An Umbrella Review of Determinants of General Practitioners’ Job Satisfaction

Document Type : Review

Authors

1 Department of Healthcare Services Management, Health Human Resou‌‌‌rces Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, 18379, Shiraz, Iran.

2 Department of Healthcare Services Management, Health Human Resou‌‌‌rces Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz University of Medical Sciences, 18379, Shiraz, Iran.

3 Department of Healthcare Services Management, Health Human Resou‌‌‌rces Research Center, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, 18379, Shiraz, Iran.

Abstract

Introduction: General practitioners are considered the main resource of any health system. The performance of General practitioners significantly affects public health. Jon's satisfaction is affected by numerous factors. The aim of the article is to synthesize the literature studying the factors associated with physician satisfaction.
Methods: Two databases including Scopus and Pubmed were searched. Primary research studies were included only if they reported on the provision of factors that affect general practitioners’ job satisfaction. All studies except systematic reviews were also excluded. Quality assessment of the systematic reviews included in the umbrella review evaluated by assessing the methodological quality of systematic reviews tool checklist for systematic reviews.
Results: Factors affecting physicians' job satisfaction are divided into five groups. Personal Factors: (Health status, Work-family conflict, Life satisfaction),  Demographic Factors: (Age, Gender, Marital status, Race), Practice factors: (Years of experience, Getting responsibility and recognition for work, Patient characteristics, Being a foreign/ internationally trained doctor)Organizational factors,: (Autonomy in the work, Task delegation, Working conditions, Working hours, workload, Diversity of work, relations and contact with colleagues, Being involved in teaching medical students, Administrative burdens,  Work environment, Non-financial incentives, Work engagement, Hospital type, and structure,  Management, and leadership, Opportunity for professional development, Access to resources), Financial and economic factors (Payment methods Income). Physician satisfaction is a dynamic entity totally related to both personal-related and job and work-related factors.
Conclusion: This review supports the understanding of the factors that influence job satisfaction as an essential factor that leads to better health outcomes.

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