Abstract: Background　General practitioners（GPs） are the primary providers of general health services.General practitioners play the roles of clinician，health educator，communicator，gatekeeper，manager and organizational coordinator.General practice started late in China and there are few studies on GPs.Objective　To investigate the job satisfaction，psychological capital and work engagement of GPs in Jiading District of Shanghai，to provide strategies for community health centers to retain high-quality talents，and to provide a reference for health administration department for policymaking.Methods　Follow the principle of voluntary survey，GPs from 13 community health centers in Jiading District of Shanghai were studied in July 2018.Demographic data of GPs（gender，age，marital status，household registration，educational background，prevalence of participating in standardized residency training，professional title，years of general practice work） were collected.The short-form Minnesota Satisfaction Questionnaire（including external and internal satisfaction subscales），Psychological Capital Questionnaire（including efficacy，optimism，resilience and hope subscales） and Utrecht Work Engagement Scale（including vigor，dedication and absorption subscales）.The associations of the subscales of the aforementioned scales were analyzed.Results　A total of 245 cases participated in the survey and 235（95.9%） of them who handed in responsive questionnaires who finally included.The total score of short-form Minnesota Satisfaction Questionnaire was（71.54±12.60）.The total score of short-form Minnesota Satisfaction Questionnaire was（71.54±12.60）.The total score，and mean score were（106.63±18.05）〔（4.44±0.75），full score=6〕 for the Psychological Capital Questionnaire，respectively，and（61.37±11.94）〔（3.61±0.70），full score=5〕 for the Utrecht Work Engagement Scale，respectively.The internal satisfaction and the external satisfaction were positively associated with each dimension of the Psychological Capital Questionnaire and Utrecht Work Engagement Scale（P<0.05）.Multiple linear regression analysis showed that both internal and external satisfaction and psychological capital had effects on vigor，dedication and absorption subscales（P<0.05）.Conclusion　The internal satisfaction and external satisfaction of GPs in Jiading District of Shanghai were correlated with psychological capital and work engagement，and internal satisfaction and psychological capital had impact on three dimensions of work engagement.

Key words: General practitioners, Job satisfaction, Psychological capital, Work engagement, Questionnaire

摘要： 背景　全科医生是全科医疗服务的主要提供者。全科医生扮演的角色有临床医生、教育者、沟通者、守门人、管理者、组织协调者。我国的全科医学起步较晚，关于全科医生的研究不多。目的　对上海市嘉定区的全科医生开展工作满意度、心理资本和工作投入方面的调查研究，为当地社区卫生服务中心留住高质量人才提供帮助，并为卫生行政部门制定有关政策提供参考。方法　2018年7月，以上海市嘉定区13家社区卫生服务中心的全科医生为研究对象，根据自愿原则开展问卷调查。收集全科医生的人口学资料〔性别、年龄、婚姻状况、户籍、教育背景、是否参加过住院医师规范化培训、职称、从事全科年限〕。采用明尼苏达职业满意度短式量表（外部满意度分量表、内部满意度分量表）调查全科医生工作满意度，心理资本问卷（PCQ）（自我效能、乐观、坚韧、希望）评价心理资本，工作投入评价使用工作投入量表（UWES）（活力、奉献、专注），分析工作满意度、心理资本与工作投入几个维度的相关性。结果　共发放调查问卷245份，回收有效问卷235份，有效问卷回收率为95.9%。全科医生明尼苏达职业满意度短式量表总分为（71.54±12.60）分；心理资本问卷总分为（106.63±18.05）分，平均分为（4.44±0.75）分（满分6分）；工作投入量表总分为（61.37±11.94）分，平均分为（3.61±0.70）分（满分5分）。内部满意度、外部满意度与心理资本、工作投入各维度呈正相关（P<0.05）；多元线性回归分析结果显示，内部满意度和心理资本均对活力、奉献、专注有影响（P<0.05）。结论　上海市嘉定区全科医生内部满意度、外部满意度与心理资本、工作投入各维度有相关性，且内部满意度和心理资本对工作投入各维度有影响。

关键词: 全科医生, 职业满意, 心理资本, 工作投入, 量表