Abstract: Objective　To understand the job satisfaction of community health service workers in Beijing Dongcheng District,and investigate its influencing factors so as to put forward suggestions of improving their satisfaction degree.Methods　All the on-the-job workers from all the community health service institutions in Beijing Dongcheng District were selected as the research objects by applying cluster sampling method.The questionnaire survey was conducted from September 15th to October 31st in 2015,covering the following major investigation aspects: workers’ basic information （gender,age,educational degree,job title,personnel relation,position,income situation）;workers’ job satisfaction degree （work itself,sense of achievement and honor,working environment,income and welfare treatment,interpersonal relationship,working pressure and workload,loyalty and recommendation of the work,overall satisfaction）.The overall satisfaction degree was divided into 8 dimensions.Divide the total scores of the 8 dimensions by 8 was the comprehensive evaluation scores of satisfaction.738 questionnaires were sent out,and all were recovered with a response rate of 100.0%.Results　The comprehensive evaluation scores of satisfaction of community health service workers in Beijing Dongcheng District was （74.02±13.58）.The respective score of 8 dimensions was shown as follows: work itself （75.28±15.71）,sense of achievement and honor （84.23±15.85）,working environment （69.92±19.84）,income and welfare treatment （62.20±21.20）,interpersonal relationship （81.57±14.87）,working pressure and workload （65.19±13.37）,loyalty and recommendation of the work （70.54±21.26）,and overall satisfaction （83.26±14.45）.Multivariate Logistic regression analysis showed that the satisfaction degree of the work itself,of working environment,of income and welfare and of working pressure and workload significantly influenced workers’ satisfaction （P<0.05）.Conclusion　The satisfaction degree of community health workers in Beijing Dongcheng District remains at an ordinary level.The work itself,working environment,income and welfare treatment,and working pressure workload are the influencing factors of their satisfaction degree.

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

摘要： 目的　了解北京市东城区社区卫生服务机构职工的满意度水平，探讨其影响因素，提出改善职工满意度水平的建议。方法　采用整群抽样方法，抽取北京市东城区所有社区卫生服务机构的所有在岗职工为调查对象。于2015年9月15日—10月31日进行问卷调查，调查问卷的主要内容为：职工的一般情况，包括性别、年龄、文化程度、职称、人事关系、工作岗位、收入情况；职工的满意度情况，包括工作本身、成就荣誉感、工作环境、收入待遇、人际关系、工作压力和强度、忠诚度与推荐度、总体满意度8个维度，满意度综合评价得分为8个维度得分之和/8。发放问卷738份，回收有效问卷738份，问卷的有效回收率为100.0%。结果　北京市东城区社区卫生服务机构职工的满意度综合评价得分为（74.02±13.58）分。8个维度的得分分别为：工作本身（75.28±15.71）分，成就荣誉感（84.23±15.85）分，工作环境（69.92±19.84）分，收入待遇（62.20±21.20）分，人际关系（81.57±14.87）分，工作压力和强度（65.19±13.37）分，忠诚度与推荐度（70.54±21.26）分，总体满意度（83.26±14.45）分。多因素Logistic回归分析显示，工作本身满意度、工作环境满意度、收入待遇满意度、工作压力和强度满意度是职工满意度的影响因素（P<0.05）。结论　北京市东城区社区卫生服务机构职工的满意度水平一般，工作本身、工作环境、收入待遇及工作压力和强度是满意度的影响因素。

关键词: 社区卫生服务, 职业满意, 影响因素分析