ArticleBMC health services research2013
Physicians' perceptions of quality of care, professional autonomy, and job satisfaction in Canada, Norway, and the United States.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
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- Associations between job demand-control-support and high burnout risk among physicians in Sweden: a cross-sectional study.Journal of occupational medicine and toxicology (London, England) · 2024Article
- Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis.BMC health services research · 2024Article
- The management of healthcare employees' job satisfaction: optimization analyses from a series of large-scale surveys.BMC health services research · 2023Article
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- Does being a coach benefit clinician-educators? A mixed methods study of faculty self-efficacy, job satisfaction and burnout.Perspectives on medical education · 2022Article
- Job satisfaction of general practitioners: a cross-sectional survey in 34 countries.Human resources for health · 2021Article
- Changes in job satisfaction among doctors in Norway from 2010 to 2017: a study based on repeated surveys.BMJ open · 2019Article
- Healthcare professionals' perception of quality of care of patients with cardiac disease in Nigeria: Implication for clinical guideline, inter-professional education and team work.Malawi medical journal : the journal of Medical Association of Malawi · 2019Article
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- Patients' perception of quality of nursing care; a tertiary center experience from Ethiopia.BMC nursing · 2019Article
- Physician perspectives on Choosing Wisely Canada as an approach to reduce unnecessary medical care: a qualitative study.Health research policy and systems · 2018Article
- 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
- Factors associated with internal medicine physician job attitudes in the Veterans Health Administration.BMC health services research · 2018Article
- Perceived bullying among Norwegian doctors in 1993, 2004 and 2014-2015: a study based on cross-sectional and repeated surveys.BMJ open · 2018Article
- Primary Care Doctors' Assessment of and Preferences on Their Remuneration.Inquiry : a journal of medical care organization, provision and financing · 2017Article
- [Career concerns among occupational physicians serving on the Institutes for Occupational Safety and Health in Tunisia].The Pan African medical journal · 2017Article
- Work and mental health in doctors: A short review of Norwegian studies.Porto biomedical journalArticle
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Authors and funding
5 authors.
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Abstract
backgroundWe lack national and cross-national studies of physicians' perceptions of quality of patient care, professional autonomy, and job satisfaction to inform clinicians and policymakers. This study aims to compare such perceptions in Canada, the United States (U.S.), and Norway.
methodsWe analyzed data from large, nationwide, representative samples of physicians in Canada (n = 3,213), the U.S. (n = 6,628), and Norway (n = 657), examining demographics, job satisfaction, and professional autonomy.
resultsAmong U.S. physicians, 79% strongly agreed/agreed they could provide high quality patient care vs. only 46% of Canadian and 59% of Norwegian physicians. U.S. physicians also perceived more clinical autonomy and time with their patients, with differences remaining significant even after controlling for age, gender, and clinical hours. Women reported less adequate time, clinical freedom, and ability to provide high-quality care. Country differences were the strongest predictors for the professional autonomy variables. In all three countries, physicians' perceptions of quality of care, clinical freedom, and time with patients influenced their overall job satisfaction. Fewer U.S. physicians reported their overall job satisfaction to be at-least-somewhat satisfied than did Norwegian and Canadian physicians.
conclusionsU.S. physicians perceived higher quality of patient care and greater professional autonomy, but somewhat lower job satisfaction than their colleagues in Norway and Canada. Differences in health care system financing and delivery might help explain this difference; Canada and Norway have more publicly-financed, not-for-profit health care delivery systems, vs. a more-privately-financed and profit-driven system in the U.S. None of these three highly-resourced countries, however, seem to have achieved an ideal health care system from the perspective of their physicians.
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