Mixed feelings: satisfaction and disillusionment among Australian GPs

Bailie, Ross; Sibthorpe, Beverly; Douglas, Brenda; Broom, Dorothy; Attewell, Robyn; McGuiness, Clare

doi:10.1093/fampra/15.1.58

Cited by 11 publications

(9 citation statements)

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“…Feelings of job dissatisfaction and job stress are problems shared by general practitioners (GPs) in many countries [ 1 - 5 ]. GPs report a lack of time and heavy workload as the main causes for these feelings of discontent and stress [ 6 - 9 ].…”

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confidence: 99%

Does burnout among doctors affect their involvement in patients' mental health problems? A study of videotaped consultations

et al. 2009

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Background: General practitioners' (GPs') feelings of burnout or dissatisfaction may affect their patient care negatively, but it is unknown if these negative feelings also affect their mental health care. GPs' available time, together with specific communication tools, are important conditions for providing mental health care. We investigated if GPs who feel burnt out or dissatisfied with the time available for their patients, are less inclined to encourage their patients to disclose their distress, and have shorter consultations, in order to gain time and energy. This may result in less psychological evaluations of patients' complaints.

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Section: Introductionmentioning

confidence: 99%

Does burnout among doctors affect their involvement in patients' mental health problems? A study of videotaped consultations

et al. 2009

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“…Other research on the role of nonpecuniary factors in labour supply decisions has focussed on job satisfaction, on occupation-specific data sets that are rich in non-pecuniary variables, on using discrete choice experiments or matched employer-employee data. In labour economics, job satisfaction has been used as a dependent variable and as a component of overall well-being or life satisfaction (Argyle, 1989;Bailie et al, 1998;Hamermesh, 1999;. Job satisfaction studies are also being used more in health care (Sibbald et al, 2000;Shields and Ward, 2001).…”

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confidence: 99%

The effects of pay and job satisfaction on the labour supply of hospital consultants

Ikenwilo

Scott

2007

Health Economics

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There is little evidence about the responsiveness of doctors' labour supply to changes in pay. Given substantial increases in NHS expenditure, new national contracts for hospital doctors and general practitioners that involve increases in pay, and the gradual imposition of a ceiling on hours worked through the European Working Time Directive, knowledge of the size of labour supply elasticities is crucial in examining the effects of these major changes. This paper estimates a modified labour supply model for hospital consultants, using data from a survey of consultants in Scotland. Rigidities in wage setting within the NHS mean that the usual specification of the labour supply model is extended by the inclusion of job quality (job satisfaction) in the equation explaining the optimal number of hours worked. Generalised Method of Moments estimation is used to account for the endogeneity of both earnings and job quality. Our results confirm the importance of pay and non-pay factors on the supply of labour by consultants. The results are sensitive to the exclusion of job quality and show a slight underestimation of the uncompensated earnings elasticity (of 0.09) without controlling for the effect of job quality, and 0.12 when we controlled for job quality. Pay increases in the new contract for consultants will only result in small increases in hours worked. Small and non-significant elasticity estimates at higher quantiles in the distribution of hours suggest that any increases in hours worked are more likely for consultants who work part time. Those currently working above the median number of hours are much less responsive to changes in earnings.

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“…The study also noted that while 44% of respondents had initially described their desire to practice medicine as very strong (at the time of graduation), only 13% used that descriptor at the time of the most recent survey. Studies in Australia 29 and the Netherlands 30 are among other examples of international concern about physician satisfaction.…”

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A Longitudinal Study of Determinants of Career Satisfaction in Medical Students

Reed

Jernstedt

McCormick

2004

Medical Education Online

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Abstract:Context: There is evidence of significant career dissatisfaction among practicing physicians and those considering medicine as a profession. Most research on career satisfaction has examined practicing physicians. This study was undertaken to look at determinants of satisfaction in those at the earliest stage of their medical careers -medical students. Methods: As part of a larger study, students comprising one class at the University of Washington School of Medicine were surveyed three times over the course of their medical education. For the present study we examined measures specifically related to determinants of career satisfaction. Findings: Over time, students' sense of the importance of most measured determinants of satisfaction showed significant change, the majority of which were in the direction of decreased importance. However, most of the change was relative. That is, factors that students considered to be most important at the start of medical school continued to be most important throughout the educational experience and those factors students considered to be least important at Year 1 continued to be least important at Years 2 and 4. Discussion: These findings have implications for medical education, a time when students are forming expectations that will impact their career satisfaction. In addition to information on career satisfaction, students should understand the professional values of medicine, their own values and expectations, current practice patterns, economics, and the role of advocacy.Key Words: job satisfaction, career choice, medical education In the early 1990s, Schroeder 1 described medicine as a 'troubled profession,' citing a seeming paradox. The past quarter century had seen a virtual explosion of scientific and technological advances leading to improvements in patient care and outcomes. Additionally, an increasing number of women and underrepresented minorities had entered the profession, leading to a more accurate representation of the demographic distribution in the country. Yet at the same time, health care costs had skyrocketed and there was evidence of significant career dissatisfaction among practicing physicians and those considering medicine as a profession.The recent decade has not resolved the paradox. In fact, there is evidence that suggests that, at least in some states, physicians may be becoming less satisfied over time. 2 The number of students applying to medical school may just now be starting to reverse a six-year decline, during which applications dropped by nearly 30%.3 While there are undoubtedly multiple factors associated with this trend, there has been speculation that increasing media coverage of physician career dissatisfaction has been a likely influence. 4 Physician career satisfaction is a concern for a number of reasons in addition to its impact on those considering medicine as a profession. Physician satisfaction is associated with patient satisfaction, 5 and it has been linked to good patient outcomes.6 Conversely, physician dissatisfa...

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Mixed feelings: satisfaction and disillusionment among Australian GPs

Cited by 11 publications

References 0 publications

Does burnout among doctors affect their involvement in patients' mental health problems? A study of videotaped consultations

Does burnout among doctors affect their involvement in patients' mental health problems? A study of videotaped consultations

The effects of pay and job satisfaction on the labour supply of hospital consultants

A Longitudinal Study of Determinants of Career Satisfaction in Medical Students

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