The influence factors of career satisfaction of general practitioner in city's community health service institution

Objective In China,the health system reform aims to build a health system which can serve to deal with health challenge of today and future.To build a stabilized group of general practitioner (GP) is a necessary premise of reform.However,there is a lack of effective academic dialogue on GP's career satisfaction and influencing factors.This study aims to investigate the career satisfaction of GP and analyze its influencing factors,thus to provide some theoretic references for reform practice. Methods Several available survey tools were used in the study.By means of the stratified and convenient sampling method we collected 215 GPs from the community health service institution in city to conduct the questionnaire survey,and the multiple liner regression analysis method was performed to examine the influencing factors. Results The rate of professional achievement satisfaction was 53.74%,career progress was 45.12%,career income was 20.19%,self-realization was 28.80%,and skill development was 43.13%.The influencing factors of career satisfaction of GP include job embedment (β=0.381,P<0.01),transformational leadership (β=0.234,P<0.01),job satisfaction (β=0.197,P<0.01) and career income (β=0.147,P<0.01). Conclusion The overall career satisfaction is at a low level.The driving forces of GP are,in sequence,enterprising,autonomous and business occupational drive.GP cares more about the occupational development and realization degree of self target.To be sure,they also care about their own professional earnings.