Refining the measurement of physician job satisfaction results from the physician worklife survey
Refining the measurement of physician job satisfaction results from the physician worklife survey
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DOI：
10.1097/00005650-199911000-00006
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发表时间：
1999-11-01
期刊：
影响因子：
3
通讯作者：
Douglas, J
中科院分区：
文献类型：
--
作者：
Williams, ES;Konrad, TR;Douglas, J
背景医生工作满意度与各种患者护理和卫生系统结果有关。一个调查工具，简洁地衡量医生的满意度与各种工作方面，可以帮助不同的利益相关者更好地理解和管理这些结果。记录多维医生工作满意度测量和单独的全球满意度测量的发展和验证。自填问卷：医生工作生活调查（PWS），受试者。一项试点研究采用了美国国家医学协会主文件样本的美国初级保健医生和随机样本从四个州。响应（n = 835; 55%的回报率）被随机分配到发展（n = 560）或交叉验证（n = 275）样本。在随后的验证研究中使用了全国医生样本（n = 2，325; 52%的应答率）。一个38个项目，10个方面的满意度测量结果的因素和可靠性分析的70个试点项目进一步减少到36个项目。10个方面的可靠性范围从0.65到0.77。三个量表测量全球工作，职业生涯和专业满意度也被构建与可靠性从0.84到0.88。结果支持的面孔，内容，收敛，和区分效度的措施。医生工作满意度是一个复杂的现象，可以使用PWS测量。
BACKGROUND. Physician job satisfaction has been linked to various patient care and health system outcomes. A survey instrument that concisely measures physicians' satisfaction with various job facets can help diverse stakeholders to better understand and manage these outcomes.OBJECTIVE. TO document the development and validation of a multidimensional physician job satisfaction measure and separate global satisfaction measures.DESIGN. Self-administered questionnaire: Physician Worklife Survey (PWS),SUBJECTS. A pilot study employed a national American Medical Association Masterfile sample of US primary care physicians and random samples from four states. Responses (n = 835; 55% return rate) were randomly assigned to developmental (n = 560) or cross-validation (n = 275) samples. A national sample (n = 2,325; 52% response rate) of physicians was used in a subsequent validation study.RESULTS. A 38-item, 10-facet satisfaction measure resulting from factor and reliability analyses of 70 pilot items was further reduced to 36 items. Reliabilities of the 10 facets ranged from .65 to .77. Three scales measuring global job, career, and specialty satisfaction were also constructed with reliabilities from .84 to .88. Results supported face, content, convergent, and discriminant validity of the measures.CONCLUSIONS. Physician job satisfaction is a complex phenomenon that can be measured using the PWS.