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[Job satisfaction in Portuguese physicians in general medicine]
A Hespanhol1, A C Pereira, A S Pinto
1Departamento de Medicina General, Facultad de Medicina de Oporto, Portugal.
Objectives:
To identify the major areas of GP's job satisfaction and dissatisfaction and to study the most important reasons of GP's job dissatisfaction.
Design:
Cross-section study. Survey by mail and personal interview.
Participants:
1.097 GPs.
Setting:
Northern region of the Portuguese Medical Association.
Measurements And Main Results:
46% of the 385 respondent GPs are dissatisfied with the overall job satisfaction. The rate of pay is the dimension that generates more job dissatisfaction, as also the major area that has the highest level of job dissatisfaction and has significant association with the overall job satisfaction, but has not predictive association with it. The majority declares that it is more adequate a payment system with fixed and variable components. The same regimen of work may generate satisfaction in some GPs, and dissatisfaction in others. Both the authoritarian leadership behavior and the laissez-faire style are almost nonexistent in the health centers of the satisfied GPs, but predominate in the health centers of the dissatisfied GPs. Those leadership styles are not desired by the dissatisfied GPs.
Conclusions:
The rate of pay generates more job dissatisfaction, but has not predictive association with the overall job satisfaction. The authoritarian leadership behavior and the laissez-faire style are by themselves generators of GP job dissatisfaction, even if the regime of work by itself does not generate it.