关键词: 卫生人力, 医师助理, 工作能力, 影响因素分析, 上海

Abstract: Objective　To investigate the manpower status and associated factors of working ability among general practitioner（GP） assistants in Minhang District，Shanghai，and offer a basis for GP assistant team construction.Methods　This study was conducted from July to August 2016.By purposive sampling，we selected 6 out of 13 community health centers（CHCs）（Zhuanqiao Community Health Center，Wujing Community Health Center，Xinzhuang Community Health Center，Pujiang Community Health Center，Jiangchuan Community Health Center and Huacao Community Health Center） in Minhang District，Shanghai which have employed GP assistants.Then，from which，we selected 170 GP assistants by random sampling and surveyed them using a self-developed questionnaire covering the demographic data，work years，employment status and working ability.The working ability was evaluated by working ability index（WAI）in Chinese version.Univariate analysis and multivariate unconditional Logistic regression analysis were used to analyze the associated factors of working ability.Results　166 GP assistants responded effectively to the survey，with a response rate of 97.6%.The data collected are as follows：sex：85.5%（142/166） were females；age：most of them aged 25-35 years〔23.5%（39/166） were 25-30 years，33.1%（55/166） were 31-35 years〕；educational attainment：the majority of them owned junior college degree，college degree or above〔7.0%（78/166） owned college degree or above，39.8%（66/166）of them owned junior college degree〕；major：the major of 66.3%（110/166） was nursing；profrssional and technical title：the majority of them owned junior title，intermediate titles or above〔40.4%（67/166） owned junior titles，40.4%（67/166） of them owned intermediate titles or above〕；monthly income：56.0%（93/166） of them earned less than 4 000 yuan；working years：49.4%（82/166） of them worked for over 3 years；employment status：72.3%（120/166） of them worked full-timely；mean work ability score：7.7±1.8.Univariate analysis showed that the working ability score between the GP assistants varied significantly by years of working and employment status（P<0.05），but not by sex，age，educational attainment，major，professional and technical title，as well as monthly income（P>0.05）.Multivariate unconditional Logistic regression analysis demonstrated that major，years of working，and employment status were associated factors of the working ability for GP assistants（P<0.05）.Conclusion　The structure of the GP assistant team in Minhang District is characterized by female, full-time and medical background, low income, promotion without professional title and low overall working ability，and major，years of working，and employment status were associated factors of the working ability for GP assistants.The status may be changed by expanding publicity，raising income and opening up the channel for promoting the professional and technical title，which should be improved through full-time employment，series of training and team stability construction.

Key words: Health manpower, Physician Assistants, Work ability, Root cause analysis, Shanghai