ArticleJournal of general internal medicine2018
Physician Perception of Pay Fairness and its Association with Work Satisfaction, Intent to Leave Practice, and Personal Health.
Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Village doctors' dilemma in China: A systematic evaluation of job burnout and turnover intention.Frontiers in public health · 2022Pooled it
- Turnover intention among primary health workers in China: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- Workplace indicators and well-being among oral health professionals in HRSA-funded health centres.Health affairs scholar · 2026Article
- Extended working hours, income, and multidimensional wellbeing among physicians in China: a cross-sectional mediation analysis.Frontiers in public health · 2026Article
- Job assessments and the anticipated retention of behavioral health clinicians working in U.S. Health Professional Shortage Areas.BMC health services research · 2025Article
- The combined effect of perception of pay fairness and institutional transparency on physicians' work enthusiasm: a mixed method study from China.Frontiers in public health · 2025Article
- Burnout and turnover intention in primary public health workers: the mediating role of job satisfaction.Frontiers in public health · 2025Article
- Prevalence and contributory factors to burnout in the New Zealand surgical specialist and registrar population.Frontiers in public health · 2025Article
- Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study.BMJ open · 2024Article
- A Report of Salaries of Academic Cardiothoracic Surgeons Based on Race and Ethnicity.The Annals of thoracic surgery · 2024Article
- Brain Drain: A Cross-Sectional Study Evaluating Migration Intentions of Neurosurgery Trainees in Pakistan.Asian journal of neurosurgery · 2024Article
- Retaining the perinatal care workforce: Lessons learned from experienced physicians who no longer attend deliveries.Health services research · 2024Article
- Social network, fair payment, subjective well-being, and general health: a moderation mediation analysis.Frontiers in public health · 2024Article
- Effects of work-family conflict on turnover intention among primary medical staff in Huaihai Economic Zone: a mediation model through burnout.Frontiers in psychiatry · 2023Article
- A systematic review of the characteristics of data assessment tools to measure medical doctors' work-related quality of life.Journal of market access & health policy · 2023Review
- What factors affect Beijing residents' contracts with family doctors? A comparative study of Beijing's urban and suburban areas.Frontiers in public health · 2023Article
- Individual- and institution-level predictors of the turnover intention of medical staff among rural primary medical institutions in Xinjiang Production and Construction Corps, China: a cross-sectional multi-level analysis.Frontiers in psychology · 2023Article
- Individual perspectives and mental maps of working conditions and intention to stay of physicians in academic medicine.Frontiers in psychology · 2023Article
- Analysis of factors affecting medical personnel seeking employment at primary health care institutions: developing human resources for primary health care.International journal for equity in health · 2022Article
- Association of organizational and patient behaviors with physician well-being: A national survey in China.PloS one · 2022Article
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7 authors.
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Abstract
backgroundPrimary care physicians generally earn less than specialists. Studies of other occupations have identified perception of pay fairness as a predictor of work- and life-related outcomes. We evaluated whether physicians' pay fairness perceptions were associated with their work satisfaction, turnover intention, and personal health.
methodsThree thousand five hundred eighty-nine physicians were surveyed. Agreement with "my total compensation is fair" was used to assess pay fairness perceptions. Total compensation was self-reported, and we used validated measures of work satisfaction, likelihood of leaving current practice, and health status. Hierarchical logistic regressions were used to assess the associations between pay fairness perceptions and work/life-related outcomes.
resultsA total of 2263 physicians completed surveys. Fifty-seven percent believed their compensation was fair; there was no difference between physicians in internal medicine and non-primary care specialties (P = 0.58). Eighty-three percent were satisfied at work, 70% reported low likelihood of leaving their practice, and 77% rated their health as very good or excellent. Higher compensation levels were associated with greater work satisfaction and lower turnover intention, but most associations became statistically non-significant after adjusting for pay fairness perceptions. Perceived pay fairness was associated with greater work satisfaction (OR, 4.90; 95% CI, 3.94-6.08; P < 0.001), lower turnover intention (OR, 2.46; 95% CI, 2.01-3.01; P < 0.001), and better health (OR, 1.33; 95% CI, 1.08-1.65; P < 0.01). DISCUSSION: Physicians who thought their pay was fair reported greater work satisfaction, lower likelihood of leaving their practice, and better overall health. Addressing pay fairness perceptions may be important for sustaining a satisfied and healthy physician workforce, which is necessary to deliver high-quality care.
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