Job satisfaction and improvement factors in primary care professionals
Keywords:
Job satisfaction. Primary care. Healthcare quality.Abstract
Background. The quality of services in a health system is related to the level of satisfaction of its professionals. The aim of this article is to determine job satisfaction in primary care professionals and rank those factors capable of improving it.
Methodology. Descriptive study carried out in Navarre in 2010. A validated questionnaire was sent by post to the population of the study: primary care doctors, pediatricians and nurses. Variables on socio-demographic data were collected and job satisfaction was self-evaluated on a scale of 1 to 10. Respondents were asked to rank 10 factors that could improve the previously mentioned satisfaction.
Averages were compared and bivariate analysis was carried out using the chi-square test, studying the association between variables through the Odds Ratio (OR). The adjusted analysis was realized through unconditional logistic regression.
Results. We collected 432 questionnaires (77.5%). Average satisfaction was 6.7 (scale of 1 to 10), higher in nursing. Women showed a higher average than men (6.90:6.34).
The workers at urban health centers (OR: 1.71; CI: 1.10-2.65) showed a higher risk of dissatisfaction with respect to professionals at rural centers.
The training activities of the professional is the most highly valued item, followed by economic questions and questions of care pressure, with no differences found by profession.
Conclusion. Job satisfaction is a dimension of quality management in primary care and its study enables identification of problems or opportunities for improvement with an impact on the quality of the services offered.
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References
1. FRANCO L, BENNET S, KANFER R. Health sector reform and public sector health worker motivation : a conceptual framework. Soc Sci Med 2002; 54: 1255-1266.
https://doi.org/10.1016/S0277-9536(01)00094-6
2. SALCEDO J. Control y evaluación de recursos humanos. En: Lázaro de Mercado P, Marín León I, ed. Motivación saludable: los recursos humanos en el sector de la salud. Santander; UIMP; 1998. pp: 283-292.
3. VILLAGÓMEZ A, HÉRNANDEZ C, VILLAREAL R. Satisfacción laboral en médicos a seis años de distancia. Rev Med 2003; 41: 399-405.
4. MECHANIC D. Physician discontent: challenges and opportunities. JAMA 2003; 290: 941-946.
https://doi.org/10.1001/jama.290.7.941
5. SOBREQUÉS J, CEBRIÁ J, SEGURA J, RODRÍGUEZ C, GARCÍA M, JUNCOSA S. Satisfacción laboral y desgaste profesional de los médicos de Atención Primaria. Aten Primaria 2003; 15: 227-233.
https://doi.org/10.1016/S0212-6567(03)79164-1
6. SIMÓN M, BLESA A, BERMEJO C, CALVO M, GÓMEZ C. Estresores laborales y satisfacción en la enfermería de una unidad de críticos. Enferm Intensiva 2005; 16: 3-14.
https://doi.org/10.1016/S1130-2399(05)73380-0
7. DEVOE J, FRYER GE, LEE HJ, PHILLIPS RL, GREEN LA. Does career dissatisfaction affect the ability of family physicians to deliver high-quality patient care? J Fam Pract 2002; 51: 223-228.
8. HOROWITZ C, SUCHMAN A, BRANCH W, FRANKEL R. What do doctors find meaningful about their work ? Ann Intern Med 2003; 138: 772-775.
https://doi.org/10.7326/0003-4819-138-9-200305060-00028
9. SMITH R. Why are doctors so unhappy? There are probably many causes, some of them deep. Br Med J 2001; 322: 1073-1074.
https://doi.org/10.1136/bmj.322.7294.1073
10. FERNÁNDEZ I, VILLAGRASA J, GAMO M, VÁZQUEZ J, CAÑAS E, AGUIRRE M et al. Estudio de la satisfacción laboral y sus determinantes en los trabajadores sanitarios de un área de Madrid. Rev Esp Salud Pública 1995; 69: 487-497.
11. GREMBOWSKI D, PASCHANE D, DIEHR P, KATON W, MARTIN D, PATRICK DL. Managed care, physician job satisfaction, and the quality of primary care. J Gen Intern Med 2005; 20: 271-277.
https://doi.org/10.1111/j.1525-1497.2005.32127.x
12. WEINSTEIN L, WOLFE HM. The downward spiral of Physician satisfaction. An attempt to avert a crisis within the medical profession. Obstet Gynecol 2007; 109: 1181-3.
https://doi.org/10.1097/01.AOG.0000260390.52029.f4
13. FERRER R. Burnout o síndrome de desgaste profesional. Med Clin (Barc) 2002; 119: 495-496.
https://doi.org/10.1016/S0025-7753(02)73473-8
14. FREEBORN D, HOOKER R, POPE C. Satisfaction and well-being of primary care providers in managed care. Eval Health Prof 2002; 25: 239-254 .
https://doi.org/10.1177/01678702025002008
15. -http://www.aenor.es/aenor/certificacion/calidad/calidad_9004.asp
16. PÉREZ-CIORDIA I, GUILLÉN-GRIMA F, BRUGOS A, FERNÁNDEZ-MARTÍNEZ C, AGUINAGA I. Validación de un cuestionario de mejora de la satisfacción laboral (CMSL) en profesionales de atención primaria. An Sist Sanit Navar 2012; 35: 413-423.
https://doi.org/10.4321/S1137-66272012000300007
17. ROBLES M, DIERSSEN T, MARTINEZ E, HERRERA P, DÍAZ A, LLORCA J. Variables relacionadas con la satisfacción laboral: un estudio transversal a partir del modelo EFQM. Gac Sanit 2005; 19: 127-34.
https://doi.org/10.1157/13074368
18. SIORDIA-REYES RA, MEJÍA-ARANGURÉ J, MARTÍNEZ- BELLO S, RIVERA-REBOLLEDO J, SÁNCHEZ-CORONA E, SILVA-MARTÍNEZ M. Satisfacción laboral en un hospital de tercer nivel. Rev Med 2000; 38: 119-123.
19. LOMEÑA J, CAMPAÑA F, NUEVO TORO G, ROSAS D, BERROCAL A, GARCÍA F. Burnout y satisfacción laboral en Atención Primaria. Med Fam Andal 2004; 5: 147-155.
20. LÓPEZ-SORIANO F, BERNAL L, CANOVAS A. Satisfacción laboral de los profesionales en un hospital comarcal de Murcia. Rev Calid Asist 2001; 16: 243-246.
https://doi.org/10.1016/S1134-282X(01)77415-5
21. RÍOS M, SÁNCHEZ J, GODOY C. Personalidad resistente, autoeficacia y estado general de salud en profesionales de enfermería de cuidados intensivos y urgencias. Psicothema 2010; 22: 600-605.
22. PEIRÓ J, SILLA I, SANZ T, RODRIGUEZ J, GARCÍA J. Satisfacción laboral de los profesionales de atención primaria. Psiquis 2004; 25: 129-140.
23. YAÑEZ R, ARENAS M, RIPOLL M. El impacto de las relaciones interpersonales en la satisfacción laboral general. (Consultado el 5-06-2013). Disponible en: http://www.scielo.org.pe/pdf/liber/v16n2/a09v16n2.pdf
24. ARRIAGA E, DE LA TORRE J, ALBERDI R, ARTIGAS B, MORENO J, GARCIA J. La participación en la gestión como elemento de satisfacción de los profesionales: un análisis de la experiencia andaluza. Enfermería global, 3, 2003. Disponible en: http://revistas.um.es/eglobal/article
25. FARAGHER E, CASS M, COOPER C. The relationship between job satisfaction and health: a metaanalysis. Occup Environ Med 2005, 62, 105-112.
https://doi.org/10.1136/oem.2002.006734
26. MOLINA J, AVALOS F, VALDERRAMA L, FERNANDA A. factores relacionados con la satisfacción laboral de enfermería en un hospital médico-quirúrgico. Invest Educ Enferm 2009; 27: 218-225.
27. HUMPHREY S, NAHRGANG J, MORGESON F. Integrating motivational, social and contextual work design feature: a metaanalytic summary and theorwtical extension of the work design literatura. J Appl Psychol 2007; 92: 1332-1356.
https://doi.org/10.1037/0021-9010.92.5.1332
28. KARSH BT, BEASLEY JW, BROWN RL. Employed family physician satisfaction and commitment to their practice, work group and health care organization. Health Serv Res 2010; 45: 457-75.
https://doi.org/10.1111/j.1475-6773.2009.01077.x
29. CHOPRA M, MUNRO S, LAVIS J, VIST G, BENNETT S. Effects of policy options for human resources for health: an analysis of systematic reviews. Lancet 2008; 371: 668-674.
https://doi.org/10.1016/S0140-6736(08)60305-0
30. RODRÍGUEZ C, SUÁREZ R. Problemas profesionales. Percepción de los pediatras de atención primaria de Tenerife. BSCP Can Ped 2005; 29: 151-154.
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