ArticleAnnals of family medicine2019
Practice Organization Characteristics Related to Job Satisfaction Among General Practitioners in 11 Countries.
Article in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Family physician perspectives on managing indirect patient care activities in the electronic inbox: a systematic mixed studies review.Family practice · 2025Pooled it
- Organisational-level risk and health-promoting factors within the healthcare sector-a systematic search and review.Frontiers in medicine · 2024Pooled it
- Motivational factors for general practice training and career establishment: A cross-sectional study in Flanders, Belgium.The European journal of general practice · 2026Article
- General practice care models and satisfaction in Australian residential aged care homes: a national survey of GPs, practice nurses, and managers.Family 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
- Exploring the Role of Practice Managers in Dutch Oral Healthcare Practices.International dental journal · 2025Article
- Psychosocial work environment in Swedish primary healthcare: a cross-sectional survey of physicians' job satisfaction, turnover intention, social support, leadership climate and change fatigue.Human resources for health · 2024Article
- Insights from end-of-career general practitioners on changing working conditions and generational differences: considerations for future strategies.BMC primary care · 2024Article
- Job satisfaction of primary healthcare professionals: a cross-sectional survey in Greece.Acta bio-medica : Atenei Parmensis · 2023Article
- COVID-19 Continues to Burden General Practitioners: Impact on Workload, Provision of Care, and Intention to Leave.Healthcare (Basel, Switzerland) · 2023Article
- Human Resources in Primary Health-Care Institutions before and after the New Health-Care Reform in China from 2003 to 2019: An Interrupted Time Series Analysis.International journal of environmental research and public health · 2022Article
- Perspectives of GPs working in or alongside emergency departments in England: qualitative findings from the GPs and Emergency Departments Study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Identifying how GPs spend their time and the obstacles they face: a mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Follow-up care delivery in community-based hypertension and type 2 diabetes management: a multi-centre, survey study among rural primary care physicians in China.BMC family practice · 2021Article
- An Overview of Reviews on Interprofessional Collaboration in Primary Care: Effectiveness.International journal of integrated care · 2021Article
- Article
- Job stress among GPs: associations with practice organisation in 11 high-income countries.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Exploring whether teaching activity is a way to improve GPs' satisfaction and wellbeing: a cross-sectional study.BJGP open · 2020Article
- Combating Burnout: Back to Medicine as a Calling.Annals of family medicine · 2019Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe consequences of job dissatisfaction among general practitioners (GPs) are well known; both GPs and policy makers should be interested in a better understanding of its determinants. This study aimed to investigate whether the organizational and functional features of GPs' practices were associated with job dissatisfaction in 11 countries.
methodsWe conducted a secondary analysis of the 2015 Commonwealth Fund International Health Policy Survey of Primary Care Physicians, (n = 12,049). Job dissatisfaction was measured on a 4-point Likert scale using the question: "How satisfied are you regarding your practicing of medicine?" Numerous practice organization characteristics were considered using a multilevel, mixed-effects, ordered logistic regression analysis.
resultsPrevalence of dissatisfaction at work varied from 8.1% in Norway to 37.4% in Germany. Dissatisfaction was higher among middle-aged (aged 45-54 years) GPs (adjusted odds ratio (AOR) = 1.32 [1.17-1.49]), those practicing in urban areas (AOR = 1.12 [1.03-1.22]), and those working alone. It was associated with a high weekly workloads (AOR = 1.26 [1.12-1.42] if >50 hours), heavy administrative burdens (OR = 1.55 [1.37-1.73]), long delays in hospital discharge notices (AOR = 1.82 [1.52-2.19] if >1 month), and limited possibilities of offering same-day appointments (AOR = 1.83 [1.34-2.50]). Using electronic health records (OR = 0.82 [0.68-0.98]) and having an in-practice case manager (AOR = 0.84 [0.75-0.95]) were associated with lower dissatisfaction.
conclusionsHeavy workloads are clearly associated with job dissatisfaction among GPs. Organizational changes such as group practices, employing case managers, and using electronic health records could potentially reduce this burden. Workloads could also be relieved by diversifying GPs' activities. All health care providers should strive to improve the circulation of information.
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