Sanchez-Piedra Carlos Alberto, Jaruseviciene Lina, Prado-Galbarro Francisco Javier, Liseckiene Ida, Sánchez-Alonso Fernando, García-Pérez Sonia, Sarria Santamera Antonio
a Agency for Health Technology Assessment , Instituto de Salud Carlos III , Madrid , Spain.
b Rheumatology Spanish Society , Madrid , Spain.
Eur J Gen Pract. 2017 Dec;23(1):114-120. doi: 10.1080/13814788.2017.1305350.
Given the importance of primary care to healthcare systems and population health, it seems crucial to identify factors that contribute to the quality of primary care. Professional satisfaction has been linked with quality of primary care. Physician dissatisfaction is considered a risk factor for burnout and leaving medicine.
This study explored factors associated with professional satisfaction in seven European countries.
A survey was conducted among primary care physicians. Estonia, Finland, Germany and Hungary used a web-based survey, Italy and Lithuania a telephone survey, and Spain face to face interviews. Sociodemographic information (age, sex), professional experience and qualifications (years since graduation, years of experience in general practice), organizational variables related to primary care systems and satisfaction were included in the final version of the questionnaire. A logistic regression analysis was performed to assess the factors associated with satisfaction among physicians.
A total of 1331 primary care physicians working in primary care services responded to the survey. More than half of the participants were satisfied with their work in primary care services (68.6%). We found significant associations between satisfaction and years of experience (OR = 1.01), integrated network of primary care centres (OR = 2.8), patients having direct access to specialists (OR = 1.3) and professionals having access to data on patient satisfaction (OR = 1.3). Public practice, rather than private practice, was associated with lower primary care professional satisfaction (OR = 0.8).
Elements related to the structure of primary care are associated with professional satisfaction. At the individual level, years of experience seems to be associated with higher professional satisfaction.
鉴于初级保健对医疗系统和人群健康的重要性，确定影响初级保健质量的因素似乎至关重要。职业满意度与初级保健质量相关。医生的不满被认为是职业倦怠和离开医疗行业的风险因素。
本研究探讨了七个欧洲国家与职业满意度相关的因素。
对初级保健医生进行了一项调查。爱沙尼亚、芬兰、德国和匈牙利采用基于网络的调查，意大利和立陶宛采用电话调查，西班牙采用面对面访谈。最终版本的问卷包括社会人口学信息（年龄、性别）、专业经验和资格（毕业年限、全科医疗经验年限）、与初级保健系统相关的组织变量和满意度。进行了逻辑回归分析以评估与医生满意度相关的因素。
共有1331名在初级保健服务机构工作的初级保健医生对调查做出了回应。超过一半的参与者对他们在初级保健服务中的工作感到满意（68.6%）。我们发现满意度与经验年限（OR = 1.01）、初级保健中心的综合网络（OR = 2.8）、患者可直接接触专科医生（OR = 1.3）以及专业人员可获取患者满意度数据（OR = 1.3）之间存在显著关联。公立执业而非私立执业与较低的初级保健职业满意度相关（OR = 0.8）。
与初级保健结构相关的因素与职业满意度相关。在个体层面，经验年限似乎与较高的职业满意度相关。
