ArticleSocial science & medicine (1982)2010
Work stress of primary care physicians in the US, UK and German health care systems.
Article in Social science & medicine (1982), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.
- Meta-analysis of effort-reward imbalance prevalence among physicians.International archives of occupational and environmental health · 2022Pooled it
- The impact of professional characteristics and person-centred care on general practitioners' stress levels. Findings from the cross-sectional PACE GP/FP study in 24 European countries.The European journal of general practice · 2026Article
- Wellbeing at work among GPs working in multidisciplinary primary care teams: a cross-sectional study.BJGP open · 2026Article
- Primary care physicians' job satisfaction in eleven Western countries: a cross-sectional study.BMC primary care · 2025Article
- Greater tolerance of uncertainty facilitates thriving in doctors entering postgraduate training.BMC medical education · 2025Article
- Challenges and reforms in family medicine: Perspective of Indian family physician.Journal of family medicine and primary care · 2025Article
- The Effects of Resigning GPs on Patient Healthcare Utilization and Some Implications for Health.Health economics · 2025Article
- Work-related stress and its associated factors among primary care doctors in Malaysia during the COVID-19 pandemic.BMC primary care · 2025Article
- Guidelines or mindlines? - implementing a new CKD guideline in German primary care.BMC primary care · 2024Article
- The Predominance of the Health-Promoting Patterns of Work Behavior and Experience in General Practice Teams-Results of the IMPROVEHealthcare (Basel, Switzerland) · 2024Article
- Job satisfaction and work stress among physicians in Norway and Germany-A cross-sectional study.PloS one · 2024Article
- The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China.International journal of environmental research and public health · 2022Article
- Occupational stress and associated factors among general practitioners in China: a national cross-sectional study.BMC public health · 2022Article
- Work-related psychosocial demands related to work organization in small sized companies (SMEs) providing health-oriented services in Germany - a qualitative analysis.BMC public health · 2022Article
- How to promote grass roots medical treatment under China's graded diagnosis and treatment policy? - From the perspective of customer value theory.Frontiers in public health · 2022Article
- Hope, Burnout, and Life Satisfaction: An Intriguing Trinity Among Investigators of the SWOG Cancer Research Network.JCO oncology practice · 2021Article
- Attracting and retaining physicians in less attractive specialties: the role of continuing medical education.Human resources for health · 2021Review
- The Awareness and Attitude of Contracted Service Among General Medical Practitioners in Community Health Service Centers in Urban China: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Effects of Occupational Radiation Exposure on Job Stress and Job Burnout of Medical Staff in Xinjiang, China: A Cross-Sectional Study.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Changes in work stress among doctors in Norway from 2010 to 2019: a study based on repeated surveys.BMJ open · 2020Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
Work-related stress among physicians has been an issue of growing concern in recent years. How and why this may vary between different health care systems remains poorly understood. Using an established theoretical model (effort-reward imbalance), this study analyses levels of work stress among primary care physicians (PCPs) in three different health care systems, the United States, the United Kingdom and Germany. Whether professional autonomy and specific features of the work environment are associated with work stress and account for possible country differences are examined. Data are derived from self-administered questionnaires obtained from 640 randomly sampled physicians recruited for an international comparative study of medical decision making conducted from 2005 to 2007. Results demonstrate country-specific differences in work stress with the highest level in Germany, intermediate level in the US and lowest level among UK physicians. A negative correlation between professional autonomy and work stress is observed in all three countries, but neither this association nor features of the work environment account for the observed country differences. Whether there will be adequate numbers of PCPs, or even a field of primary care in the future, is of increasing concern in several countries. To the extent that work-related stress contributes to this, identification of its organizational correlates in different health care systems may offer opportunities for remedial interventions.
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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.