【摘要】 目的 分析四川省基层医疗卫生机构家庭医生职业倦怠现状及其影响因素。方法 于2024年7—9月，采用分层随机整群抽样方法，选取四川省5个县(市、区)的15个基层医疗卫生机构的588名家庭医生作为调查对象。采用马斯勒倦怠量表-服务行业版调查家庭医生的基本信息和职业倦怠情况。采用χ~2检验或Fisher确切概率法比较不同特征家庭医生职业倦怠检出率，二分类logistic回归用于分析家庭医生职业倦怠影响因素。结果 四川省基层医疗卫生机构家庭医生情感衰竭、情感疏远和个人成就感3个维度得分的M值分别为25分、8分和41分。430名(73.13%)家庭医生检出职业倦怠。轻、中和重度检出率分别为34.69%(204人)、35.88%(211人)和2.55%(15人)。二分类logistic回归分析显示，与20～29岁相比，40～49岁(OR=0.312,95%CI:0.178～0.548)、50～59岁(OR=0.473,95%CI:0.242～0.926)家庭医生的职业倦怠风险更低；与签约服务人数≤2 000者相比，签约服务人数≥5 001人的家庭医生职业倦怠的风险更高(OR=2.345,95%CI:1.276～4.308);经常加班是家庭医生产生职业倦怠的危险因素(OR=1.587,95%CI:1.042～2.418);年均总收入>50 001元的家庭医生检出职业倦怠的概率低于年均总收入≤50 000元者(OR=0.558,95%CI:0.370～0.842)。结论 四川省基层医疗卫生机构家庭医生职业倦怠现状不容乐观，应多维度采取有效措施缓解家庭医生职业倦怠，同时做好持续动态监测。更多还原

【Abstract】 Objective To analyze the current situation of job burnout among family doctors in primary medical and health institutions in Sichuan Province and its influencing factors. Methods From July to September 2024, through the stratified random cluster sampling method, 588 family doctors from 15 primary medical and health institutions in 5 counties（cities and districts） in Sichuan Province were selected as the survey subjects. The basic information and job burnout of family doctors were investigated by using maslach burnout inventory human service survey.The χ² test or Fisher’s exact probability method was used to analyze the detection rates of job burnout amongfamily doctors with different characteristics, and the influencing factors of job burnout among family doctors were analyzed by using binary logistic regression. Results The M-values of the scores of the three dimensions of emotional exhaustion, emotional alienation and personal achievement among family doctors in primary medical and health institutions in Sichuan Province were 25 points, 8 points and 41 points respectively. Job burnout was detected in 430 family doctors, with a detection rate of 73.13%.The detection rates of mild, moderate and severe were 34.69%（204 doctors）, 35.88%（211 doctors） and 2.55%（15 doctors）, respectively. Binary logistic regression analysis showed that compared with those aged 20-29, family doctors aged 40-49（OR=0.312,95%CI:0.178-0.548） and 50-59（OR=0.473,95%CI:0.242-0.926） had a lower risk of job burnout. Compared with those with contracted service numbers ≤2 000, family doctors with contracted service numbers ≥5 001 had a higher risk of job burnout（OR=2.345, 95%CI: 1.276-4.308）. Frequent overtime work was a risk factor for job burnout in family doctors（OR=1.587, 95%CI: 1.042-2.418）.Family doctors with an average annual total income of more than 50 001 yuan had a lower probability of being detected job burnout than those with an average annual total income of no more than 50 000 yuan（OR=0.558,95%CI:0.370-0.842）. Conclusion The current situation of job burnout among family doctors in primary medical and health institutions in Sichuan Province is not optimistic.Effective measures should be taken from multiple dimensions to alleviate the job burnout of family doctors, and continuous dynamic monitoring should be carried out at the same time.更多还原