GP job satisfaction in 1987, 1990 and 1998: lessons for the future?

Abstract

The results suggest that GP job satisfaction has improved significantly from the low point reached following the introduction of the 1990/1991 NHS reforms, although reported levels of stress in relation to many aspects of work have continued to increase. The changes are discussed within the context of wider research into the determinants of GP job satisfaction in order to anticipate the likely effects on GPs of future organizational reforms.

Job satisfaction among Norwegian general practitioners

“…Our sample of 295 GPs make up a 7 Á/8% random sample of all Norwegian GPs and with a response rate of 73% they are representative of the whole group. The Job Satisfaction Scale (JSS) is a well-proven instrument, which makes comparisons with other studies possible [13,15]. The Norwegian healthcare system is based on strong primary care with the administrative responsibility laid on each of the nation's 434 municipalities.…”

“…The decline was probably caused by expectations prior to the National Health Service reform of 1990/1991 which was viewed as an attack on GPs' independence and autonomy. The recovery in GP job satisfaction in the UK during the 1990s is interpreted as an adaptation to change [13].…”

Relationships between work satisfaction, emotional exhaustion and mental health among Swiss primary care physicians

“…Numerous reports of physician's dissatisfaction and unhappiness around the world [33][34][35][36][37][38] have been related to increased workload and reduced income and clinical autonomy after changes in health care systems. 37,39 This tendency was considered as the rule, in relation with the degrading working conditions of primary care in several countries until recently.…”

Atención Primaria de Salud: Factores de Desmotivación y Estabilidad Laboral de Médicos Generales

“…Frente a esta realidad el médico ha debido asumir una creciente responsabilidad clínica y administrativa, pero con una baja autonomía en la toma de decisiones 9 y capacidad resolutiva [10][11][12] . A esto habría que agregar la falta de oportunidades de desarrollo profesional, expectativas insatisfechas e inadecuados incentivos [13][14][15] .…”