Physician Professional Satisfaction and Area of Clinical Practice: Evidence from an Integrated Health Care Delivery System

Autor: Michael H. Kanter, Robert H. Brook, Sandra H. Berry, Nicole Ives, John P. Caloyeras, Chong Y Kim, Hemal K. Kanzaria
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Basic Behavioral and Social Science
01 natural sciences
Job Satisfaction
03 medical and health sciences
0302 clinical medicine
Ambulatory care
Nursing
Clinical Research
Physicians
Integrated
Surveys and Questionnaires
Critical care nursing
Behavioral and Social Science
Health care
medicine
Humans
Family
030212 general & internal medicine
0101 mathematics
Unlicensed assistive personnel
Curative care
Aged
Delivery of Health Care
Integrated

business.industry
010102 general mathematics
Physicians
Family

General Medicine
Healthcare Effectiveness Data and Information Set
Health Services
Middle Aged
Original Research & Contributions
Good Health and Well Being
Cross-Sectional Studies
Health Care Reform
Family medicine
Female
Generic health relevance
Health care reform
business
Delivery of Health Care
Health care quality
Zdroj: The Permanente journal, vol 20, iss 2
ISSN: 1552-5775
1552-5767
DOI: 10.7812/tpp/15-163
Popis: ContextFor health care reform to succeed, health care systems need a professionally satisfied primary care workforce. Evidence suggests that primary care physicians are less satisfied than those in other medical specialties.ObjectiveTo assess three domains of physician satisfaction by area of clinical practice among physicians practicing in an established integrated health system.DesignCross-sectional online survey of all Southern California Permanente Medical Group (SCPMG) partner and associate physicians (N = 1034) who were primarily providing clinic-based care in 1 of 4 geographically and operationally distinct Kaiser Permanente Southern California Medical Centers.Main outcome measuresPrimary measure was satisfaction with one's day-to-day professional life as a physician. Secondary measures were satisfaction with quality of care and income.ResultsOf the 636 physicians responding to the survey (61.5% response rate), on average, 8 in 10 SCPMG physicians reported satisfaction with their day-to-day professional life as a physician. Primary care physicians were only minimally less likely to report being satisfied (difference of 8.2-9.5 percentage points; p < 0.05) than were other physicians. Nearly all physicians (98.2%) were satisfied with the quality of care they are able to provide. Roughly 8 in 10 physicians reported satisfaction with their income. No differences were found between primary care physicians and those in other clinical practice areas regarding satisfaction with quality of care or income.ConclusionIt is possible to create practice settings, such as SCPMG, in which most physicians, including those in primary care, experience high levels of professional satisfaction.
Databáze: OpenAIRE