چکیده (انگلیسی):

Background:Community health workers are the main providers of community health services in China and have
been important in the process of health system reform that has been in place since 2009. Therefore, it is critical
that healthcare managers and policy decision makers motivate current staff and improve their job satisfaction. This
study examined workplace characteristics and their contribution to job satisfaction in community health workers in
Heilongjiang Province, China.
Methods:A cross-sectional survey of 448 community health workers, from three cities in Heilongjiang province,
was conducted between October 1, 2012 and December 31, 2012. Multistage sampling procedures were used to
measure socioeconomic and demographic status, job satisfaction, and both actual and desired workplace characteristics.
Factor analysis was conducted to determine the main factors contributing to workplace characteristics, and multiple linear
regression analysis was performed to assessthe key determinants of job satisfaction.
Results:Eight groups of factors were identified as the most important workplace characteristics. These comprised system
and policy; fringe benefits; work itself; work relationships; professional development; recognition; work environment;
and remuneration. In all cases, all desired workplace characteristics were higher than the associated actual workplace
characteristics. The main determinants of job satisfaction were occupation, years worked in health service institution, and
five subscales representing the gap between desired and actual workplace characteristics, which were system and policy;
fringe benefits; working relationship; professional development; and remuneration.
Conclusions:These findings suggested that managers wishing to enhance job satisfaction should assess workplace
characteristics comprehensively and design mechanisms that reduce the gap between actual and desired workplace
characteristics.