Job Satisfaction Among Primary Care Physicians

Behmann, Mareike; Schmiemann, Guido; Lingner, Heidrun; Kühne, Franziska; Hummers-Pradier, Eva; Schneider, Nils

doi:10.3238/arztebl.2012.0193

Cited by 56 publications

(55 citation statements)

References 13 publications

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“…The above-mentioned variables are consistent with variables identified within the current existing literature on physician job satisfaction [28, 48, 1, 3, 5, 6, 9, 12, 14–16, 20, 30, 31, 41, 49–57]. …”

Section: Discussionsupporting

confidence: 86%

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Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database

2018

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BackgroundTo explore the determinants of job satisfaction and work-life balance satisfaction of family physicians in Canada.MethodsThis is a secondary analysis of the Canadian 2013 National Physician’s Survey using descriptive statistics and binomial logistic regression. An estimated 34,753 family physicians practicing in Canada at the time of survey administration in 2013 were eligible for the survey. The main outcome measures were respondent satisfaction with professional life and satisfaction with work-life balance.ResultsThe survey had a response rate of 17%. Seventy-two percent of respondents were satisfied with their professional lives, and 49% were satisfied with their work-life balance. Male family physicians had lower odds of satisfaction with their work-life balance than their female counterparts (OR = 0.86, 95% CI 0.82–0.92). Family physicians using an electronic medical record had higher odds of dissatisfaction with their professional lives (OR = 1.13, 95% CI 1.05–1.22) and work-life balance (OR = 1.22, 95% CI 1.15–1.30) than those not using an EMR. Family physicians not in a focused practice had greater odds of dissatisfaction (OR = 1.61, 95% CI 1.50–1.72) with both their professional lives and work-life balance (OR = 1.29, 95% CI 1.22–1.37) compared to their colleagues who have one or more areas of clinical focus.ConclusionsCanadian family physicians are more satisfied with their professional lives than with their work-life balance. Novel findings that family physicians with one or more clinical areas of focus are more satisfied with their work and work-life balance satisfaction, and that family physicians using electronic health records are less satisfied with their work and their work-life balance merit further inquiry.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0786-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 86%

“…Less is known about factors that influence job satisfaction of family physicians as a subgroup of all physicians [16, 31–33]. The literature is even more scarce in the Canadian context [33].…”

Section: Introductionmentioning

confidence: 99%

Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database

2018

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“…In the NH survey we even attained a higher response than expected (45.5%). By using several strategies shown to increase the response of postal surveys [52] our GPs' response ranges within other questionings among GPs in Germany [51,69]. In the NH survey we even had a higher proportion of returned questionnaires compared to other recently published studies conducted with German NHs [70,71].…”

Section: Limitations and Strengthsmentioning

confidence: 81%

Perspectives of general practitioners and nursing staff on acute hospital transfers of nursing home residents in Germany: results of two cross-sectional studies

et al. 2020

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Background: Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate. This study aimed to compare the perceptions of general practitioners (GPs) and NH staff on hospital transfers among residents and to illustrate measures for improvement. Methods: Two cross-sectional studies were conducted as surveys among 1121 GPs in the German federal states Bremen and Lower Saxony and staff from 1069 NHs (preferably nursing staff managers) from all over Germany, each randomly selected. Questionnaires were sent in August 2018 and January 2019, respectively. The answers were compared between GPs and NH staff using descriptive statistics, Mann-Whitney U tests and χ2-tests. Results: We received 375 GP questionnaires (response: 34%) and 486 NH questionnaires (response: 45%). GPs estimated the proportion of inappropriate transfers higher than NH staff (hospital admissions: 35.0% vs. 25.6%, p < 0.0001; emergency department visits: 39.9% vs. 20.9%, p < 0.0001). The majority of NH staff and nearly half of the GPs agreed that NH residents do often not benefit from hospital admissions (NHs: 61.4% vs. GPs: 48.8%; p = 0.0009). Both groups rated almost all potential measures for improvement differently (p < 0.0001), however, GPs and NH staff considered most areas to reduce hospital transfers importantly. The two most important measures for GPs were more nursing staff (91.6%) and better communication between nursing staff and GP (90.9%). NH staff considered better care / availability of GP (82.8%) and medical specialists (81.3%) as most important. Both groups rated similarly the importance of explicit advance directives (GPs: 77.2%, NHs: 72.4%; p = 0.1492). Conclusions: A substantial proportion of hospital transfers from NHs were considered inappropriate. Partly, the ratings of possible areas for improvement differed between GPs and NH staff indicating that both groups seem to pass the responsibility to each other. These findings, however, support the need for interprofessional collaboration.

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“…Among those who routinely interact and communicate with patients to provide care, signs are beginning to emerge that indicate the difficulty these professionals feel at work. Some practicing physicians and students suffer from burnout, are dissatisfied with their quality of life and work–life balance, and show symptoms of depression . The rapid turnover of medical knowledge and the increasing number of people with more complex clinical problems also pose challenges for health systems with regard to managing and financing equitable and quality health care for a constantly changing society .…”

mentioning

confidence: 99%

“…Some practicing physicians and students suffer from burnout, are dissatisfied with their quality of life and work-life balance, and show symptoms of depression. 7,8 The rapid turnover of medical knowledge and the increasing number of people with more complex clinical problems also pose challenges for health systems with regard to managing and financ-ing equitable and quality health care for a constantly changing society. 2 As a result, practicing physicians experience stress factors, such as government regulations (e.g., schedules of fees regulating the cost of medical care), the rules of managed care plans (e.g., requiring authorization before hospitalization), and policies of corporations that provide medical services (e.g., employment at a profit-oriented hospital rather than working as an independent physician), which increasingly influence their work as physicians.…”

mentioning

confidence: 99%

Information technology and social sciences: how can health IT be used to support the health professional?

Wagner‐Menghin

Pokieser

2016

Annals of the New York Academy of Sciences

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Keeping up to date with the increasing amount of health-related knowledge and managing the increasing numbers of patients with more complex clinical problems is a challenge for healthcare professionals and healthcare systems. Health IT applications, such as electronic health records or decision-support systems, are meant to support both professionals and their support systems. However, for physicians using these applications, the applications often cause new problems, such as the impracticality of their use in clinical practice. This review adopts a social sciences perspective to understand these problems and derive suggestions for further development. Indeed, humans use tools to remediate the brain's weaknesses and enhance thinking. Available health IT tools have been shaped to fit administrative needs rather than physicians' needs. To increase the beneficial effect of health IT applications in health care, clinicians' style of thinking and their learning needs must be considered when designing and implementing such systems. New health IT tools must be shaped to fit health professionals' needs. To further ease the integration of new health IT tools into clinical practice, we must also consider the effects of implementing new tools on the wider social framework.

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Job Satisfaction Among Primary Care Physicians

Abstract: PCPs are satisfied with their job overall. However, there is significant dissatisfaction with administrative tasks. Improvements in this area may contribute to making primary care more attractive to young physicians.

Cited by 56 publications

References 13 publications

Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database

Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database

Perspectives of general practitioners and nursing staff on acute hospital transfers of nursing home residents in Germany: results of two cross-sectional studies

Information technology and social sciences: how can health IT be used to support the health professional?

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