目的调查河南省农村居民职业满意度与卫生工作政策和人口学因素之间的关系,从中确定卫生工作政策顺序和重点目标人群。方法采用问卷调查方法,在19个县(市、区)的44个乡镇156个村调查了1117名农村居民。对获得的数据进行频数分析、均数多重比较分析和多元线性回归分析。结果河南省农村居民职业满意度平均值为68.23分,其中0分者(完全不满意者)占1.9%;100分者(完全满意者)占9.0%;50分及以下者占20.9%,80分及以上者占37.5%。以职业满意度为因变量,留在模型中的自变量,按其影响程度大小排序,依次为:新型农村合作医疗(新农合)、职业、村医工作、家庭构成方式、年龄、疾病预防控制工作。对新农合的满意度越高,职业满意度越高。新农合减轻就医负担越多,职业满意度越高。对村医工作满意者,职业满意度高。认为疾病预防控制工作及时者,职业满意度高。与配偶一起生活者,职业满意度最高;与配偶、儿女一起生活者,与父母、配偶、儿女一起生活者,职业满意度最低。务农者职业满意度最低。职业满意度与文化程度呈明显的负相关,与年龄呈明显的正相关。结论职业满意度是衡量社会和谐程度的重要指标,也应是政策决策、实施和评价的基础。河南省农村地区居民职业满意度总体较低,应该警惕其和谐稳定情况。该地区现有农村卫生工作政策的优先发展顺序应当是新农合工作政策、村医工作政策、乡村疾病预防控制工作政策。在制定和实施农村卫生工作政策时,应当把由两代人和三代人构成的家庭、务农者、文化程度较低者和青年人作为重点目标人群。 Objective To investigate the relationship between occupational satisfaction and health work policies and demographic factors of rural residents in Henan Province, and to determine the order and key target groups of health work policies. Methods By questionnaire survey, 1117 rural residents were surveyed in 156 villages of 44 towns and villages in 19 counties (cities and districts). Frequency analysis of the data obtained, the number of multiple comparative analysis and multiple linear regression analysis. Results The average occupational satisfaction of rural residents in Henan Province was 68.23, of which 0 (totally not satisfied) accounted for 1.9%; 100 (totally satisfied) accounted for 9.0%; 50 and below accounted for 20.9%, 80 37.5% or more points. The variables of occupational satisfaction as the dependent variable, which are left in the model, are ranked according to the degree of their influence: New Rural Cooperative Medical System (NCMS), occupation, village medical work, family composition, age, disease prevention Control work. The higher the satisfaction with NCMS, the higher the job satisfaction. NRCMS reduce the burden of medical treatment, the higher the job satisfaction. Satisfied with the village doctors, job satisfaction. That disease prevention and control work in a timely manner, high occupational satisfaction. Those who lived with their spouse had the highest job satisfaction; those who lived with their spouse and children and those who lived with their parents, spouses and children had the lowest job satisfaction. Job satisfaction with the lowest job farmers. Occupational satisfaction and cultural level showed a significant negative correlation with age was significantly positive correlation. Conclusion Occupational satisfaction is an important indicator to measure the degree of social harmony. It should also be the basis of policy decision-making, implementation and evaluation. The occupational satisfaction of residents in rural areas of Henan Province is generally low and should be vigilant for its harmonious and stable situation. The prioritized development of existing rural health work policies in the region should be the policy of the new rural cooperative medical work, the work of village doctors and the prevention and control of rural diseases. In formulating and implementing policies on rural health work, families, farm workers, people with lower education levels and young people, comprised of two generations and three generations, should be the key target groups.