Factors Influencing Work-related Flow Among "3+2" Order-oriented Assistant General Practitioners in Jiangsu Province postprint

Abstract: Background　The "3+2" order-oriented assistant general practitioners in Jiangsu Province play an important role in primary medical care，but face problems such as low fulfillment rates and a lack of professional identity，and urgently need to improve their work-related flow（WOLF）. Objective　To investigate the current situation of WOLF of "3+2" order-oriented assistant general practitioners in Jiangsu Province，and to analyze its influencing factors. Methods　An online questionnaire survey of "3+2" order-oriented assistant general practitioners in Jiangsu Province was conducted in November 2024 using random sampling method. The general information of the questionnaire included gender，age，marriage，year of entry into training，assistant practitioner qualification or not，monthly income level，daily sleep hours，weekly work hours，and physical exercise；career calling（CC），career reshaping（CR），and WOLF were scored using relevant scales. Multiple linear regression was used to analyze the influencing factors of WOLF of order-oriented assistant general practitioners. Results　Of the 299 questionnaires distributed，282 were valid，resulting in a recovery rate of 94.31%. Among these order-oriented assistant general practitioners，98（34.75%）were male and 184（65.25%）were female，with an average age of （22.50±1.38）years. The Jiangsu order-oriented assistant general practitioners' total CC score was 4.23±0.75，their total CR scale score was （4.32±0.75），and their total WOLF scale score was （5.57±1.40）. All of these scores were above the intermediate level of the scale. Male order-oriented assistant general practitioners had higher CC，CR，and WOLF scale scores than females（P<0.05）. A comparison of the WOLF scale scores of order-oriented assistant general practitioners according to age，year of admission to training，assistant practitioner qualification，daily sleep hours，and physical activity revealed statistically significant differences （P<0.05）. Multiple linear regression analysis revealed that gender，age，assistant medical practitioner qualification，and physical activity influenced order-oriented assistant general practitioners' sense of WOLF（P<0.05），with an adjusted R2 value of 0.104. The CC score significantly positively affected the sense of WOLF（β=0.855，P<0.05），with an adjusted R2 value of 0.735. However，CR had a non-significant effect on WOLF（β=0.038，P> 0.05）. Conclusion　The overall level of WOLF among "3+2" order-oriented assistant general practitioners is relatively high，and CC is the core influencing factor that can significantly improve WOLF. To further enhance WOLF，it is recommended that the sense of CC among order-oriented assistant general practitioners be strengthened，that physical exercise be encouraged，that training bases be strengthened，and that the level of monthly income be raised，with a special focus on the career development of female order-oriented assistant general practitioners.