Beyond patient care: the impact of healthcare reform on job satisfaction in the Ethiopian public healthcare sector

摘要: While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. This study aimed to determine the of in public sector Ethiopia. The was designed as facility-based cross-sectional survey professionals and carried out all hospitals Ethiopia which have implementing (n = 5). All who were involved from inception (n = 476) purposively sourced complete self-administered questionnaire adapted framework proposed measuring health sub-Saharan Africa. Kaiser-Meyer-Olkin Bartlett’s tests conducted measure sampling adequacy sphericity factor analysis. Likert’s transformation formula used numerically analyse level respondents cut-off value levels. Non-parametric multiple logistic regression analysis predictors satisfaction. A total 410 completed survey, representing an 88% response rate. median mean scores 50 49, respectively, scale 1–100, equivalent ‘Job dissatisfied’ Likert scale. Only 25% perceived due implementation reform. Moral (adjusted odds ratio (aOR), 177.65; 95% confidence interval (CI), 59.54–530.08), management style (aOR, 4.02; CI, 1.49–10.83), workload 2.42; 0.93–6.34), task 5.49; 2.31–13.07) most significant predictors. Job results significantly different among (χ 2 = 30.56, p < .001). negatively influences professionals’ overall poor, would hinder ‘Health Sector Transformation’ movement Healthcare efforts are contingent professionals, such should balance demand supply both patients providers improved outcomes.