Abstract: Background　The implementation of family doctor system is an important initiative for improving the primary care services.Family doctor teams take primary responsibilities for delivering family doctor services（FDSs），so the physical and mental health of the team members and quality of their services are the key factors affecting the development of FDSs.There is a lack of domestic research on family doctor system from the perspective of service providers.Objective　To investigate family doctor team burnout and associated factors，providing a theoretical basis for delivering corresponding scientific interventions.Methods　From May to October 2017，all the members（n=600） of family doctor teams in 28 community health centers offering FDSs in Xuzhou were recruited by typical sampling and participated in a questionnaire survey.The Chinese version of Maslach Burnout Inventory-General Survey was adopted to investigate their burnout status.Multivariate stepwise Logistic regression analysis was used to analyze the influencing factors of burnout.Results　Overall，568 cases（94.7%） returned responsive questionnaires，including 165 general practitioners，272 nurses，and 131 public health physicians.The prevalence of burnout was 75.4%（428/568）．Low personal accomplishment was the most common problem〔66.0%（375/568）〕，followed by emotional exhaustion〔51.8%（294/568）〕，then depersonalization〔34.7%（197/568）〕．Multivariate stepwise Logistic regression analysis showed that monthly income，employment form，occupational preference，self-assessed value of being a healthcare worker，and work pressure were the influencing factors of burnout（P<0.05）．Conclusion　The prevalence of job burnout among family doctor team members was high，which was more often manifested as emotional exhaustion and low personal accomplishment.In order to reduce the prevalence of burnout and ensure the stability and development of family medicine workforce，performance evaluation system for family doctors should be improved，social supports should be given to them，and guidance should given to them to innovate the traditional management patterns of health problems.

Key words: Family doctor team, Community health workers, Burnout, Health manpower, Root cause analysis

摘要： 背景　家庭医生制度是强化基层医疗卫生服务的重要任务之一，家庭医生团队是家庭医生服务的第一责任人，其身心健康与服务质量是影响家庭医生签约服务发展的关键因素，但目前国内以服务供方角度探讨家庭医生制度的研究相对较少。目的　了解家庭医生团队的职业倦怠现状，并分析其影响因素，为科学干预职业倦怠提供理论依据。方法　于2017年5—10月，采用典型抽样法在徐州市选取已开展家庭医生服务的社区卫生服务中心28家，以其所有家庭医生团队成员为研究对象，共600例。采用马斯勒职业倦怠调查普适量表（MBI-GS）调查纳入成员的职业倦怠情况，采用多因素Logistic逐步回归分析其职业倦怠的影响因素。结果　共回收有效问卷568份（包括全科医生165例、护士272例、公共卫生医生131例），问卷有效回收率为94.7%。家庭医生团队成员的职业倦怠阳性检出率为75.4%（428/568），其中情感衰竭、去个性化、个人成就感降低维度的中重度倦怠占比分别为51.8%（294/568）、34.7%（197/568）、66.0%（375/568），个人成就感降低维度高于情感衰竭维度、情感衰竭维度高于去个性化维度（P<0.05）。多因素Logistic逐步回归分析结果显示，月收入、用工形式、职业喜爱程度、自评工作意义、工作压力是家庭医生团队职业倦怠的影响因素（P<0.05）。结论　家庭医生团队的职业倦怠阳性检出率较高，尤其体现在情感衰竭和个人成就感降低两方面，建议通过健全家庭医生绩效考核制度、给予团队社会支持、引导家庭医生团队转变医疗观念等方式降低其职业倦怠检出率，以保障家庭医生队伍的稳定与发展。

关键词: 家庭医生团队, 社区卫生工作者, 职业倦怠, 卫生人力, 影响因素分析