Sascha Hess1, Patrick Sidler2, Corinne Chmiel3, Karin Bögli2, Oliver Senn4, Klaus Eichler5. 1. Winterthur Institute of Health Economics, Zurich University of Applied Sciences, Gertrudstrasse 15, Winterthur CH-8401, Switzerland. Electronic address: sascha.hess@zhaw.ch. 2. City Hospital Waid, Tièchestrasse 99, Zurich CH-8037, Switzerland. 3. City Hospital Waid, Tièchestrasse 99, Zurich CH-8037, Switzerland; Institute of General Practice and Health Services Research, University of Zurich, Raemistrasse 100, Zurich CH-8091, Switzerland. 4. Institute of General Practice and Health Services Research, University of Zurich, Raemistrasse 100, Zurich CH-8091, Switzerland. 5. Winterthur Institute of Health Economics, Zurich University of Applied Sciences, Gertrudstrasse 15, Winterthur CH-8401, Switzerland.
Abstract
BACKGROUND AND AIM: The increasing number of patients requiring emergency care is a challenge and leads to decreased satisfaction of health professionals at emergency departments (EDs). Thus, a Swiss hospital implemented a hospital-associated primary care centre at the ED. The study aim was to investigate changes in job satisfaction of ED staff before and after the implementation of this new service model and to measure hospital GPs' (HGPs) satisfaction at the hospital-associated primary care centre. METHOD: This study was embedded in a large prospective before-after study over two years. We examined changes in job satisfaction with a questionnaire followed by selected interviews approaching all of the involved 25 ED staff members and 38 HGPs. RESULTS: The new emergency care model increased job satisfaction of ED staff and HGPs in all measured dimensions. The overall job satisfaction of ED employees improved from 76.5 to 83.9 points (visual analogue scale 0-100; difference 7.4 points [95% CI: 1.3 to 13.5, p = 0.02]). 86% of 29 HGPs preferred to provide their out-of-hours service at the new hospital-associated primary care centre. CONCLUSIONS: The hospital-associated primary care centre is a promising option to improve job satisfaction of different health professionals in emergency care.
BACKGROUND AND AIM: The increasing number of patients requiring emergency care is a challenge and leads to decreased satisfaction of health professionals at emergency departments (EDs). Thus, a Swiss hospital implemented a hospital-associated primary care centre at the ED. The study aim was to investigate changes in job satisfaction of ED staff before and after the implementation of this new service model and to measure hospital GPs' (HGPs) satisfaction at the hospital-associated primary care centre. METHOD: This study was embedded in a large prospective before-after study over two years. We examined changes in job satisfaction with a questionnaire followed by selected interviews approaching all of the involved 25 ED staff members and 38 HGPs. RESULTS: The new emergency care model increased job satisfaction of ED staff and HGPs in all measured dimensions. The overall job satisfaction of ED employees improved from 76.5 to 83.9 points (visual analogue scale 0-100; difference 7.4 points [95% CI: 1.3 to 13.5, p = 0.02]). 86% of 29 HGPs preferred to provide their out-of-hours service at the new hospital-associated primary care centre. CONCLUSIONS: The hospital-associated primary care centre is a promising option to improve job satisfaction of different health professionals in emergency care.
Authors: Alison Cooper; Freya Davies; Michelle Edwards; Pippa Anderson; Andrew Carson-Stevens; Matthew W Cooke; Liam Donaldson; Jeremy Dale; Bridie Angela Evans; Peter D Hibbert; Thomas C Hughes; Alison Porter; Tim Rainer; Aloysius Siriwardena; Helen Snooks; Adrian Edwards Journal: BMJ Open Date: 2019-04-11 Impact factor: 2.692