Job satisfaction of primary care physicians in Switzerland: an observational study

Goetz, Katja; Jossen, Marianne; Szécsényi, Joachim; Rosemann, Thomas; Hahn, Karolin; Hess, Sigrid

doi:10.1093/fampra/cmw047

Cited by 31 publications

(41 citation statements)

References 29 publications

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“…Fourth, doctors’ long work hours require attention. Working overtime has caused low job satisfaction worldwide, such as in Britain,51 Spain52 and Switzerland 42. Our finding was similar.…”

Section: Discussionsupporting

confidence: 84%

“…Because doctors’ income was related to their professional title,41 the annual income of junior doctors was always lower than that of senior doctors. However, studies have proposed that income positively influences doctors’ job satisfaction 2 5 20 42. In addition, a study in the UK noted that young staff may fail to fully use their training, which could foster low satisfaction 15.…”

Section: Discussionmentioning

confidence: 99%

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Cross-sectional survey on job satisfaction and its associated factors among doctors in tertiary public hospitals in Shanghai, China

Liu

Ding

et al. 2019

BMJ Open

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ObjectivesDoctors in public hospitals in China face considerable pressure and excessive workloads, which are likely to predispose them to job dissatisfaction. We explored the job satisfaction of doctors and examined the influence of diverse sociodemographic characteristics.DesignThis was a cross-sectional study.SettingEleven tertiary public hospitals in Shanghai, China.ParticipantsThe questionnaire was designed based on the fifth National Health Service General Research, which was based on the Minnesota Satisfaction Questionnaire. Questionnaires were administered to 897 doctors randomly (using random number tables) and 730 were returned completed (response rate=81.4%). Doctors who volunteered and provided informed, written consent participated.Primary outcome measuresThe dependent variable was doctors’ job satisfaction.ResultsStatistical analyses were conducted using SPSS and SAS. Overall, 64.8% of participants were dissatisfied with their jobs. Factors that were statistically significant to doctors’ job satisfaction in the univariate analysis were entered into the logistic regression analysis, including doctors’ professional title, department, work hours, work requirements (reflected as the number of patients they diagnosed and treated monthly), life and work stress, and the types of patients that doctors treated or expected to treat. The results of the logistic regression analysis suggested that doctors’ job satisfaction was related to their professional title, types of patients that doctors treated or expected to treat, as well as their work stress.ConclusionsThere is an urgent need for public hospitals in China to establish a more reasonable promotion and management system for doctors, encourage patients to accept the two-way referral, pay more attention to less-experienced staff and help doctors release their work stress.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Cross-sectional survey on job satisfaction and its associated factors among doctors in tertiary public hospitals in Shanghai, China

Liu

Ding

et al. 2019

BMJ Open

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“…Quantitative findings from research on healthcare staff working in HICs helped to corroborate the results of this review. Single studies and reviews conducted in HICs also report associations between job morale and factors such as financial rewards,64–68 workload,4 64–66 68 recognition,13 23 support,16 23 autonomy,23 65 67 staffing levels,69 learning/teaching/research opportunities,64 69 workload,4 64–66 68 diversity of work,64 68 relationships with colleagues,23 64 65 67 69 job security and protocols and guidelines consistency 16 67. This is consistent with what this review found in LMICs.…”

Section: Discussionsupporting

confidence: 83%

Job morale of physicians in low-income and middle-income countries: a systematic literature review of qualitative studies

et al. 2019

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ObjectivesTo systematically review the available literature on physicians’ and dentists’ experiences influencing job motivation, job satisfaction, burnout, well-being and symptoms of depression as indicators of job morale in low-income and middle-income countries.DesignThe review was reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for studies evaluating outcomes of interest using qualitative methods. The framework method was used to analyse and integrate review findings.Data sourcesA primary search of electronic databases was performed by using a combination of search terms related to the following areas of interest: ‘morale’, ‘physicians and dentists’ and ‘low-income and middle-income countries’. A secondary search of the grey literature was conducted in addition to checking the reference list of included studies and review papers.ResultsTen papers representing 10 different studies and involving 581 participants across seven low-income and middle-income countries met the inclusion criteria for the review. However, none of the studies focused on dentists’ experiences was included. An analytical framework including four main categories was developed: work environment (physical and social), rewards (financial, non-financial and social respect), work content (workload, nature of work, job security/stability and safety), managerial context (staffing levels, protocols and guidelines consistency and political interference). The job morale of physicians working in low-income and middle-income countries was mainly influenced by negative experiences. Increasing salaries, offering opportunities for career and professional development, improving the physical and social working environment, implementing clear professional guidelines and protocols and tackling healthcare staff shortage may influence physicians’ job morale positively.ConclusionsThere were a limited number of studies and a great degree of heterogeneity of evidence. Further research is recommended to assist in scrutinising context-specific issues and ways of addressing them to maximise their utility.PROSPERO registration numberCRD42017082579.

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“…Multidisciplinary teams with different occupational backgrounds will be integral parts of primary care teams in order to meet the requirements of health care in the future and to reduce occupational stress and increase physicians’ job satisfaction. Different studies on job satisfaction have shown that GPs are often less satisfied with their working hours but are highly satisfied with their teams [ 16 , 17 ]. As our results demonstrated, a positive attitude towards task shifting is associated with increases in job satisfaction and qualified staff members.…”

Section: Discussionmentioning

confidence: 99%

At the dawn of delegation? Experiences and attitudes of general practitioners in Germany – a questionnaire survey

et al. 2017

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BackgroundIn the future, ‘delegation’ as task shifting from general practitioners (GPs) to non-physicians will be important in primary care. Therefore, the aim of this study was to evaluate the attitudes towards the concept of task shifting and to identify predictors of a positive attitude towards task shifting from the perspective of GPs.MethodsThis cross-sectional questionnaire study analysed attitudes towards the concept of task shifting and delegated tasks from the perspective of GPs who were recruited in the German federal state of Schleswig-Holstein. Descriptive statistics and binary regression analyses were computed to identify potential predictors of a positive attitude towards task shifting.ResultsOut of 1538 questionnaires distributed, 577 GP questionnaires were returned (response rate: 37.5%). A total of 53.2% of the respondents were male, and 37.3% were female. A positive attitude regarding task shifting was shown by 49% of the participating GPs. The highest level of agreement (95.2%) was found for time savings with task shifting, and a lower agreement (39%) was found regarding the lack of clarity concerning the responsibilities and legal aspects with regards to task shifting. The most frequently delegated tasks were recording electrocardiograms and measuring blood glucose levels. A positive attitude towards task shifting was positively associated with higher job satisfaction and a need for qualified staff.ConclusionOur sample of GPs for this study was very open-minded towards the concept of task shifting. Germany is just beginning this delegation, but the implementation of task shifting depends on different aspects, such as legal requirements, adequate payment and qualified staff. Finally, there is a need for continuing professional development in primary care teams, especially for non-clinical practice staff.Electronic supplementary materialThe online version of this article (10.1186/s12875-017-0697-y) contains supplementary material, which is available to authorized users.

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Job satisfaction of primary care physicians in Switzerland: an observational study

Abstract: The presented results contribute to an understanding of factors that influence levels of satisfaction of female and male physicians. Therefore, research and intervention about job satisfaction should consider gender as well as the stereotypes that come along with these social roles.

Cited by 31 publications

References 29 publications

Cross-sectional survey on job satisfaction and its associated factors among doctors in tertiary public hospitals in Shanghai, China

Cross-sectional survey on job satisfaction and its associated factors among doctors in tertiary public hospitals in Shanghai, China

Job morale of physicians in low-income and middle-income countries: a systematic literature review of qualitative studies

At the dawn of delegation? Experiences and attitudes of general practitioners in Germany – a questionnaire survey

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