Janus K, Amelung V E, Baker L C, Gaitanides M, Rundall T G, Schwartz F W
Department of Health Policy and Management, Columbia University, New York, NY 10032, USA.
Gesundheitswesen. 2009 Apr;71(4):210-7. doi: 10.1055/s-0028-1119367. Epub 2009 Mar 13.
Understanding the factors that affect physicians' job satisfaction is important not only to physicians themselves, but also to patients, health system managers, and policy makers. Physicians represent the crucial resource in health-care delivery. In order to enhance efficiency and quality in health care, it is indispensable to analyse and consider the motivators of physicians. Physician job satisfaction has significant effects on productivity, the quality of care, and the supply of physicians. The purpose of our study was to assess the associations between work-related monetary and non-monetary factors and physicians' work satisfaction as perceived by similar groups of physicians practicing at academic medical centres in Germany and the U.S.A., two countries that, in spite of differing health-care systems, simultaneously experience problems in maintaining their physician workforce. We used descriptive statistics, factor and correlation analyses to evaluate physicians' responses to a self-administered questionnaire. Our study revealed that overall German physicians were less satisfied than U.S. physicians. With respect to particular work-related predictors of job satisfaction we found that similar factors contributed to job satisfaction in both countries. To improve physicians' satisfaction with working conditions, our results call for the implementation of policies that reduce the time burden on physicians to allow more time for interaction with patients and colleagues, increase monetary incentives, and enhance physicians' participation in the development of care management processes and in managerial decisions that affect patient care.
了解影响医生工作满意度的因素不仅对医生自身很重要，对患者、卫生系统管理者和政策制定者也很重要。医生是医疗服务提供中的关键资源。为了提高医疗效率和质量，分析和考虑医生的激励因素是必不可少的。医生工作满意度对生产力、医疗质量和医生供应有重大影响。我们研究的目的是评估与工作相关的货币和非货币因素与在德国和美国学术医疗中心执业的类似医生群体所感知的医生工作满意度之间的关联，这两个国家尽管医疗体系不同，但在维持医生队伍方面同时面临问题。我们使用描述性统计、因子分析和相关性分析来评估医生对一份自填式问卷的回答。我们的研究表明，总体而言，德国医生比美国医生的满意度更低。关于工作满意度的特定工作相关预测因素，我们发现两国中类似的因素对工作满意度有影响。为了提高医生对工作条件的满意度，我们的研究结果呼吁实施相关政策，减轻医生的时间负担，以便有更多时间与患者和同事互动，增加货币激励，并提高医生对护理管理流程发展以及影响患者护理的管理决策的参与度。
