目的 调查广西县级综合性医院医务人员的工作满意度，并分析其影响因素。方法 采用随机抽样方法对广西壮族自治区武鸣县人民医院的250名医务人员进行工作满意度调查。问卷内容包括被调查者的性别、年龄、职别、职称、工作年限、文化程度、年收入和培训情况等，工作满意度评价涉及从事专业、工作环境、医疗仪器设备、收入报酬、绩效考核制度、职务晋升机会、培训/进修机会、机构制度实施效果、医患关系以及社会地位等维度。采用描述性分析、t检验和方差分析、非条件Logistic回归分析医务人员的工作满意度及其影响因素。结果 该县级医院医务人员对工作的总体满意度为2.80分，满意率为65.0%，属于比较不满意。医师、护士、医技人员是满意度总体评价的负面影响因素，医师和医技人员与其他人员比较差异有统计学意义，接受过培训人员与未接受过培训人员比较差异有统计学意义。结论 该县级医院的医务人员对收入报酬、医患关系和社会地位并不满意，建议建立公平、透明、合理的分配制度，推行有效措施改善医患关系，提高医务人员的社会地位。

Objective To investigate the job satisfaction of medical staff in a county hospital of Guangxi, and analyse the determinants. Methods A total of 250 medical staff were randomly selected from Wuming County Hospital in Guangxi for survey on job satisfaction. The questionnaire included the basic characteristics such as gender, age, occupational category, professional title, education, duration of working, annual income and training status, and the evaluation on job satisfaction concerned with occupational category, working condition, medical equipment, income, performance evaluation system, promotion opportunity, opportunity for training, effect of measures, doctor-patient relationship and social status. Descriptive analysis, t test, variance analysis and non-conditional Logistic regression were performed to investigate the job satisfaction of medical staff and explore the determinants. Results The job satisfaction of medical staff was 2.80, and the satisfaction rate was 65.0%. Doctor, nurse and medical technician were negative factors of job satisfaction, doctors and medical technicians were significantly different from other groups, and those with training were significantly different from the group without training. Conclusion The medical staff in the county hospital are not satisfied with the income, doctor-patient relationship and social status. It is advised to take effective measures to improve the income, doctor-patient relationship and social status of medical staff.