ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Job stress among GPs: associations with practice organisation in 11 high-income countries.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 43 citations in OpenAlex.
- Association between lifestyle risk factors and presenteeism among Chinese primary care physicians: a cross-sectional study.BMJ open · 2026Article
- 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
- Strengthening integration of pathways into general practice in Australia: a virtual workshop study with stakeholders.BJGP open · 2026Article
- Article
- Ambient scribe in general practice: a multi-perspective before-after longitudinal mixed-methods study.NPJ digital medicine · 2026Article
- Can medical assistants help improve family medicine practices in Croatia?Croatian medical journal · 2026Article
- No Band-Aids for papercuts: understanding and addressing challenges of administrative workload in primary care in Canada.Family practice · 2025Article
- Psychological safety and primary care physicians' well-being, work conditions and guideline adherence behavior: a cross-sectional study in China.Global health action · 2025Article
- Occupational stress and associated factors among couriers: A Cross-Sectional study.BMC public health · 2025Article
- Greater tolerance of uncertainty facilitates thriving in doctors entering postgraduate training.BMC medical education · 2025Article
- General practitioners' barriers to cross-sectoral collaboration on pregnant women with vulnerabilities: a cross-sectional survey in Danish general practice.Scandinavian journal of primary health care · 2025Article
- Team climate, job satisfaction, burnout and practice performance: results of a national survey of staff in general practices in England.BMC primary care · 2025Article
- Related factors of turnover intention among general practitioners: a cross-sectional study in 6 provinces of China.BMC primary care · 2025Article
- Factors affecting cancer care delivery in primary care: a qualitative study.Family practice · 2025Article
- The well-being of polish general practitioners during the COVID-19 pandemic-cross-sectional questionnaire-based study.BMC primary care · 2025Article
- Psychological interventions mitigated occupational stress in high-risk workers in Shenzhen, China.Frontiers in public health · 2025Article
- Healthcare Consultations for People with Chronic Conditions and Disabilities: Managing Cyber-Victimisation Impact and Training Needs.Health services insights · 2025Article
- Workplace Factors Contributing to Professional Stress in Family Medicine.Acta medica academica · 2024Article
- The effect of general practice team composition and climate on staff and patient experiences: a systematic review.BJGP open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundJob stress among GPs is an issue of growing concern.
aimTo investigate whether the structural and organisational features of GPs' practices were associated with job stress in 11 countries. DESIGN AND
settingSecondary analysis of the 2015 Commonwealth Fund International Health Policy Survey of Primary Care Physicians, an international cross-sectional study. A total of 11 Western countries participated in the 2015 edition.
methodRandom samples of practising GPs were drawn from government or private lists in each country (
resultsThe prevalence of job stress varied from 18% to 59% according to country. Job stress was higher among GPs aged 45-54 years (middle age) (odds ratio [OR] 1.35, 95% confidence interval [CI] = 1.07 to 1.70) and those practising in an urban area (OR 1.23, 95% CI = 1.15 to 1.31). It was also associated with a high weekly workload (OR 2.88, 95% CI = 2.38 to 3.50) if >50 hours/week workload, large administrative burden (OR 1.65, 95% CI = 1.44 to 1.89), long delays in receiving hospital discharge, poor possibilities in offering same-day appointments (OR 1.74, 95% CI = 1.18 to 2.56), and performance assessment (OR 1.15, 95% CI = 1.05 to 1.24). Finally, long consultations (OR 0.64, 95% CI = 0.53 to 0.76) and working with a case manager attached to the practice were associated with a lower job stress. The vast majority of results were consistent across the countries.
conclusionHeavy workloads and time pressure are clearly associated with GP job stress. However, organisational changes such as employing case managers and allowing longer consultations could potentially reduce this burden.
Indexed as
Identifiers
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.