Abstract: Background　The family doctor system is a new delivery model for community medical services. Compared to community doctors，family doctor team members shoulder more workload，namely，delivering more types of services for people from larger areas of service coverage，which may be a reason for high turnover prevalence among family doctor team members recently. Studies at home and abroad have proved that the enhancement of professional identity plays an important role in strengthening team building，alleviating job burnout and reducing turnover intention. Objective　To investigate the professional identity of family doctor team members and associated factors via a survey from Xuzhou，providing a scientific basis for promoting the professional development and team building of family doctors. Methods　From May to October 2017，all the members（n=700） of family doctor teams in 36 community health centers offering family doctor services in Xuzhou were recruited by typical sampling and participated in a survey for investigating the status of professional identity using a self-compiled questionnaire. Stepwise multiple linear regression analysis was used to explore the influencing factors of the professional identity. Results　The total score of professional identity for the members was（71.57±9.01） points. And the average score of the four dimensions of professional sense of belonging，professional behavioral tendency，professional values and professional self-awareness for them were（4.53±0.67），（4.45±0.64），（4.27±0.59），and （3.82±0.77） points，respectively. Stepwise multiple linear regression analysis demonstrated that educational background，monthly income，marital status，work preference，family-work relationship，career planning，and work pressurewere factors affecting the professional identity（P<0.05）. Conclusion　The professional identity of Xuzhou family doctor team members was rated as good，but there is still room for improvement，especially in the aspect of professional self-awareness. To enhance the professional identity of this group，it is recommended to improve related governmental policy supports and related social supports，as well as ideological education for general medical college students.

Key words: Family doctor, Community health worker, Health workforce, Professional identity, Root cause analysis

摘要： 背景　家庭医生制度作为较新型的社区医疗服务模式，家庭医生团队的工作内容和服务范围在社区医生的基础上明显增加，使得近年来家庭医生团队的离职现象严重。国内外研究证明，职业认同的提升有利于家庭医生团队加强队伍建设、缓解职业倦怠、减少离职意愿。目的　调查徐州市家庭医生团队职业认同现状，探讨其影响因素，为促进家庭医生的职业发展和队伍建设提供科学依据。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36家，以其所有家庭医生团队成员为研究对象，共700例。采用自编职业认同调查问卷调查纳入成员的职业认同情况，采用多元线性逐步回归分析探讨家庭医生团队成员职业认同的影响因素。结果　徐州市家庭医生团队成员职业认同总得分为（71.57±9.01）分，职业归属感、职业行为倾向、职业价值观、职业自我认知4个维度的平均得分分别为（4.53±0.67）、（4.45±0.64）、（4.27±0.59）、（3.82±0.77）分。多元线性逐步回归分析结果显示，学历、月收入、婚姻状况、工作喜爱程度、家庭工作关系、职业规划、工作压力是家庭医生团队成员职业认同总得分的影响因素（P<0.05）。结论　徐州市家庭医生团队成员的职业认同处于良好水平，仍有提升空间，主要体现在职业自我认知方面。建议政府完善配套政策、高校加强全科医学生的思想教育、社会给予家庭医生团队成员社会支持等以提升家庭医生团队成员的职业认同。

关键词: 家庭医生, 社区卫生工作者, 卫生人力, 职业认同, 影响因素分析