Evidence map›Paper›PMID 33066776›Full record

ArticleHuman resources for health2020

The association between the workload of general practitioners and patient experiences with care: results of a cross-sectional study in 33 countries.

Willemijn L A Schäfer, Michael J van den Berg, Peter P Groenewegen

Abstract read
In one paragraph

Article in Human resources for health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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  6. Impact of the rollout of the national social prescribing link worker programme on population outcomes: evidence from a repeated cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  15. Primary care experiences of adults reporting learning disability: a probability sample survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  16. Comparing GPs according to their model of practice: are multiprofessional group practices associated with more favourable working conditions?The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Willemijn L A SchäferDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA. wilhelmina.schaefer@northwestern.edu.
Michael J van den BergDepartment of Public Health, Academic Medical Center, Amsterdam, the Netherlands.
Peter P GroenewegenNIVEL, the Netherlands Institute for Health Services Research, Utrecht, The Netherlands. p.groenewegen@nivel.nl.ORCID 0000-0003-2127-8442

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe workload of general practitioners (GPs) and dissatisfaction with work have been increasing in various Western countries over the past decades. In this study, we evaluate the relation between the workload of GPs and patients' experiences with care.

methodsWe collected data through a cross-sectional survey among 7031 GPs and 67,873 patients in 33 countries. Dependent variables are the patient experiences on doctor-patient communication, accessibility, continuity, and comprehensiveness of care. Independent variables concern the workload measured as the GP-reported work hours per week, average consultation times, job satisfaction (an indicator of subjective workload), and the difference between the workload measures of every GP and the average in their own country. Finally, we evaluated interaction effects between workload measures and what patients find important in a country and the presence of a patient-list system. Relationships were determined through multilevel regression models.

resultsPatients of GPs who are happier with their work were found to experience better communication, continuity, access, and comprehensiveness. When GPs are more satisfied compared to others in their country, patients also experience better quality. When GPs work more hours per week, patients also experience better quality of care, but not in the area of accessibility. A longer consultation time, also when compared to the national average, is only related to more comprehensive care. There are no differences in the relationships between countries with and without a patient list system and in countries where patients find the different quality aspects more important.

conclusionsPatients experience better care when their GP has more work hours, longer consultation times, and especially, a higher job satisfaction.

Indexed as

General PractitionersCross-Sectional StudiesHumansJob SatisfactionPatient Outcome AssessmentSurveys and QuestionnairesWorkloadGeneral practiceInternational comparisonJob satisfactionPatient experiencesWorkload

Identifiers

PMID33066776
PMCPMC7565810

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.