Doctors’ Job Satisfaction and Its Relationships With Doctor-Patient Relationship and Work-Family Conflict in China: A Structural Equation Modeling

Deng, Shumin; Yang, Na; Li, Shiyue; Wang, Wei; Yan, Hong; Li, Hao

doi:10.1177/0046958018790831

Cited by 65 publications

(69 citation statements)

References 70 publications

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“…It is not clear from this survey what type of recognition would motivate respondents, since recognition could consist of awards, bonuses for high quality work, or eligibility for promotion. At least two studies have identified recognition as a factor influencing physicians' job satisfaction in China and Mexico 36,37 . Further study needed to determine the relative desirability of different forms of recognition in Bhutan.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional job satisfaction survey of physicians in Bhutan to address the problem of retention

Wangmo¹,

Kim

Palzang³

et al. 2019

Bhutan Health Journal

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Introduction: A persistent shortage of physicians and relatively high attrition (>10% over 7 years) have been longstanding challenges for Bhutan despite efforts at improvement. Little is known about physicians’ job satisfaction. The study was done to assess level of job satisfaction amongst physicians in Bhutan and identify factors affecting it, thereby be able to better understand factors affecting physician retention. Methods: A national, cross-sectional study on job satisfaction of all Bhutanese physicians was conducted in 2016. Physicians were defined as satisfied if they answered yes to >50% of general survey questions about job satisfaction and and associations between demographic or job characteristics (e.g., married vs. unmarried, clinical vs. non- clinical) and job satisfaction were examined. Physicians were also queried about specific elements of their jobs (e.g., pay, working conditions) and explored associations between demographic or job characteristics and job elements. Results: Of 147 physicians who completed the job survey, 94 (64%) were classified as satisfied. There were significant differences in job satisfaction between married and unmarried physicians (72% vs 49%, p=0·01), specialists and generalists (73% vs 55%, p=0·04), nonclinical and clinical physicians (89% vs 61%, p=0·02), and physicians in referral and district hospitals (75% vs 48%, p <0·01). Across all demographic and job characteristics, salary satisfaction was low (11%). In multivariable analysis, non-clinicians had significantly greater satisfaction than clinicians with salary, annual leave, and work-family balance. Physicians in referral hospitals had significantly greater satisfaction than physicians in district facilities with work hours and working conditions. Conclusion: Survey findings suggest that, although job satisfaction appeared high, improved physician retention may require increased pay, opportunities for promotion to desired settings and job categories, and improved staffing and work conditions in district healthcare facilities.

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Section: Discussionmentioning

confidence: 99%

A cross-sectional job satisfaction survey of physicians in Bhutan to address the problem of retention

Wangmo¹,

Kim

Palzang³

et al. 2019

Bhutan Health Journal

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show abstract

“…In some rural areas, transfer can even take up to 1.5 h, which delays effective treatment. Another cause for delay is the complex doctor-patient relationship in China [21, 22]. Primary doctors may need to repeatedly explain disease severity, outcomes, and even costs to patients and families; consult the CSC deputy chief physician through teleconference; and upload video data to determine whether referral is needed.…”

Section: Discussionmentioning

confidence: 99%

Drip-and-Ship Model for Thrombectomy in Stroke Patients with Large-Vessel Occlusion

et al. 2021

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Background: Previous studies have demonstrated the efficacy of the “drip-and-ship” model in acute ischemic stroke (AIS) patients treated with intravenous (IV) thrombolysis. We investigated and report the outcomes of the safety and efficacy of the “drip-and-ship” model in AIS patients with acute large-vessel occlusion (LVO) in the anterior circulation who underwent endovascular treatment. Methods: A total of 92 AIS patients with LVO who underwent endovascular treatment enrolled from April 2017 to July 2018 at a single academic comprehensive stroke center (CSC) were included. Patients were divided into 2 groups: a front-door group (directly admitted to the CSC) and a drip-and-ship group (transferred to the CSC from other hospital). Logistic regression model was used to evaluate the functional outcome, mortality, and symptomatic intracranial hemorrhage (sICH) at 90 days. Results: After adjusting for age, gender, occlusion site, National Institutes of Health Stroke Scale (NIHSS) score, and other potential covariates, we did not see difference in modified Rankin Scale (mRS) score between the 2 groups at 90 days. The rate of excellent functional outcome (defined as mRS 0–1) in the drip-and-ship group is lower than the front-door group (p = 0.017); however, functional outcomes (defined as mRS 0–2) have no difference (p = 0.117). There was no significant difference in sICH (p = 0.909) and mortality (p = 0.319) between the 2 groups. Conclusions: The “drip-and-ship” model has the potential to be a feasible model for patients with LVO in the anterior circulation to undergo endovascular treatment. Further large-scale prospective studies are warranted to confirm these findings.

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“…O nível de satisfação é muitas vezes visto como um outcome que se relaciona com a eficácia de uma organização e o desempenho dentro do ambiente de trabalho. 27 Tem um impacto positivo no nível de intenção de permanecer no trabalho, o que pode ser útil na resolução de problemas de recrutamento e retenção de médicos. 28,29 A satisfação dos médicos inevitavelmente afeta tanto as suas emoções 30 quanto a conciliação trabalho-família.…”

Section: Discussionunclassified

Conciliação Trabalho-Família na Profissão Médica: Um Estudo Exploratório

Afonso

Aleixo²,

Aleixo

et al. 2019

Acta Med Port

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Introduction: The aim of this study is to characterize and assess work-family balance within the medical profession in Portugal.Material and Methods: This cross-sectional and exploratory study analyzed a sample of 181 doctors who are members of the Portuguese Catholic Doctors’ Association. A qualitative survey with multiple-choice questions was applied in order to assess socioeconomic and working conditions as well as work-family balance. Descriptive and linear regression analyses were carried out.Results: Nearly 40% of the surveyed doctors negatively assessed the work-family balance within the private sector. As for the Portuguese National Health System, 73% negatively assessed the work-family balance within the public sector. More than half of those surveyed (56%) worked more hours than what they considered as harmful for their work-family balance and the vast majority was working at the limit or overtime. Data collected enabled us to associate a heavier workload with working in the emergency room, age and men. Moreover, it was observed that working more hours was not linked to having children or being married.Discussion: In our study, the three measures of work-family balance that the participants considered to be the most important were the possibility of flexible scheduling, part-time work and temporarily reducing working hours (e.g. for family assistance). These aspects may explain the differences found in the assessment of work-family balance between the public and private sector.Conclusion: Due to the demanding nature of the medical profession, doctors are placed into a particularly risky situation in order to achieve a suitable work-family balance. The results of our study indicate a general dissatisfaction regarding this balance – special in the public sector – which is mainly associated with excessive weekly working hours.

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Doctors’ Job Satisfaction and Its Relationships With Doctor-Patient Relationship and Work-Family Conflict in China: A Structural Equation Modeling

Cited by 65 publications

References 70 publications

A cross-sectional job satisfaction survey of physicians in Bhutan to address the problem of retention

A cross-sectional job satisfaction survey of physicians in Bhutan to address the problem of retention

Drip-and-Ship Model for Thrombectomy in Stroke Patients with Large-Vessel Occlusion

Conciliação Trabalho-Família na Profissão Médica: Um Estudo Exploratório

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