Heidelberg Institute of Global Health, University Hospital Heidelberg, Heidelberg University, Heidelberg, Germany.
Department of Public Health, Universitas Negeri Semarang, Semarang, Indonesia.
Hum Resour Health. 2019 May 30;17(1):38. doi: 10.1186/s12960-019-0375-3.
Although there is extensive literature on the different aspects of physician job satisfaction worldwide, existing questionnaires used to measure job satisfaction in developed countries (e.g., the Job Satisfaction Scale) do not capture the aspects specific to Indonesian primary healthcare physicians. This is especially true considering the 2014 healthcare system reform, which led to the implementation of a national social health insurance scheme in Indonesia that has significantly changed the working conditions of physicians. Therefore, the current study aimed to identify aspects of primary care physician job satisfaction featured in published literature and determine those most suitable for measuring physician job satisfaction in light of Indonesia's recent reforms.
A scoping literature review of full-text articles published in English between 2006 and 2015 was conducted using the PubMed, Psycinfo, and Web of Science databases. All aspects of primary care physician job satisfaction included in these studies were identified and classified. We then selected aspects mentioned in more than 5% of the reviewed papers and identified those most relevant to the post-reform Indonesian context.
A total of 440 articles were reviewed, from which 23 aspects of physicians' job satisfaction were extracted. Sixteen aspects were deemed relevant to the current Indonesian system: physical working conditions, overall job satisfaction, patient care/treatment, referral systems, relationships with colleagues, financial aspects, workload, time of work, recognition for good work, autonomy, opportunity to use abilities, relationships with patients, their families, and community, primary healthcare facilities' organization and management style, medical education, healthcare systems, and communication with health insurers.
Considering the recent reforms of the Indonesian healthcare system, existing tools for measuring job satisfaction among physicians must be revised. Future research should focus on the development and validation of new measures of physician job satisfaction based on the aspects identified in this study.
尽管全球范围内有大量关于医生工作满意度的不同方面的文献，但现有的用于衡量发达国家医生工作满意度的问卷（例如工作满意度量表）并不能涵盖印度尼西亚初级保健医生特有的方面。考虑到 2014 年的医疗保健系统改革尤其如此，该改革导致在印度尼西亚实施了国家社会健康保险计划，这极大地改变了医生的工作条件。因此，本研究旨在确定发表文献中初级保健医生工作满意度的各个方面，并根据印度尼西亚最近的改革确定最适合衡量医生工作满意度的方面。
使用 PubMed、Psycinfo 和 Web of Science 数据库对 2006 年至 2015 年间发表的英文全文文章进行了广泛的文献回顾。确定并分类了这些研究中包含的初级保健医生工作满意度的各个方面。然后，我们选择了在审查论文中提到超过 5%的方面，并确定了与改革后印度尼西亚背景最相关的方面。
共审查了 440 篇文章，从中提取了 23 个医生工作满意度方面。有 16 个方面被认为与当前的印度尼西亚系统相关：物理工作条件、总体工作满意度、患者护理/治疗、转诊系统、与同事的关系、财务方面、工作量、工作时间、对出色工作的认可、自主权、有机会使用能力、与患者及其家人和社区的关系、初级保健设施的组织和管理风格、医学教育、医疗保健系统以及与健康保险公司的沟通。
考虑到印度尼西亚医疗保健系统的最近改革，必须修订用于衡量医生工作满意度的现有工具。未来的研究应集中在根据本研究确定的方面开发和验证新的医生工作满意度衡量工具上。
