The Study On Status Evaluation And Strategy Analysis Of Physician Job Satisfaction In Governmental Hospitals

Objective As the most important human resources in hospital, physicians job satisfaction is related to not only the health status of themselves but also the quality of health services, efficiency and the stability of the contingent of physicians, and even influences the development of health service. So, developing the investigation of physician job satisfaction is very significant. The study aimed at knowing about the status of the physician job satisfaction in governmental hospital, distinguishing the key factors which affect physician job satisfaction, and proposing suggestion to improve the physician job satisfaction, so as to help health management department take corresponding measures, to maintenance the stability of the physicians, to enhance the health service quality and promote the sustainable development of public health service.Method The study takes physician job satisfaction of governmental hospital scale as measurement tool, 5677 physicians of 12 cities in four provinces of our country were investigated. Using item analysis to discriminate the area indexing of the items in scale, using Cronbach's Alpha coefficient to examinate the scale of the reliability of the scale and useing the factor analysis to examine structure validity of the scale; Using mean and standard deviation to descriptive the status of the physician job satisfaction in governmental hospital, and using spearman correlation analysis to discuss the correlational between each item and the physician job satisfaction; Using variance analysis and t test to compare the physician job satisfaction of different demographic variables; Using fuzzy comprehensive evaluation, structural equation model, OLS stepwise regression, non-condition Logistic regression and so on, to evaluate the physician job satisfaction, and identify the key factors; Using important quadrant model to find out the problems need to be solved preferentially and using scenario analysis carrying on the simple scene construction to physician job satisfaction of governmental hospitals.Results The scale is reliable and valid; Job itself, internal environment, organizational management had get higher scores, job-return, working environment had get lower scores; The satisfaction of different demographic variables are different; the level of the physician job satisfaction in governmental hospital is low; 11 factors decide the physician job satisfaction, of which organizational management has the greatest impact, among the others, job fitness, working condition, guard tendency, spiritual return, material return are in the first five. Satisfaction of job itself is mainly affected by internal factors; Income and ability displaying play an important role in the job return; Among the factors of internal environment, working environment, work space, technical equipment and so on, should be solved first; The level of physician organizational management satisfaction is low, especially the system construction; Among the internal factors organizational management, macroscopic system environment, material return, spiritual return, working condition need to be solved preferentially.Conclusion The scale is reliable and valid; The physician job satisfaction needs improving, the problems that physicians feel not satisfied most are job return and professional environment; Among internal factors organizational management play the most important role, some demographic variables have effects on physician job satisfaction; Among the internal factors organizational management, macroscopic system environment and so on, need solving preferentially; The study has a large sample, and many kinds of statistical methods have been applied to analyze the data, so, the results can reflect the status of physician job satisfaction of governmental hospital literally. Based on the study results we propose suggestion to help healthe management department take propotional measures.