Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City

Ann S. Bates, Lisa E. Harris, William M. Tierney, Fredric D. Wolinsky

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

OBJECTIVES. The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS. A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eligible physicians responded. Exploratory factor analysis and internal consistency measures were used to assess the instrument's validity and reliability. Multivariable linear regression was used to predict global and summary scale scores. RESULTS. Four dimensions of physician work satisfaction were identified: relationships with patients (k = 6, α = 0.81), autonomy in clinical decision-making (k = 8, α = 0.81), office resources (k = 7, α = 0.87), and professional relationships (k = 5, α = 0.82). Most (73%) of the physicians were satisfied with their overall practice, and the majority were also satisfied with their income. Significant differences were observed in the sources and magnitude of physician work satisfaction across medical specialty, practice setting, and financial arrangement. Physicians in private practice were most satisfied with their overall practice and office resources, whereas physicians in health maintenance organizations (HMOs) were most satisfied with their autonomy in clinical decision-making. Physicians not working in HMOs but having a large percentage of patients with capitated reimbursement were not enthusiastic about the effect of managed care on their medical practice. Among primary care physicians, family practitioners and general internists were generally less satisfied, and general pediatricians were generally more satisfied with most aspects of their medical practices. CONCLUSIONS. The modified version of the Scheckler et al instrument is a reliable and valid measure of physician work satisfaction. Increases in the market share of managed care have differentially affected the work satisfaction of physicians based on their medical specialty, practice setting, and financial arrangements.

Original languageEnglish
Pages (from-to)610-617
Number of pages8
JournalMedical Care
Volume36
Issue number4
StatePublished - Apr 1998

Fingerprint

work satisfaction
Job Satisfaction
physician
Physicians
Health Maintenance Organizations
Medicine
Managed Care Programs
medical practice
managed care
autonomy
decision making
family physician
Private Practice
market share
Primary Care Physicians
health
Reproducibility of Results
resources
General Practitioners
Statistical Factor Analysis

Keywords

  • Managed care
  • Medical specialty
  • Physician work satisfaction
  • Practice setting
  • Psychometrics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Bates, A. S., Harris, L. E., Tierney, W. M., & Wolinsky, F. D. (1998). Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City. Medical Care, 36(4), 610-617.

Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City. / Bates, Ann S.; Harris, Lisa E.; Tierney, William M.; Wolinsky, Fredric D.

In: Medical Care, Vol. 36, No. 4, 04.1998, p. 610-617.

Research output: Contribution to journalArticle

Bates, AS, Harris, LE, Tierney, WM & Wolinsky, FD 1998, 'Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City', Medical Care, vol. 36, no. 4, pp. 610-617.
Bates AS, Harris LE, Tierney WM, Wolinsky FD. Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City. Medical Care. 1998 Apr;36(4):610-617.
Bates, Ann S. ; Harris, Lisa E. ; Tierney, William M. ; Wolinsky, Fredric D. / Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City. In: Medical Care. 1998 ; Vol. 36, No. 4. pp. 610-617.
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