ArticleJournal of general internal medicine2005
Managed care, physician job satisfaction, and the quality of primary care.
Article in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.
- A Systematic Review of the Impact of Physicians' Occupational Well-Being on the Quality of Patient Care.International journal of behavioral medicine · 2015Pooled it
- Measuring Quality of Care in Community Mental Health: Validation of Concordant Clinician and Client Quality-of-Care Scales.The journal of behavioral health services & research · 2019Trial
- Effects of Guided Care on providers' satisfaction with care: a three-year matched-pair cluster-randomized trial.Population health management · 2013Trial
- Measuring the job satisfaction of junior doctors in Singapore: validating the Satisfaction of Employees in Health Care tool.Singapore medical journal · 2026Article
- The impact of workplace violence, organizational climate, authentic leadership on job satisfaction among physicians in tertiary hospitals: the mediating role of job burnout.BMC health services research · 2025Article
- Impact of pharmacist-involved collaborative care on diabetes management in a primary healthcare setting using real-world data.International journal of clinical pharmacy · 2022Article
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- Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database.BMC family practice · 2018Article
- Implications of not matching to a first-choice discipline: a family medicine perspective.Canadian medical education journal · 2017Article
- Physician job satisfaction related to actual and preferred job size.BMC medical education · 2017Article
- Resilience among Employed Physicians and Mid-Level Practitioners in Upstate New York.Health services research · 2016Article
- Exploring Physicians' Dissatisfaction and Work-Related Stress: Development of the PhyDis Scale.Frontiers in psychology · 2016Article
- Incentives and disincentives for the treatment of depression and anxiety: a scoping review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2014Article
- A qualitative study of the experience of CenteringPregnancy group prenatal care for physicians.BMC pregnancy and childbirth · 2013Article
- The gap between physicians and the public in satisfaction with the National Health Insurance system in Korea.Journal of Korean medical science · 2012Article
- Burnout among chiropractic practitioners: real or imagined an exploratory study protocol.Chiropractic & manual therapies · 2012Article
- Potential unique causes of burnout for chiropractic professionals.Journal of chiropractic humanities · 2011Article
- Employed family physician satisfaction and commitment to their practice, work group, and health care organization.Health services research · 2010Article
- Framework for primary care organizations: the importance of a structural domain.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo determine the associations between managed care, physician job satisfaction, and the quality of primary care, and to determine whether physician job satisfaction is associated with health outcomes among primary care patients with pain and depressive symptoms.
designProspective cohort study.
settingOffices of 261 primary physicians in private practice in Seattle. PATIENTS: We screened 17,187 patients in waiting rooms, yielding a sample of 1,514 patients with pain only, 575 patients with depressive symptoms only, and 761 patients with pain and depressive symptoms; 2,004 patients completed a 6-month follow-up survey. MEASUREMENTS AND
resultsFor each patient, managed care was measured by the intensity of managed care controls in the patient's primary care office, physician financial incentives, and whether the physician read or used back pain and depression guidelines. Physician job satisfaction at baseline was measured through a 6-item scale. Quality of primary care at follow-up was measured by patient rating of care provided by the primary physician, patient trust and confidence in primary physician, quality-of-care index, and continuity of primary physician. Outcomes were pain interference and bothersomeness, Symptom Checklist for Depression, and restricted activity days. Pain and depression patients of physicians with greater job satisfaction had greater trust and confidence in their primary physicians. Pain patients of more satisfied physicians also were less likely to change physicians in the follow-up period. Depression patients of more satisfied physicians had higher ratings of the care provided by their physicians. These associations remained after controlling statistically for managed care. Physician job satisfaction was not associated with health outcomes.
conclusionsFor primary care patients with pain or depressive symptoms, primary physician job satisfaction is associated with some measures of patient-rated quality of care but not health outcomes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.