Job satisfaction and stressors for working in out-of-hours care – a pilot study with general practitioners in a rural area of Germany

Leutgeb, Rüdiger; Frankenhauser-Mannuß, Julia; Scheuer, Melinda L.; Szécsényi, Joachim; Goetz, Katja

doi:10.1186/s12875-018-0777-7

Cited by 18 publications

(19 citation statements)

References 41 publications

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“…More than half of GPs (51.6%) reported higher levels of job satisfaction. The rate of high job satisfaction in the current study is in the middle of reporting rates found in developed countries (e.g., Germany (42%) [ 43 ] and Canada (72%)) [ 44 ].…”

Section: Discussionmentioning

confidence: 49%

Association of professional identity, job satisfaction and burnout with turnover intention among general practitioners in China: evidence from a national survey

Zhang

Feng

Jiang

et al. 2021

BMC Health Serv Res

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Background The complex interrelationships between professional identity, job satisfaction, burnout, and turnover intention among general practitioners (GPs) are insufficiently understood in China. This study aimed to investigate the interrelationships between professional identity, job satisfaction, burnout, and turnover intention in China, and to examine whether job satisfaction and burnout played mediating roles between professional identity and turnover intention. Methods A cross-sectional survey was conducted between October, 2017 and February, 2018 in China. The participants were selected using a multistage stratified random sampling method. Data were collected with a self-administered questionnaire from 3236 GPs (response rate, 99.8%) working in community health institutions in China. Professional identity was measured by the 13 items scale, and job satisfaction scale with an 11-item designed by Shi et al. was employed. Burnout was measured using a 22-item Maslach Burnout Inventory-Human Services Survey, and turnover intention was measured with a 6 items scale. Descriptive statistics were calculated and groups’ differences were estimated Student’s t-test and analyses of variance. Pearson’s correlation analysis was used to assess the degree of correlation among different dimensions of professional identity, job satisfaction, burnout, and turnover intention. Structural equation modeling analysis was applied to examine the interrelationships among these study variables based on the hypothesized model. Results The proposed model achieved a good model fit. Job satisfaction had a direct negative effect on turnover intention (β = − 0.38, P < 0.001), burnout had a direct positive effect on turnover intention (β = 0.37, P < 0.001), and professional identity had an indirect negative effect on turnover intention through the mediating effect of job satisfaction and burnout. Conclusions Our study elucidated the pathways linking professional identity, job satisfaction, and burnout to turnover intention of GPs. This revealed that turnover intention was significantly affected by job satisfaction and burnout, and the effects of professional identity on turnover intention can be mediated by job satisfaction and burnout.

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Section: Discussionmentioning

confidence: 49%

Association of professional identity, job satisfaction and burnout with turnover intention among general practitioners in China: evidence from a national survey

Zhang

Feng

Jiang

et al. 2021

BMC Health Serv Res

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“…In 2012 about 15% patients walked in an OOHC center without an appointment. New evaluations after the introduction of the national emergency number focusing on that percentage are not yet available [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Patients with somatoform disorders: More frequent attendance and higher utilization in primary Out-of-Hours care?

et al. 2018

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BackgroundOne significant health policy challenge in many European countries at present is developing strategies to deal with the increase in patient attendance at Out-of-Hours care (OOHC), whether this is at OOHC-Centres in primary care settings or hospital emergency departments (ED). FAs (FAs) presenting in OOHC are a known challenge and previous studies have shown that FAs present more often with psychological problems and psychiatric comorbidities rather than severe physical complaints. FAs may be also contributing to the rising workload in OOHC-Centres in primary care. The aim of this study was to determine attendance frequencies and health problem presentation patterns for patients with and without somatoform disorders (ICD-10 F45 diagnoses) in OOHC-Centres in primary care. Some of these somatoform disorders may have a psychiatric character. Moreover, we wanted to compare health care utilization patterns (pharmacotherapy and hospitalizations) between these patients groups.MethodsRoutine OOHC data from a large German statutory health insurance company in the federal state of Baden-Wuerttemberg were evaluated. 3,813,398 health insured persons were included in the data set from 2014. The data were initially made available for our study group in order to evaluate a comprehensive evaluation programme in German primary care, the “Hausarztzentrierte Versorgung” (HZV), loosely translated as “family doctor coordinated care”. We used the ICD-10 codes F45.0-F45.9 in regular care to identify patients with somatoform disorders and compared their health care utilization patterns (attendance rates, diagnoses, prescriptions, hospitalization rates) in OOHC to patients without somatoform disorders. Attendance rates were calculated with multivariable regression models in order to adjust for age, gender, comorbidities and for participation in the HZV intervention.Results350,528 patients (9.2%) of the 3,813,398 insured persons had an F45-diagnosis. In comparison with the whole study-sample, patients with an F45-diagnosis were on average seven years older (51.7 vs. 44.0 years; p<0,0001) and the percentage of women was significantly higher (70.1% vs 53.3%; p<0,0001). In OOHC, as opposed to normal office hours, the adjusted rate of patients with an F45-diagnosis was 60.6% higher (adjusted for age, gender and co-morbidity) than in the general study-sample. Accordingly, in OOHC, prescriptions for antidepressants, hypnotics, anxiolytics but also opioids were significantly higher than in the general study population i.e. those without F45- diagnoses. However, an F45 diagnosis was only made in 3.45% of all F45 patients seen in OOHC in 2014.ConclusionsPatients with somatoform disorders were more FAs in both regular office hours and in OOHC in primary care settings. In OOHC, they are normally not identified as such because the somatoform illness is secondary to other acutely presenting symptoms such as pain. While it is acknowledged that it is difficult to make an exact diagnosis in this complex group of somatoform disorders in an OOHC s...

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“…The GP workforce in the United Kingdom (UK) is insufficient to meet current demand [2]. In addition, there is a dramatic shortage of GPs in Germany, especially in rural areas [3], and more than half of physicians (57%) contemplated leaving general practice in New Zealand [4]. Among key steps aimed at addressing these shortages include increases in recruitment and retention of GPs and to greater user of other health professionals [5].…”

Section: Introductionmentioning

confidence: 99%

Analysis on professional identity and related factors among Chinese general practitioners: a National Cross-sectional Study

Gan

Yang

et al. 2020

BMC Fam Pract

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Background: Studies on professional identity and related factors among Chinese general practitioners (GPs) are unavailable. The objective of this study was to investigate the professional identity level of GPs in China and explore factors associated with GPs' perceptions of their professional identity. Methods: A multistage stratified random sampling method was used to collect data with a structured selfadministered questionnaire from 3236 GPs working in community health service institutions (CHIs) in China between October, 2017 and February, 2018. Professional identity was measured by the 13 items scale. Descriptive statistics were calculated and groups' differences were estimated using nonparametric tests. Multiple linear stepwise regression analysis was used to analyze factors associated with professional identity among GPs. Results: Based on a total score of 65 on the professional identity scale, the average score for GPs' professional identity was 51.23 (SD = 6.56). Multiple linear stepwise regression analysis showed that GPs who practiced in Central China, with an administrative responsibility, at a moderate or higher income level, who frequently worked overtime, had more occupational development opportunities, with a higher level of job satisfaction and older GPs had higher levels of professional identity. Conclusions: Professional identity level among GPs in China is high. Region, administrative responsibility, income level, working overtime, occupational development opportunities, age, and job satisfaction were significant predictors of professional identity.

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Job satisfaction and stressors for working in out-of-hours care – a pilot study with general practitioners in a rural area of Germany

Cited by 18 publications

References 41 publications

Association of professional identity, job satisfaction and burnout with turnover intention among general practitioners in China: evidence from a national survey

Association of professional identity, job satisfaction and burnout with turnover intention among general practitioners in China: evidence from a national survey

Patients with somatoform disorders: More frequent attendance and higher utilization in primary Out-of-Hours care?

Analysis on professional identity and related factors among Chinese general practitioners: a National Cross-sectional Study

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