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

Abstract Background There has been great shortage of primary care physicians (PCPs) in China, especially in western areas. Job satisfaction plays a great role in retaining people. The aim of this study is to investigate the job satisfaction of PCPs and associated factors in 11 provinces of western China, thus providing necessary reference values for stabilizing the primary care workforce and improving the quality of primary care services. Method A sample of 2103 PCPs working in western China were surveyed using a stratified, multistage and random sampling method in 2011. The characteristics of participants were recorded by a structured questionnaire. A multilevel model (MLM) and quantile regression (QR) were applied to assess the association between job satisfaction and possible risk factors. Results Of the 2103 doctors surveyed, the overall satisfaction score was 3.26 ± 0.68 (from 1 to 5). MLM indicated that age group, income satisfaction, unit policy approval, personal planning, career attitude, work value and patient recognition were positively correlated with job satisfaction, while turnover intention was negatively correlated with job satisfaction. QR were not completely consistent with MLM and further explored the differences in different job satisfaction score percentiles on each domains. Conclusion This study showed that the job satisfaction of PCPs in western China was not high. The MLM and QR discussed were not entirely consistent, the latter one provided more information and robust results. Measures should be taken in streamlining administration and institute decentralization, creating more opportunities for additional training, raising PCPs’ income, improving the social status of doctors and improving the relationship between doctors and patients.

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Comparative Study Between Preferential Consultations And Most Common Diagnoses

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1639 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S451-S451

Author(s):

C. Manso Bazús ◽

J. Valdes Valdazo ◽

E. Garcia Fernandez ◽

L.T. Velilla Diez ◽

J. Min Kim ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Observational Study ◽

Affective Disorders ◽

Primary Care Physicians ◽

The Other ◽

Health Care Burden ◽

Competing Interest ◽

The One

IntroductionTo the specialized attention arrives as preferred patients with minor diagnosis.ObjectiveWe do a relation between the type (normal/preferential) derivation of the first consultations and their corresponding diagnosis.MethodologyRetrospective observational study with data gathered during 3 months, which handle 2 variables: on the one hand, type of derivation and on the other, effected diagnosis.ResultsThe most frequent diagnosis found are adaptative disorders and affective disorders, corresponding to 45.45% and 9.1%, respectively of preferred leads.ConclusionsAlmost half of preferential queries (consultations) could be treated in first instance by primary care physicians releasing mental health care burden.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Change in Pain Severity With Open Label Venlafaxine Use in Patients With a Depressive Symptomatology: An Observational Study in Primary Care

European Psychiatry ◽

10.1016/j.eurpsy.2008.01.001 ◽

2008 ◽

Vol 23 (3) ◽

pp. 178-186 ◽

Cited By ~ 8

Author(s):

Stefan Begré ◽

Martin Traber ◽

Martin Gerber ◽

Roland von Känel

Keyword(s):

Primary Care ◽

Chronic Pain ◽

Depressive Symptoms ◽

Observational Study ◽

Primary Care Physicians ◽

Depressive Symptomatology ◽

Dose Finding ◽

Open Label ◽

Treatment Of Depression

AbstractPurpose.Venlafaxine has shown benefit in the treatment of depression and pain. Worldwide data are extensively lacking investigating the outcome of chronic pain patients with depressive symptoms treated by venlafaxine in the primary care setting. This observational study aimed to elucidate the efficacy of venlafaxine and its prescription by Swiss primary care physicians and psychiatrists in patients with chronic pain and depressive symptomatology.Subjects and methods.We studied 505 patients with depressive symptoms suffering from chronic pain in a prospective naturalistic Swiss community based observational trial with venlafaxine in primary care. These patients have been treated with venlafaxine by 122 physicians, namely psychiatrists, general practitioners, and internists.Results.On average, patients were treated with 143 ± 75 mg (0–450 mg) venlafaxine daily for a follow-up of three months. Venlafaxine proved to be beneficial in the treatment of both depressive symptoms and chronic pain.Discussion.Although side effects were absent in most patients, physicians might have frequently omitted satisfactory response rate of depression by underdosing venlafaxine. Our results reflect the complexity in the treatment of chronic pain in patients with depressive symptoms in primary care.Conclusion.Further randomized dose-finding studies are needed to learn more about the appropriate dosage in treating depression and comorbid pain with venlafaxine.

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Job satisfaction of certified primary care physicians in rural Shandong Province, China: a cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-019-3893-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 6

Author(s):

Jingliang Gu ◽

Tianmin Zhen ◽

Yan Song ◽

Lingzhong Xu

Keyword(s):

Primary Care ◽

Job Satisfaction ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Shandong Province ◽

Sectional Study ◽

Cross Sectional

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Job satisfaction of public and private primary care physicians in Malaysia: analysis of findings from QUALICO-PC

Human Resources for Health ◽

10.1186/s12960-019-0410-4 ◽

2019 ◽

Vol 17 (1) ◽

Cited By ~ 2

Author(s):

N. Ab Rahman ◽

M. Husin ◽

K. Dahian ◽

K. Mohamad Noh ◽

R. Atun ◽

...

Keyword(s):

Primary Care ◽

Job Satisfaction ◽

Logistic Regression ◽

Regression Analysis ◽

Private Sector ◽

Logistic Regression Analysis ◽

Primary Care Physicians ◽

Public And Private ◽

The Public ◽

Primary Care Clinics

Abstract Background Job satisfaction of doctors is an important factor determining quality and performance of a health system. The aim of this study was to assess job satisfaction among doctors of the public and private primary care clinics in Malaysia and evaluate factors that could influence the job satisfaction rating. Methods This study was part of the Quality and Costs of Primary Care (QUALICOPC) Malaysia, a cross-sectional survey conducted between August 2015 and June 2016 in Malaysia. Data was collected from doctors recruited from public and private primary care clinics using a standardised questionnaire. Comparisons were made between doctors working in public and private clinics, and logistic regression analysis was used to determine factors influencing the likelihood of job satisfaction outcomes. Results A total of 221 doctors from the public and 239 doctors from the private sector completed the questionnaire. Compared to private doctors, a higher proportion of public doctors felt they were being overloaded with the administrative task (59.7% vs 36.0%) and part of the work does not make sense (33.9% vs 18.4%). Only 62.9% of public doctors felt that there was a good balance between effort and reward while a significantly higher proportion (85.8%) of private doctors reported the same. Over 80% of doctors in both sectors indicated continued interest in their job and agreed that being a doctor is a well-respected job. Logistic regression analysis showed public-private sector and practice location (urban-rural) to be significantly associated with work satisfaction outcomes. Conclusion A higher proportion of public doctors experienced pressure from administrative tasks and felt that part of their work does not make sense than their colleague in the private sector. At the same time, the majority of private doctors reported positive outcome on effort-and-reward balance compared to only one third of public doctors. The finding suggests that decreasing administrative workload and enhancing work-based supports might be the most effective ways to improve job satisfaction of primary care doctors because these are some of the main aspects of the job that doctors, especially in public clinics, are most unhappy with.

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