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Job strain and retirement decisions in UK general practice
1Independent Researcher, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Occupational Medicine (Oxford, England)
|June 18, 2019
Summary
Decreased autonomy and increased demands in UK general practice negatively impact GP morale and influence retirement decisions. Understanding these psychosocial factors is key to improving retention and job design.
Area of Science:
- General Practice
- Occupational Psychology
- Medical Workforce Studies
Background:
- Falling retention in UK general practice is a significant issue.
- Psychosocial work conditions are under-researched as causes of declining morale and early retirement.
Purpose of the Study:
- To investigate how changes in psychosocial work factors affect UK general practitioners' (GPs) morale and retirement decisions over their careers.
Main Methods:
- Biographical Narrative Interviewing Method (BNIM) was used.
- 12 London-based GPs (aged 55-65, half retired) provided career narratives.
- The Job Demands-Control-Support (JDCS) model was applied for analysis.
Main Results:
- A consistent theme of declining morale due to psychosocial work environment changes emerged.
- Reduced autonomy and increased workload/complaints culture were primary drivers.
- Fragmented teams led to decreased social support, impacting morale.
Conclusions:
- High demands coupled with low autonomy create intense strain, reducing job satisfaction and influencing retirement.
- The JDCS model offers a framework for improving work design in general practice to enhance practitioner well-being and retention.
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