关键词: 卫生系统机构, 结核, 医务人员, 问卷调查, 职业满意

Abstract:

Objective: To analyze the occupational satisfaction and its influencing factors among tuberculosis health management personnel in primary healthcare institutions in Hunan Province, and to provide evidence for strengthening human resources development for tuberculosis prevention and control in primary healthcare institutions. Methods: A stratified cluster sampling method was employed. From March to April 2023, 14 prefecture-level cities in Hunan Province were first categorized according to the provincial basic public health evaluation classification system. Subsequently, 6 counties/districts were randomly selected from three cities/prefectures (Changde City, Yongzhou City, and Xiangxi Autonomous Prefecture). The study finally included 1289 tuberculosis health management staff from 1256 primary healthcare institutions as study subjects. After obtaining informed consent, sociodemographic data, work-related factors, and anxiety or depression were collected through Tencent questionnaire survey. The Minnesota Satisfaction Questionnaire (MSQ) was used to evaluate staffs’ occupational satisfaction. Results: A total of 1161 valid questionnaires were collected, with a response rate of 90.07% (1161/1289). The overall satisfaction score was (79.60±12.03) points. The highest score item among tuberculosis health management staff was “The way colleagues get along” ((4.16±0.61) points), while the lowest score item was “Remuneration compared to the workload” ((3.61±1.02) points). Multivariable analysis revealed that tuberculosis health management staffs who were being female, holding licensed nurse or village doctors, and working in a full-time tuberculosis management demonstrated significantly higher occupational satisfaction (t=2.430, P=0.015; t=2.005, P=0.045; t=2.968, P=0.003; t=2.337, P=0.020). Conversely, tuberculosis health management staffs with self-rated health status as “good” or “fair/poor”, higher anxiety and depression scores, and personnel residing in Yongzhou City exhibited significantly lower occupational satisfaction (t=-2.607, P=0.009; t=-4.652, P<0.001; t=-3.182, P=0.002; t=-2.942, P=0.003; t=-2.607, P=0.009). Conclusion: The overall satisfaction of tuberculosis health management staffs in primary healthcare institutions in Hunan Province approached the “relatively satisfied” level. Targeted strategies should prioritize improving occupational satisfaction among male staffs, licensed physicians, individuals with self-rated “good” or “fair/poor” health status, personnel exhibiting higher anxiety and depression scores, residents in Yongzhou City, as well as staffs concurrently engaged in other public health service programs.

Key words: Health systems agencies, Tuberculosis, Medical staff, Questionnaires, Occupational satisfaction