Mooser Blandine, Senn Nicolas, Heritier François, Cohidon Christine
University of Lausanne, 27213, Lausanne, Switzerland.
Center of General Medicine and Public Health, Department of Family Medicine, Medecin Associé, Lausanne, Switzerland.
BJGP Open. 2020 Jun 23;4(2). doi: 10.3399/bjgpopen20X101038. Print 2020.
GP dissatisfaction and stress at work have been a growing domain of interest for several decades. However, few studies have focused on positive predictors of GPs' satisfaction and wellbeing. The diversity of activities could be one area that could be explored to aid job satisfaction.
The aim of this study was to investigate the association between the meaning in GPs' work and medical teaching activity.
DESIGN & SETTING: This is a secondary analysis of the Swiss data of the QUALICOPC study, a multicentric European-wide study, investigating primary care quality, costs, and equity.
A total of 199 GPs in Switzerland answered a 60-question postal questionnaire. Descriptive and multivariate logistic regression analyses were performed using Stata (version 15). A focus group with six GPs gave qualitative data to help interpret the results.
Thirty-one per cent of GPs reported a loss of meaning in their work. In multivariate analyses, loss of meaning was lower in GPs with teaching activity (odds ratio [OR] = 0.50; 95% confidence interval [CI] = 0.27 to 0.90). In addition, loss of meaning was associated with late hospital discharge letter reception time (OR = 2.28; 95% CI = 1.20 to 4.35 if ≥15 days) and an administrative overload (OR = 4.18; 95% CI = 2.04 to 5.58). For GPs in the focus group, medical teaching occurred mostly because of intrinsic motivations.
Loss of meaning in GPs' work was lessened with teaching activity. Therefore, encouraging a GP practice that is varied in its activities may encourage GP satisfaction. Ultimately, job satisfaction may impact patient quality of care and this study offers some insight on how to improve work satisfaction for the next generation of GPs.
几十年来，全科医生工作中的不满和压力一直是一个日益受到关注的领域。然而，很少有研究关注全科医生满意度和幸福感的积极预测因素。活动的多样性可能是一个有助于提高工作满意度的可探索领域。
本研究旨在调查全科医生工作意义与医学教学活动之间的关联。
这是对QUALICOPC研究瑞士数据的二次分析，QUALICOPC研究是一项全欧洲范围的多中心研究，旨在调查初级医疗质量、成本和公平性。
瑞士的199名全科医生回答了一份60题的邮寄问卷。使用Stata（版本15）进行描述性和多变量逻辑回归分析。一个由六名全科医生组成的焦点小组提供了定性数据以帮助解释结果。
31%的全科医生报告工作失去意义。在多变量分析中，从事教学活动的全科医生工作失去意义的情况较少（优势比[OR]=0.50；95%置信区间[CI]=0.27至0.90）。此外，工作失去意义与医院出院信件接收时间较晚（如果≥15天，OR=2.28；95%CI=1.20至4.35）和行政负担过重（OR=4.18；95%CI=2.04至5.58）相关。对于焦点小组中的全科医生来说，医学教学主要是出于内在动机。
教学活动减少了全科医生工作失去意义的情况。因此，鼓励开展多样化活动的全科医生执业方式可能会提高全科医生的满意度。最终，工作满意度可能会影响患者的护理质量，本研究为如何提高下一代全科医生的工作满意度提供了一些见解。
