satisfied with the job.The overall job satisfaction score was（3.8±0.7）.Among 21 job-related factors，"colleague relationship" was scored highest〔with an average satisfaction score of （4.1±0.5）〕，and "unit welfare" was scored lowest〔with an average satisfaction score of （2.8±1.1）〕.Age was associated with the significant difference in the satisfaction with "relationship with leaders"（P<0.05）.Education level was associated with the significant differences in the satisfaction with "workload"（P<0.05）.Professional title was associated with the significant difference in the satisfaction with "help from colleagues"（P<0.05）.Multivariate Logistic regression analysis showed that the number and reasonable allocation of workers〔OR=2.118，95% CI （1.072，4.184）〕，personal ability improvement 〔OR=2.220，95%CI （1.181，4.173）〕，unit supervisory management system 〔OR=1.905，95%CI （1.023，3.546）〕，relationship with leaders 〔OR=4.640，95%CI （1.328，16.214）〕 and colleagues relationship 〔OR=5.111，95%CI （1.330，19.644）〕 were the factors affecting overall job satisfaction （P<0.05）.Conclusion　Family doctor based community health technicians are satisfied with their job.The number of workers and the reasonable allocation，personal ability improvement，unit supervisory management system，relationship with leaders and colleagues relationship are the factors affecting overall job satisfaction.

Key words: Community health workers, Community health services, Family physician, Job satisfaction, Root cause analysis