Abstract: Background　Against the backdrop of socio-economic growth，primary care providers are increasingly more concerned about not only their current salary，but also career prospect and opportunities for career development. Objective　To explore the regional differences in the satisfaction with opportunities for career development and associated factors among primary care workers in Jiangsu Province，providing a theoretical basis for the implementation of policies improving the attractiveness of primary care as a career. Methods　In December 2019，a self-administered survey was conducted in a stratified multistage cluster sample of 698 primary care workers using a questionnaire consisting of demographic information，job satisfaction and job satisfaction root cause scale compiled by our research group with ERG theory as guidance. The satisfaction with opportunities for career development was assessed by region and associated factors were analyzed in terms of existence，relatedness and growth. Results　The satisfaction scores of job achievement，job value and opportunities for career development of the primary care workers in Jiangsu Province were（4.36±0.75）（4.44±0.66） and （4.20±0.86） respectively. The satisfaction scores of opportunities for career development of primary care workers in Southern Jiangsu，Central Jiangsu and Northern Jiangsu were（4.07±0.99）（4.38±0.79） and（4.25±0.78） respectively. And the difference was statistically significant（F=6.995，P<0.001）. As for existence，urban attractiveness was associated with the satisfaction with opportunities for career development of primary care workers from central Jiangsu（P<0.05）. Urban attractiveness and salary were associated with the satisfaction with opportunities for career development of primary care workers from southern Jiangsu（P<0.05）. The construction of healthcare workforce was associated with the satisfaction with opportunities for career development of primary care workers from northern Jiangsu（P<0.05）. As for relatedness，working atmosphere and equity-minded leadership were associated with the satisfaction with opportunities for career development of primary care workers from southern Jiangsu（P<0.05）. And working atmosphere and responsible leadership were associated with the satisfaction with opportunities for career development of primary care workers from northern Jiangsu（P<0.05）. Conclusion　Regional differences may exist in satisfaction with opportunities for career development in primary care workers of Jiangsu Province. To attract and retain talents in primary care to promote the development of healthcare and pharmacological industries，actions should be taken according to the associated factors of opportunities for career development and local conditions.

Key words: Physicians, primary care；Attractiveness；ERG theory；Root causes analysis；Jiangsu

摘要： 背景　随着社会经济的发展，基层卫生人员不再仅关注眼前的工资待遇，对未来职业发展前景、工作发展机会的重视度也在不断提高。目的　从区域差异角度，了解江苏省基层卫生人员工作发展机会满意度现状及其影响因素，为提高岗位吸引力政策的推行提供理论参考。方法　2019年12月，采用多阶段分层整群抽样方法对抽取的698名基层卫生人员进行问卷调查，问卷根据ERG理论编制，包括基本信息、工作满意度情况和工作满意度影响因素量表三部分。了解江苏省不同地区人员工作发展机会满意度情况，并从生存需要、关系需要和成长需要三方面分析其影响因素。结果　江苏省基层卫生人员工作成果、工作价值、工作发展机会满意度得分分别为（4.36±0.75）、（4.44±0.66）、（4.20±0.86）分。江苏省苏南、苏中、苏北地区基层卫生人员工作发展机会满意度得分分别为（4.07±0.99）、（4.38±0.79）、（4.25±0.78）分，三者比较，差异有统计学意义（F=6.995，P<0.001）。在生存需要方面，城市吸引力是苏南、苏中地区，工资待遇是苏南地区，卫生队伍建设是苏北地区基层卫生人员工作发展机会满意度的影响因素（P<0.05）；在关系需要方面，工作氛围是苏南、苏北地区，领导公平性是苏南地区，领导责任感是苏北地区基层卫生人员工作发展机会满意度的影响因素（P<0.05）。结论　江苏省基层卫生人员工作发展机会满意度存在区域差异，应从影响因素入手，结合不同地域的特点采取差异化改善措施，从而为基层卫生岗位吸引、留住更多优秀人才，推动我国医药卫生事业发展。

关键词: 医生, 初级保健；满意度；ERG理论；影响因素分析；江苏