Skolnik N S, Smith D R, Diamond J
Family Practice Residency Program, Abington Memorial Hospital, Jenkintown, PA.
J Fam Pract. 1993 Sep;37(3):257-63.
Physicians' satisfaction with their professional life influences the quality of patient care they provide and helps to determine the number and type of students attracted to the various fields of medicine. In this study, we sought to delineate areas of satisfaction and dissatisfaction among family physicians.
A self-administered questionnaire was sent to all physicians in the state of Pennsylvania who were included in the 1990 directory of the American Board of Family Practice (N = 1944).
Completed questionnaires were received from 1066 family physicians in full-time practice. Sixty-five percent were satisfied with their professional lives. Patient relationships, a sense of clinical competence, and their relationships with their partners were among the most satisfying aspects of practice for all family physicians. Problems identified included regulations by third-party payers and government agencies and the large amount of paperwork encountered in practice. There were significant (P < .001) differences in satisfaction between physicians in different practice arrangements. Significant differences between practice types were also found in the degree of dissatisfaction with third-party payers and government agencies, paperwork, isolation from other physicians, and the threat of a malpractice suit.
Almost two thirds of family physicians are satisfied with their general professional lives. Conversely, one third are not. Clear areas of satisfaction and dissatisfaction have been defined for family physicians in general as well as for family physicians in various practice environments. This information may be useful in the development of policy to structure a medical system that meets the needs of both patients and physicians.
医生对其职业生活的满意度会影响他们提供的患者护理质量，并有助于确定吸引到各个医学领域的学生数量和类型。在本研究中，我们试图描绘家庭医生的满意和不满意领域。
向宾夕法尼亚州所有被列入1990年美国家庭医学委员会名录的医生（N = 1944）发送了一份自填式问卷。
收到了1066名全职执业家庭医生填写的问卷。65%的人对他们的职业生活感到满意。患者关系、临床能力感以及他们与同事的关系是所有家庭医生执业中最令人满意的方面。发现的问题包括第三方付款人和政府机构的规定以及执业中遇到的大量文书工作。不同执业安排的医生之间在满意度上存在显著差异（P <.001）。在对第三方付款人和政府机构的不满程度、文书工作、与其他医生的隔离以及医疗事故诉讼的威胁方面，不同执业类型之间也存在显著差异。
近三分之二的家庭医生对他们的总体职业生活感到满意。相反，三分之一的人不满意。总体而言，已明确了家庭医生以及处于各种执业环境中的家庭医生的满意和不满意领域。这些信息可能有助于制定政策，构建一个满足患者和医生需求的医疗系统。
