Job satisfaction of doctors working at Upazila Health Complexes in Barisal District.

Rashid, Md Haroon Or; Islam, Md. Shahidul; Ahmed, Imtiaz; Ferdushi, Hasina Mahmuda; Salahuddin, Akm; Chowdhury, Monzur Hussain; Tufael,

doi:10.35841/2249-622x.67.19-066

Cited by 1 publication

(2 citation statements)

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“…Observations indicate that a lack of job satisfaction among physicians and low retention of qualified workforce are among the top contributing factors to the poor quality of services. Rashid et al [41] found that the level of job satisfaction among physicians at the UHCs is very low. They identified multiple factors that contribute to this dissatisfaction, which include low salary, limited scope for promotion, poor service allowances, mandatory night shift duty, long working hours, and lack of accommodation and transportation facility.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the quality of healthcare services at UHCs, most of the previous studies looked at access to healthcare, [43,44] patients' satisfaction, [31] physicians' job satisfaction, [41] and retention of the healthcare workforce. [45] Although it is well established that good patient outcomes are strongly correlated with physicians' good clinical judgment, little is known about physicians' decision-making and influencing factors in the context of Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Physicians' Clinical Decision-making at Upazila Health Complexes in Bangladesh

Islam

Awal

2020

Global Journal on Quality and Safety in Healthcare

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Introduction Selecting the most appropriate treatment for each patient is the key activity in patient-physician encounters and providing healthcare services. Achieving desirable clinical goals mostly depends on making the right decision at the right time in any healthcare setting. But little is known about physicians' clinical decision-making in the primary care setting in Bangladesh. Therefore, this study explored the factors that influence decisions about prescribing medications, ordering pathologic tests, counseling patients, average length of patient visits in a consultation session, and referral of patients to other physicians or hospitals by physicians at Upazila Health Complexes (UHCs) in the country. It also explored the structure of physicians' social networks and their association with the decision-making process. Methods This was a cross-sectional descriptive study that used primary data collected from 85 physicians. The respondents, who work at UHCs in the Rajshahi Division, were selected purposively. The collected data were analyzed with descriptive statistics including frequency, percentage, one-way analysis of variance, and linear regression to understand relationships among the variables. Results The results of the study reveal that multiple factors influence physicians' decisions about prescribing medications, ordering pathologic tests, length of visits, counseling patients, and referring patients to other physicians or hospitals at the UHCs. Most physicians prescribe drugs to their patients, keeping in mind their purchasing capacity. Risk of violence by patients' relatives and better management are the two key factors that influence physicians' referral decisions. The physicians' professional and personal social networks also play an influential role in the decision-making process. It was found that physicians dedicate on average 16.17 minutes to a patient in a consultation session. The length of visits is influenced by various factors including the distance between the physicians' residence and their workplace, their level of education, and the number of colleagues with whom they have regular contact and from whom they can seek help. Conclusion The results of the study have yielded some novel insights about the complexity of physicians' everyday tasks at the UHCs in Bangladesh. The results would be of interest to public health researchers and policy makers.

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Section: Introductionmentioning

confidence: 99%