Abstract: Background　The "3+2" order-oriented assistant general practitioners in Jiangsu Province play an important role in primary medical care，but face problems such as low fulfillment rates and a lack of professional identity，and urgently need to improve their work-related flow（WOLF）. Objective　To investigate the current situation of WOLF of "3+2" order-oriented assistant general practitioners in Jiangsu Province，and to analyze its influencing factors. Methods　An online questionnaire survey of "3+2" order-oriented assistant general practitioners in Jiangsu Province was conducted in November 2024 using random sampling method. The general information of the questionnaire included gender，age，marriage，year of entry into training，assistant practitioner qualification or not，monthly income level，daily sleep hours，weekly work hours，and physical exercise；career calling（CC），career reshaping（CR），and WOLF were scored using relevant scales. Multiple linear regression was used to analyze the influencing factors of WOLF of order-oriented assistant general practitioners. Results　Of the 299 questionnaires distributed，282 were valid，resulting in a recovery rate of 94.31%. Among these order-oriented assistant general practitioners，98（34.75%）were male and 184（65.25%）were female，with an average age of （22.50±1.38）years. The Jiangsu order-oriented assistant general practitioners' total CC score was 4.23±0.75，their total CR scale score was （4.32±0.75），and their total WOLF scale score was （5.57±1.40）. All of these scores were above the intermediate level of the scale. Male order-oriented assistant general practitioners had higher CC，CR，and WOLF scale scores than females（P<0.05）. A comparison of the WOLF scale scores of order-oriented assistant general practitioners according to age，year of admission to training，assistant practitioner qualification，daily sleep hours，and physical activity revealed statistically significant differences （P<0.05）. Multiple linear regression analysis revealed that gender，age，assistant medical practitioner qualification，and physical activity influenced order-oriented assistant general practitioners' sense of WOLF（P<0.05），with an adjusted R2 value of 0.104. The CC score significantly positively affected the sense of WOLF（β=0.855，P<0.05），with an adjusted R2 value of 0.735. However，CR had a non-significant effect on WOLF（β=0.038，P> 0.05）. Conclusion　The overall level of WOLF among "3+2" order-oriented assistant general practitioners is relatively high，and CC is the core influencing factor that can significantly improve WOLF. To further enhance WOLF，it is recommended that the sense of CC among order-oriented assistant general practitioners be strengthened，that physical exercise be encouraged，that training bases be strengthened，and that the level of monthly income be raised，with a special focus on the career development of female order-oriented assistant general practitioners.

Key words: General practitioners, Order-oriented, Assistant general practitioners, Career calling, Career Reshaping, Work-related Flow, Root cause analysis, Jiangsu Province

摘要： 背景　江苏省“3+2”订单定向助理全科医生在基层医疗中发挥重要作用，但面临履约率低、职业认同感不足等问题，亟需提升工作惬意感。目的　了解江苏省“3+2”订单定向助理全科医生工作惬意感现状，并分析其影响因素。方法　于2024年11月，采用随机抽样方法对江苏省“3+2”订单定向助理全科医生进行线上问卷调查。问卷内容一般资料包括性别、年龄、婚姻、入培年度、有无助理执业医师资格、月收入水平、每日睡眠时长、每周工作时长、体育锻炼情况；职业召唤、职业重塑和工作惬意感采用相关量表进行评分。采用多元线性回归分析订单定向助理全科医生工作惬意感的影响因素。结果　共回收299份问卷，其中有效问卷282份，有效回收率为94.31%。282名订单定向助理全科医生中，男98名（34.75%）、女184名（65.25%），平均年龄（22.50±1.38）岁。江苏省订单定向助理全科医生的职业召唤量表总分为（4.23±0.75）分，职业重塑量表总分为（4.32±0.75）分，工作惬意感量表总分为（5.57±1.40）分，均超过量表中级水平。男性助理全科医生的职业召唤、职业重塑、工作惬意感量表评分均高于女性（P <0.05）。不同年龄段、入培年度、助理执业医师资格、每日睡眠时长和体育锻炼情况的助理全科医生工作惬意感量表评分比较，差异有统计学意义（P <0.05）。多元线性回归分析显示，性别、年龄、助理执业医师资格与体育锻炼情况是助理全科医生工作惬意感的影响因素（P <0.05），调整后R2值为0.104；职业召唤量表评分对工作惬意感有显著正向影响（β=0.855，P <0.05），调整后R2值为0.735；而职业重塑量表评分对工作惬意感的影响不显著（β=0.038，P >0.05）。结论　江苏省“3+2”订单定向助理全科医生的工作惬意感整体水平较高，职业召唤是其核心影响因素，能够显著提升工作惬意感。建议通过增强职业召唤感、鼓励体育锻炼、加强培训基地建设和提升月收入水平等措施，尤其是关注女性助理全科医生的职业发展，进一步提升助理全科医生的工作惬意感。

关键词: 全科医生, 订单定向, 助理全科医生, 职业召唤, 职业重塑, 工作惬意感, 影响因素分析, 江苏省