ArticleBMJ open2019
Mental well-being and job satisfaction in general practitioners in Denmark and their patients' change of general practitioner: a cohort study combining survey data and register data.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Burnout prevalence in 2012, 2018 and 2024 among general practitioners in Norway and factors associated with burnout.Scandinavian journal of primary health care · 2026Article
- Skill mix in primary care, working hours, time used on management, and burnout among general practitioners.Family practice · 2025Article
- Mapping motivational factors for continuous medical education: insights from general practitioners with varying levels of participating in CME.Scandinavian journal of primary health care · 2025Article
- Characteristics and triage in older citizens calling a semi-acute medical helpline in Denmark: a prospective cohort study.BMC health services research · 2025Article
- Why Do Primary Care Patients Change Their Physicians: An Overview of the Literature.International journal of environmental research and public health · 2025Review
- Balint groups' possible role in self-care and job satisfaction of general practitioners-A qualitative study.Wiener klinische Wochenschrift · 2025Article
- Barriers for continuous medical education: a cross-sectional questionnaire study among Danish GPs.BJGP open · 2024Article
- Workload and GP burnout: a survey and register-based study in Danish general practice.BJGP open · 2024Article
- "We don't need no education" - a qualitative study of barriers to continuous medical education among Danish general practitioners.BMC medical education · 2023Article
- Burnout, coping strategies and help-seeking in general practitioners: a two-wave survey study in Denmark.BMJ open · 2022Article
- Effect of burnout among physicians on observed adverse patient outcomes: a literature review.BMC health services research · 2021Review
- Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesLow job satisfaction and poor well-being (eg, stress and burnout) among physicians may have negative consequences for patient experienced healthcare quality. In primary care, this could manifest in patients choosing another general practitioner (GP). The objective of this study was to examine change of GP (COGP) (unrelated to change of address) among patients in relation to their GPs' job satisfaction, well-being and self-assessed work-ability. DESIGN AND
settingData from a nationwide questionnaire survey among Danish GPs in May 2016 was combined with register data on their listed patients. Associations between patients' COGP in the 6-month study period (from May 2016) and the job satisfaction/well-being of their GP were estimated as risk ratios (RRs) at the individual patient level using binomial regression analysis. Potential confounders were included for adjustment.
participantsThe study cohort included 569 776 patients aged ≥18 years listed with 409 GPs in single-handed practices.
resultsCOGP was significantly associated with occupational distress (burnout and low job satisfaction) in the GP. This association was seen in a dose-response like pattern. For burnout, associations were found for depersonalisation and reduced sense of personal accomplishment (but not for emotional exhaustion). The adjusted RR was 1.40 (1.10-1.72) for patients listed with a GP with the lowest level of job satisfaction and 1.24 (1.01-1.52) and 1.40 (1.14-1.72) for patients listed with a GP in the most unfavourable categories of depersonalisation and sense of personal accomplishment (the most favourable categories used as reference). COGP was not associated with self-assessed work-ability or domains of well-being related to life in general.
conclusionsPatients' likelihood of changing GP increased with GP burnout and decreasing job satisfaction. These findings indicate that patients' evaluation of care as measured by COGP may be influenced by their GPs' work conditions and occupational well-being.
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