<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662020000200012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Asociación entre índice de ruralidad y satisfacción laboral en médicos y enfermeros de Perú]]></article-title>
<article-title xml:lang="en"><![CDATA[Association between the rurality index and work satisfaction in Peruvian physicians and nurses]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zafra Tanaka]]></surname>
<given-names><![CDATA[Jessica Hanae]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tenorio-Mucha]]></surname>
<given-names><![CDATA[Janeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bazalar-Palacios]]></surname>
<given-names><![CDATA[Janina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Peruana Cayetano Heredia, Centro de Excelencia en Enfermedades Crónicas ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica Los Ángeles de Chimbote Instituto de Investigación. Chimbote ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662020000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662020000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662020000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La satisfacción laboral en el contexto de la salud es importante porque su ausencia se asocia a trastornos mentales o psicosociales e influye de forma negativa en los servicios prestados, en el bienestar del paciente y disminuyen el rendimiento del sistema de salud.  Objetivo:  Evaluar la asociación entre el índice de ruralidad del distrito donde se ubica el establecimiento de salud y la satisfacción laboral en médicos y enfermeros que laboran en estos establecimientos en Perú.  Métodos:  Se realizó un análisis secundario de la Encuesta Nacional de Satisfacción de Usuarios en Salud, 2016. Esta encuesta se realizó a 5098 profesionales de la salud, el 43,5 % eran médicos La ruralidad fue medida como la densidad poblacional (habitantes/km2) del distrito donde se ubica el establecimiento de salud. Para evaluar la asociación de interés, se utilizó un modelo lineal generalizado de la familia de Poisson para estimar razones de prevalencia crudas y ajustadas.  Resultados:  El porcentaje de médicos y enfermeros con satisfacción laboral fue de 75,1 % y 76,7 %, respectivamente. Entre los médicos no se encontró asociación entre el índice de ruralidad y satisfacción laboral en el modelo crudo (1,01 IC 95 %: 0,96 a 1,05) ni ajustado (1,01 IC 95 %: 0,97 a 1,05). En enfermeros tampoco se encontró asociación en el modelo crudo (98 IC 95 %: 0,95 a 1,00) ni ajustado (0,97 IC 95 %: 0,93 a 1,00). Se encontró asociación entre la satisfacción con ciertas características laborales y el índice de ruralidad.  Conclusiones: Se evidencia que no existe asociación entre la satisfacción laboral del personal de salud y el índice de ruralidad del distrito donde se ubica el establecimiento de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Work satisfaction in the health context is important because its absence is associated with mental or psychosocial disorders and adversely affects the services provided, the well-being of the patient and also decrease the performance of the health system.  Objective:  To assess the association between the rurality index of the district where it is located the health institution and the work satisfaction in doctors and nurses working in these institutions in Peru.  Methods:  It was made a secondary analysis of the National Survey of Health Users Satisfaction, 2016. This survey was conducted to 5098 health professionals, 43.5% of them were physicians. Rurality was measured as population density (inhabitants/km2) of the district where the health facility is. To evaluate the association of interest, it was used a Poisson´s generalized linear model of the family to estimate crude and adjusted prevalence ratios.  Results:  The percentage of doctors and nurses with work satisfaction was 75.1% and 76.7%, respectively. Among the physicians no association was found between the rurality index and job satisfaction in the crude model (1.01 CI 95%: 0.96 1.05 to 1.05) nor the adjusted one (1,01 IC 95 %: 0.97 to 1.05). In nurses association was not found in the crude model (98 CI 95%: 0.95 to 1.00) nor in the adjusted one (0.97 IC 95 %: 0.93 to 1.00). An association was found between satisfaction with certain characteristics and the rurality index.  Conclusions:  There is evidence that there is no association between work satisfaction of health personnel and the rurality index of the district where the health facility is.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[condiciones de trabajo]]></kwd>
<kwd lng="es"><![CDATA[trabajadores rurales]]></kwd>
<kwd lng="es"><![CDATA[satisfacción en el trabajo]]></kwd>
<kwd lng="en"><![CDATA[working conditions]]></kwd>
<kwd lng="en"><![CDATA[rural workers]]></kwd>
<kwd lng="en"><![CDATA[work satisfaction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Locke]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The nature and causes of job sat&#305;sfaction]]></article-title>
<source><![CDATA[Handbook of Industrial and Organizational Psychology Chicago]]></source>
<year>1976</year>
<volume>45</volume>
<page-range>1297-349</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Faragher]]></surname>
<given-names><![CDATA[EB]]></given-names>
</name>
<name>
<surname><![CDATA[Cass]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The relationship between job satisfaction and health: a meta-analysis]]></article-title>
<source><![CDATA[Occupational and environmental medicine]]></source>
<year>2005</year>
<volume>62</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>05-12</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thommasen]]></surname>
<given-names><![CDATA[HV]]></given-names>
</name>
<name>
<surname><![CDATA[Lavanchy]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Connelly]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Berkowitz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Grzybowski]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mental health, job satisfaction, and intention to relocate. Opinions of physicians in rural British Columbia]]></article-title>
<source><![CDATA[Canadian family physician Medecin de famille canadien]]></source>
<year>2001</year>
<volume>47</volume>
<page-range>737-44</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Scheepers]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Boerebach]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
<name>
<surname><![CDATA[Arah]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
<name>
<surname><![CDATA[Heineman]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lombarts]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Systematic Review of the Impact of Physicians' Occupational Well-Being on the Quality of Patient Care]]></article-title>
<source><![CDATA[International journal of behavioral medicine]]></source>
<year>2015</year>
<volume>22</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>683-98</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chao]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Jou]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Liao]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Kuo]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Workplace stress, job satisfaction, job performance, and turnover intention of health care workers in rural Taiwan]]></article-title>
<source><![CDATA[Asia Pacific Journal of Public Health]]></source>
<year>2015</year>
<volume>27</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>NP1827-NP36</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vick]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Analyzing Rural Versus Urban Differences in Career Dissatisfaction and Plans to Leave Among Pennsylvanian Physicians]]></article-title>
<source><![CDATA[The Journal of rural health]]></source>
<year>2016</year>
<volume>32</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>164-75</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gruji&#269;i&#263;]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jovi&#269;i&#263;-Bata]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ra&#273;en]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Novakovi&#263;]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[&#352;ipeti&#263;-Gruji&#269;i&#263;]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Work motivation and job satisfaction of health workers in urban and rural areas]]></article-title>
<source><![CDATA[Vojnosanitetski pregled]]></source>
<year>2016</year>
<numero>00</numero>
<issue>00</issue>
<page-range>62</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Strasser]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rural health around the world: challenges and solutions]]></article-title>
<source><![CDATA[Family practice]]></source>
<year>2003</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>457-63</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Ciordia]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Guillén-Grima]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Brugos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Aguinaga Ontoso]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Satisfacción laboral y factores de mejora en profesionales de atención primaria]]></article-title>
<source><![CDATA[Anales Sis San Navarra]]></source>
<year>2013</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>253-62</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>Ministerio de salud</collab>
<source><![CDATA[Experiencias de planificación de los recursos humanos en salud. Perú 2007-2010]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Perú ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huicho]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Canseco]]></surname>
<given-names><![CDATA[FD]]></given-names>
</name>
<name>
<surname><![CDATA[Lema]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lescano]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incentivos para atraer y retener personal de salud de zonas rurales del Perú un estudio cualitativo]]></article-title>
<source><![CDATA[Cadernos de saude publica]]></source>
<year>2012</year>
<volume>28</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>729-39</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haggerty]]></surname>
<given-names><![CDATA[TS]]></given-names>
</name>
<name>
<surname><![CDATA[Fields]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Selby-Nelson]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Foley]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
<name>
<surname><![CDATA[Shrader]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Physician wellness in rural America: a review]]></article-title>
<source><![CDATA[International journal of psychiatry in medicine]]></source>
<year>2013</year>
<volume>46</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>303-13</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<source><![CDATA[Portal de la Superintendencia Nacional de Salud (SUSALUD)]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Perú ]]></publisher-loc>
<publisher-name><![CDATA[Susalud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<collab>Instituto de Informática y Estadística</collab>
<source><![CDATA[Informe final de la Encuesta Nacional de Usuarios en Salud, ENSUSALUD 2014]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Lima, Perú ]]></publisher-loc>
<publisher-name><![CDATA[INEI]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<collab>Organization for Economic Co-operation and Development (OECD).</collab>
<source><![CDATA[Creating rural indicators for shaping territorial policy]]></source>
<year>1994</year>
<publisher-name><![CDATA[OECD]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<collab>Instituto de Informática y Estadística</collab>
<source><![CDATA[Estado de la población peruana 2014]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Perú ]]></publisher-loc>
<publisher-name><![CDATA[INEI]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Shaikh]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
<name>
<surname><![CDATA[Hafeez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hafeez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Job satisfaction among public health professionals working in public sector: a cross sectional study from Pakistan]]></article-title>
<source><![CDATA[Human resources for health]]></source>
<year>2013</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>2</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bodur]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Job satisfaction of health care staff employed at health centres in Turkey]]></article-title>
<source><![CDATA[Occupational medicine (Oxford, England)]]></source>
<year>2002</year>
<volume>52</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>353-5</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bhattacharya]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Ramachandran]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A path analysis study of retention of healthcare professionals in urban India using health information technology]]></article-title>
<source><![CDATA[Human resources for health]]></source>
<year>2015</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>65</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<collab>Instituto de Informática y Estadística (INEI)</collab>
<source><![CDATA[¿Qué es un centro poblado rural?]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Perú ]]></publisher-loc>
<publisher-name><![CDATA[INEI]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tak]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Curlin]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Yoon]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of Intrinsic Motivating Factors and Markers of Physician Well-Being: A National Physician Survey]]></article-title>
<source><![CDATA[J Gen Intern Med]]></source>
<year>2017</year>
<volume>32</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>739-46</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lu]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Barriball]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[While]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Job satisfaction among hospital nurses revisited: a systematic review]]></article-title>
<source><![CDATA[International journal of nursing studies]]></source>
<year>2012</year>
<volume>49</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1017-38</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
