Satish P Deshpande1, Jim Demello. 1. Departments of Management, Western Michigan University, Kalamazoo, MI 49008-5429, USA. satish.deshpande@wmich.edu
Abstract
BACKGROUND: The purpose of this study was to examine factors that influence career satisfaction of 3 types of primary care physicians (PCPs): internal medicine (IM) physicians, family/general medicine (FGM) physicians, and pediatricians. METHODS: This was a secondary analysis of the Center for Studying Health System Change's 2008 Health Tracking Physician Survey. Regression analysis was done to examine the impact of environmental-, practice quality-, compensation-, and demographic-related factors on career satisfaction of IM physicians (n = 504), FGM physicians (n = 693), and pediatricians (n = 363). RESULTS: Nineteen percent of PCPs have been practicing for ≥30 years. Pediatricians had the highest career satisfaction. Although the threat of malpractice lawsuits significantly lowered career satisfaction (β = -0.177, -0.153, and -0.146), patient interaction (β = 0.242, 0.321, and 0.346) and income (β = 0.132, 0.151, and 0.170) significantly increased career satisfaction of IM physicians, FGM physicians, and pediatricians, respectively. Ownership significantly lowered career satisfaction of IM physicians and pediatricians (β = -0.168 and -0.114, respectively). Inadequate quality care significantly lowered career satisfaction of pediatricians (β = -0.102). The 3 regression models accounted for only 16% (IM physicians), 17% (FGM physicians), and 21% (pediatricians) of the variance in career satisfaction. CONCLUSIONS: Steps like giving adequate time for interaction with patients, reducing potential threats of malpractice lawsuits, and improving income may increase PCPs' career satisfaction.
BACKGROUND: The purpose of this study was to examine factors that influence career satisfaction of 3 types of primary care physicians (PCPs): internal medicine (IM) physicians, family/general medicine (FGM) physicians, and pediatricians. METHODS: This was a secondary analysis of the Center for Studying Health System Change's 2008 Health Tracking Physician Survey. Regression analysis was done to examine the impact of environmental-, practice quality-, compensation-, and demographic-related factors on career satisfaction of IM physicians (n = 504), FGM physicians (n = 693), and pediatricians (n = 363). RESULTS: Nineteen percent of PCPs have been practicing for ≥30 years. Pediatricians had the highest career satisfaction. Although the threat of malpractice lawsuits significantly lowered career satisfaction (β = -0.177, -0.153, and -0.146), patient interaction (β = 0.242, 0.321, and 0.346) and income (β = 0.132, 0.151, and 0.170) significantly increased career satisfaction of IM physicians, FGM physicians, and pediatricians, respectively. Ownership significantly lowered career satisfaction of IM physicians and pediatricians (β = -0.168 and -0.114, respectively). Inadequate quality care significantly lowered career satisfaction of pediatricians (β = -0.102). The 3 regression models accounted for only 16% (IM physicians), 17% (FGM physicians), and 21% (pediatricians) of the variance in career satisfaction. CONCLUSIONS: Steps like giving adequate time for interaction with patients, reducing potential threats of malpractice lawsuits, and improving income may increase PCPs' career satisfaction.
Authors: Juan Nicolás Peña-Sánchez; Rein Lepnurm; José Miguel Morales-Asencio; Ana Delgado; Alicja Domagała; Maciej Górkiewicz Journal: Health Psychol Res Date: 2014-09-10
Authors: Sarah H Gordon; Emily A Gadbois; Renee R Shield; Patrick M Vivier; Chima D Ndumele; Amal N Trivedi Journal: BMC Health Serv Res Date: 2018-09-21 Impact factor: 2.655