ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Effect of the new contract on GPs' working lives and perceptions of quality of care: a longitudinal survey.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effect of interventions for the well-being, satisfaction and flourishing of general practitioners-a systematic review.BMJ open · 2021Pooled it
- Design and effects of outcome-based payment models in healthcare: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Pooled it
- Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025Article
- Job satisfaction criteria to improve general practitioner recruitment: a Delphi consensus.Family practice · 2024Article
- Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys.BMJ open · 2020Article
- The association between the workload of general practitioners and patient experiences with care: results of a cross-sectional study in 33 countries.Human resources for health · 2020Article
- 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
- Financial incentive schemes in primary care.Journal of healthcare leadership · 2015Review
- What professional activities do general practitioners find most meaningful? Cross sectional survey of Norwegian general practitioners.BMC family practice · 2013Article
- Motives for early retirement of self-employed GPs in the Netherlands: a comparison of two time periods.BMC health services research · 2012Article
- Experience of contractual change in UK general practice: a qualitative study of salaried GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- What doctors think about the impact of managed care tools on quality of care, costs, autonomy, and relations with patients.BMC health services research · 2010Article
- Work stress of primary care physicians in the US, UK and German health care systems.Social science & medicine (1982) · 2010Article
- Economic influences on GPs' decisions to provide out-of-hours care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- GPs' working lives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Doctors' content.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Contentment in general practice--for now.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn ambitious pay-for-performance system was implemented in UK general practice in 2004 amid doubts that it could improve both the working lives of doctors and quality of care.
aimTo evaluate doctors' perceptions of their working lives and quality of care before and after the new contract. DESIGN OF STUDY: Longitudinal questionnaire survey.
settingEngland, UK.
methodA longitudinal postal survey of English GPs in February 2004 and September 2005. Measures included reported job satisfaction (7-point scale), hours worked, income, and impact of the contract.
resultsResponses were available from 2105 doctors in 2004 and 1349 in 2005. Mean overall job satisfaction increased from 4.58 out of 7 in 2004 to 5.17 in 2005. The greatest improvements in satisfaction were with remuneration and hours of work. Mean reported hours worked fell from 44.5 to 40.8. Mean income increased from an estimated 73,400 pounds in 2004 to 92,600 pounds in 2005. Most GPs reported that the new contract had increased their income (88%), but decreased their professional autonomy (71%), and increased their administrative (94%) and clinical (86%) workloads. After the introduction of the contract doctors were more positive than they had anticipated about its impact on quality of care.
conclusionGPs' job satisfaction increased after the introduction of the new contract, despite perceptions of negative consequences for workload and autonomy. GPs reported working fewer hours with a higher income, and their expectations regarding the impact of the contract on quality of care had been exceeded.
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