Handysides S
British Medical Journal, London.
BMJ. 1994 Jan 1;308(6920):32-4. doi: 10.1136/bmj.308.6920.32.
Despite the pervading gloom about morale in general practice it can still offer a rewarding career. This article, which is the first in a series examining ways to improve general practitioners' job satisfaction, weighs the evidence for low morale in the profession and examines the factors that cause most dissatisfaction. The main causes of discontent seem to be increased paperwork and out of hours work, and many blame the 1990 contract for their problems. Dissatisfaction was growing before the contract was introduced, however, and some doctors believe that it has had positive effects. Further change seems inevitable if general practice is to offer a stimulating career for life.
尽管人们普遍对全科医疗的士气感到悲观，但它仍然可以提供一份有意义的职业。本文是探讨提高全科医生工作满意度方法系列文章的第一篇，权衡了该行业士气低落的证据，并研究了导致最大不满的因素。不满的主要原因似乎是文书工作增加和非工作时间工作，许多人将他们的问题归咎于1990年的合同。然而，在合同出台之前，不满情绪就一直在增长，一些医生认为它产生了积极影响。如果全科医疗要提供一份令人兴奋的终身职业，进一步的变革似乎不可避免。
