醫師疲勞、工作特質、醫病關係與工作滿意度之相關性研究—以某家醫院為例

Abstract

研究背景：近年來，醫師疲勞與工作滿意度的問題受到熱烈關注，但大多數研究著重於以醫護人員或是護理人員作為研究對象進行探討。因此關注醫師的疲勞狀況，找出影響工作滿意度的相關因素顯得尤為重要。 研究目的：瞭解醫師疲勞程度與工作滿意度之現況，探討影響醫師工作滿意度之相關因素。 研究方法：本研究於2018年1月至2月期間，使用結構式問卷針對浙江某家三級醫院之醫師進行資料蒐集，共計發放問卷450份，回收363份，回收率為80.67%。利用二元羅吉斯迴歸模型探討影響醫師工作滿意度之相關因素。 研究結果：該醫院之醫師「工作疲勞」分量表平均得分為47.71，「服務對象疲勞」分量表平均得分為43.54，約七成(69.70%)的醫師對工作感到滿意。不同社會人口學特質的醫師，對工作之滿意程度存在差異。透過二元羅吉斯迴歸模型分析發現，服務對象疲勞、工作特質中的工作心理負荷構面與主管社會支持構面都與醫師工作滿意度達統計意義上的顯著相關。 結論：醫師存在一定程度之疲勞情形，工作滿意度總體較高。疲勞、工作心理負荷與主管社會支持為醫師工作滿意度的重要預測因子。建議未來可探討影響不同城市、不同層級別醫師工作滿意度的因素是否存在差異，納入更多不同的因素作進一步的比較分析。

Background：In recent years, the issues of physician burnout and job satisfaction have received intense attention, but most studies have focused on the exploration of medical personnel or nursing staff as research subjects. Therefore, it is particularly important to pay attention to the burnout status of physicians and find out the relevant factors that affect job satisfaction. Objectives：In this study, we sought to elucidate the current status of physician burnout and job satisfaction, and explored the relevant factors that affect the job satisfaction of physicians. Method：This study conducted in January to February 2018, using structured questionnaire to collect data from physicians in a tertiary general hospital in Zhejiang province. A total of 450 questionnaires were distributed and 363 were collected, with a response rate of 80.67%. The binary logistic regression model was used to explore the relevant factors that influence the job satisfaction of the physicians. Results：The average score of the 'work-related burnout ' subscale of the physicians in the hospital was 47.71, and the average score of the 'client-related burnout' subscale was 43.54. Around 70%(69.70%) of the physicians were satisfied with their work. Physicians with different social demographic characteristics have different levels of satisfaction. The results of binary logistic regression analysis showed that client-related burnout, psychological work demands and supervisor social support were statistically significant related to the job satisfaction of the physician. Conclusions：The physicians have a certain degree of burnout and are quite satisfied with their job. Client-related burnout, psychological work demands and supervisor social support are important predictors of physician job satisfaction. We suggest that in the future it can be explored whether there are differences in the factors affecting the level of physician job satisfaction from different cities and medical institutions. We also suggest that future researchers can include different aspects of factors for further comparative analysis.