The General Practitioner – an Endangered Professional Group
2014 (English)In: Book of Proceedings, 11th European Academy of Occupational Health Psychology Conference: Looking at the past planning for the future. Capitalizing on occupational health psychology multidisciplinarity / [ed] Nicholas John Artin Andreou, Aditya Jain, David Hollis, Juliet Hassard & Kevin Teoh, Nottingham, UK: European Academy of Occupational Health Psychology , 2014, 296-297 p.Conference paper, Poster (Other academic)
Objective: General practitioners are responsible for the basic health care of the patients and if necessary, ensure the guidance of the patients within the medical system towards specialist care fulfilling the role of the “gatekeeper” of the medical system. However the shortage of doctors resulting in unfilled vacancies in the outpatient departments of hospitals has become a problem for the quality of care and a well-functioning health care delivery Doctors who are psychologically stressed are more likely to make medical mistakes, show a lower level of empathy, are more dissatisfied with their work and think more often of quitting their jobs or going on pension. The purpose of the study is to examine the relationship between doctors´ health, the organisation in which they work and the desire to stay on or quit working as a specialist general practioner.
Method: Cross sectional survey in 2013 among General Practioners (GPs) employed in one City Council in Sweden. The criterion variable “intention to quit” was measured on a scale with three items (α = .86; QPS-Nordic; Lindström et al, 2000). Exhaustion was measured by Oldenburg Burnout Inventory, OLBI, (α = .82; Demerouti et al., 2001, 2003), “support from the organization” was measured also by scales from the QPS-Nordic (α = .87). Scales about “vacancies” (α = .90) and “economic goals” (α = .86), were created within the project. For the analyses we used hierarchical multiple regression.
Results: Altogether 193 (63,9%) female GPs and 109 (36,1%) male GPs answered the questionnaire, 44% response-rate. The results showed that analysed factors contributed to (50.6%) of unique variance in the physicians’ intention to quit. Physician exhaustion was included in the first model and accounted for 33% of the variance. All the subsequently introduced models added significantly to the “intention to quit”, specifically: “vacancies” (9.6%) , goal (2.1%) and “support from the organization” (5.2%).
Conclusion: The results show that there are strong associations between physician’s level of exhaustion and their intention to quit their work as physicians. The results are important since they show that the organization needs to pay attention to resource planning, how economic goals are introduced in the organizations. A positive aspect is that support from the organizations seems to be a protective factor. This is something that the organizations need to implement.
Place, publisher, year, edition, pages
Nottingham, UK: European Academy of Occupational Health Psychology , 2014. 296-297 p.
general practioners, turnover intention, exhaustion
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-109472ISBN: 978-0-9928786-0-3ISBN: 978-0-9928786-1-0OAI: oai:DiVA.org:su-109472DiVA: diva2:765180
11th European Academy of Occupational Health Psychology Conference: Looking at the past planning for the future. Capitalizing on occupational health psychology multidisciplinarity