Meaningful work experiences of certified primary care physicians in Japan: a qualitative study

The aim of this study was to explore what experiences certified primary care physicians (PCPs) in Japan found meaningful in their work.

Between October 2021 and February 2022, semi-structured interviews were conducted with Japan Primary Care Association (JPCA)-certified family physicians or JPCA Diplomates in primary care who were working at clinics or small hospitals in Japan regarding "work experiences that they felt were meaningful as physician's work". The interviews were conducted face-to-face or via video call. The data obtained were transcribed verbatim and data analysis was conducted using inductive thematic analysis.

Fourteen physicians participated in the interview survey. Six themes were identified regarding work experiences that PCPs found meaningful: 1) management of diverse health problems, 2) comprehensive approach to patients, their families, and their issues, 3) trust relationships with patients built by continuity, 4) experience supporting patients with complex problems through interprofessional collaboration, 5) contribution to healthcare provider and medical student education, and 6) contribution to the community and society.

PCPs appear to find meaning in their work through two main pathways. First, they improve their own clinical abilities through practice. Second, they experience fulfillment by contributing to patients and the broader community. This clarification of the specific experiences of PCPs that are related to the meaning of work could potentially encourage PCPs working in various settings.