Difficult medical encounters and job satisfaction - results of a cross sectional study with general practitioners in Germany
- PMID: 29743017
- PMCID: PMC5944023
- DOI: 10.1186/s12875-018-0747-0
Difficult medical encounters and job satisfaction - results of a cross sectional study with general practitioners in Germany
Abstract
Background: In primary care 15% of patient encounters are perceived as challenging by general practitioners (GP). However it is unknown what impact these encounters have regarding job satisfaction. The aim of this study was to evaluate which encounters are perceived as challenging by German GPs and whether they were associated with job satisfaction.
Methods: A total of 1538 questionnaires were sent to GPs in the federal state of Schleswig-Holstein, Germany. GPs should rate 14 medical conditions and 8 traits of patients on the perceived challenge using a Likert scale (1: 'not challenging at all' to 10: 'extremely challenging'). Job satisfaction was measured with the Warr-Cook-Wall job satisfaction scale. A linear regression analyses were used to explore potential associations between for the primary outcome variable 'overall job satisfaction'.
Results: Total response was 578 (38%). GPs perceived 16% of their patients as challenging. Psychiatric disorders such as somatization disorder (mean = 7.42), schizophrenia (mean = 6.83) and anxiety disorder (mean = 6.57) were ranked as high challenging while diabetes mellitus type 2 (mean = 4.87) and high blood pressure (mean = 3.22) were ranked as a rather low challenging condition. GPs were mostly satisfied with 'colleagues' (mean = 5.80) and mostly dissatisfied with their 'hours of work' (mean = 4.20). The linear regression analysis showed no association with challenging medical conditions and traits of patients but only with different aspects of job satisfaction concerning the outcome variable 'overall job satisfaction'.
Conclusions: Especially psychiatric conditions are perceived as challenging the question arises, in what amount psychiatric competences are gained during the postgraduate specialty training in general practice and if GPs with a mandatory rotation in psychiatry perceive these conditions as less challenging. Interestingly this study indicates that challenging encounter in terms of challenging medical conditions and traits of patients do not affect GP's job satisfaction.
Keywords: Cross-sectional study; Difficult encounter; General practitioner; Job satisfaction; Primary health care; Psychiatric condition.
Conflict of interest statement
Ethics approval and consent to participate
Ethical approval for this research study was obtained from the University of Luebeck in May 2015 (Approval No. 15–110). No additional data were evaluated. The return of the anonymous paper-based questionnaire was classified as informed consent.
Competing interests
The author KG is an associate editor for BMC Family Practice. The others authors declare that they do not have any competing interests.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Figures
Similar articles
-
Job satisfaction and stressors for working in out-of-hours care - a pilot study with general practitioners in a rural area of Germany.BMC Fam Pract. 2018 Jun 22;19(1):95. doi: 10.1186/s12875-018-0777-7. BMC Fam Pract. 2018. PMID: 29933743 Free PMC article.
-
The influence of workload and health behavior on job satisfaction of general practitioners.Fam Med. 2013 Feb;45(2):95-101. Fam Med. 2013. PMID: 23378076
-
Empathy Variation in General Practice: A Survey among General Practitioners in Denmark.Int J Environ Res Public Health. 2018 Mar 2;15(3):433. doi: 10.3390/ijerph15030433. Int J Environ Res Public Health. 2018. PMID: 29498682 Free PMC article.
-
Workload and job satisfaction among general practitioners: a review of the literature.Soc Sci Med. 1991;32(10):1111-9. doi: 10.1016/0277-9536(91)90087-s. Soc Sci Med. 1991. PMID: 2068594 Review.
-
[Financial Influence on Medical Decisions in Germany - A Review of the Reasons and State of Research on Economization in Inpatient Care].Dtsch Med Wochenschr. 2023 Jul;148(14):916-920. doi: 10.1055/a-2091-4029. Epub 2023 Jul 7. Dtsch Med Wochenschr. 2023. PMID: 37493953 Review. German.
Cited by
-
Determinants of Physicians' Job Satisfaction: A national multi-centre study from the Sultanate of Oman.Sultan Qaboos Univ Med J. 2023 May;23(2):198-205. doi: 10.18295/squmj.8.2022.050. Epub 2023 May 31. Sultan Qaboos Univ Med J. 2023. PMID: 37377833 Free PMC article.
-
Happiness in General Practice: Results of a Qualitative Study Among Physicians and Practice Assistants.ZFA (Stuttgart). 2022;98(1):24-29. doi: 10.53180/zfa.2022.0024-0029. Epub 2022 Jan 1. ZFA (Stuttgart). 2022. PMID: 37252060 Free PMC article.
-
Association Between Physician Empathy and Difficult Patient Encounters: a Cross-Sectional Study.J Gen Intern Med. 2023 Jun;38(8):1843-1847. doi: 10.1007/s11606-022-07936-0. Epub 2022 Nov 16. J Gen Intern Med. 2023. PMID: 36385409 Free PMC article.
-
Frequency of Difficult Patient Encounters in a Japanese University Hospital and Community Hospitals: A Cross-sectional Study.Intern Med. 2023 Feb 15;62(4):533-537. doi: 10.2169/internalmedicine.0085-22. Epub 2022 Jul 5. Intern Med. 2023. PMID: 35793958 Free PMC article.
-
Burnout, satisfaction and happiness among German general practitioners (GPs): A cross-sectional survey on health resources and stressors.PLoS One. 2021 Jun 18;16(6):e0253447. doi: 10.1371/journal.pone.0253447. eCollection 2021. PLoS One. 2021. PMID: 34143849 Free PMC article.
References
-
- Cannarella Lorenzetti R, Jaques M, Donovan C, Cottrell S, Buck J. Managing difficult encounters: understanding physician, patient, and situational factors. Am Fam Physician. 2013;87:419–425. - PubMed
-
- Haas LJ, Leiser JP, Magill MK, Sanyer ON. Management of the difficult patient. Am Fam Physician. 2005;72:2063–2068. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical