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中文摘要: 目的：海南省自2017年开展家庭医生签约服务试点以来，取得了一些成就，为进一步追踪当前家庭医生签约工作取得的阶段性成果，特开展本调查。方法：本文以海南省家庭医生团队成员为研究对象，于2022年11月至12月采用自行设计的问卷进行线上和线下调查。本次调查共发放问卷675份，剔除无效问卷后，对583份有效问卷分别进行单因素和多因素分析。结果：被调查对象整体薪酬水平偏低，缺乏针对性的培训，绩效考核结果应用不明显以及整体工作满意度不高。其中，岗位（OR=2.107，P=0.007）、过去一年里参加国家级卫生部门举办的培训次数（OR=1.148，P=0.026）、平均一天工作小时数（OR=0.814，P=0.044）这三个指标是满意度的独立影响因素。结论：应多举措充实家庭医生队伍；加强基层医疗机构与临床教学基地的科研合作力度，组建科研小组开展科研工作；制定专门的家庭医生管理制度；严格执行考核结果的应用，兼顾物质奖励与精神激励。
Abstract:Objective：Some achievements have been made since the pilot program of Family Physician system was implemented in 2017 in Hainan，in order to trace the stage achievements，we started the research. Methods：This paper took Family Physician Team in Hainan as an object and and uses self~designed questionnaires to conduct online and offline surveys from November to December，2022. A total of 675 questionnaires were distributed in this survey. After excluding invalid questionnaires，583 valid questionnaires were analyzed by single-factor and multi-factor statistics. Results：Lowpay，lack of targeted-training，application of the result of performanceappraisal is not obvious.Among them，job（OR=2.107，P=0.007），whose state-level training is more frequent（OR=1.148，P=0.026），who work less time（OR=0.814，P=0.044），These three indicators are independent influencing factors of satisfaction. Conclusion：Take more measures to develop the Family Physician Team；strengthen cooperation between primary medical institutions and clinical teaching base，form a scientific research team；make a special system for team management；strictly implement the application of assessment results；both material incentives and spiritual incentives should be apply to performance appraisal.
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基金项目:国家社会科学基金青年项目（18CGL001）；海南医学院校级培育金（2018~26） 国家社会科学基金青年项目（18CGL001）；海南医学院校级培育金（2018~26）
引用文本：
钟 洁,刘春平*,季海英.“选、用、育、留”机制下海南省家庭医生人力资源管理现状与满意度△[J].江苏卫生事业管理,2023,34(8):1050-1054.
ZHONG Jie,LIU Chunping*,JI Haiying.Status and Satisfaction of Hainan Family Physician Human Resource Management under the Mechanism of “Selection，Utilization，Education and Retention”△[J].Jiangsu Health System Management,2023,34(8):1050-1054.
钟 洁,刘春平*,季海英.“选、用、育、留”机制下海南省家庭医生人力资源管理现状与满意度△[J].江苏卫生事业管理,2023,34(8):1050-1054.
ZHONG Jie,LIU Chunping*,JI Haiying.Status and Satisfaction of Hainan Family Physician Human Resource Management under the Mechanism of “Selection，Utilization，Education and Retention”△[J].Jiangsu Health System Management,2023,34(8):1050-1054.
