Valderrama-Martínez JA, Dávalos-Díaz G

Language: Spanish
References: 38
Page: 119-126
PDF size: 121.13 Kb.

ABSTRACT

Objective. To know factors related to job satisfaction among primary care Physicians from the Mexican Social Security Institute. Material and methods. Cross-sectional survey applied to physicians of outpatient visit areas in four Family Medicine Units in Leon, Guanajuato, from February to May 2007. The survey explored six areas. We used 95% confidence intervals and One-Way ANOVA to compare means among clinics and Chi square and OR’95% confidence intervals to compare proportions. Results. One hundred sixty physicians participated (response rate 88.9%), three were excluded. Most physicians were satisfied with their work (86%). Half of the doctors feel satisfied with their economic benefits (48%), non-economic benefits (52%), and those from the collective bargaining agreement (53%), as well as with the labor union (46%) and their actual insurances (45%). Only one third or less of participants refer to receive incentives (31%) or recognitions for their work (33%), were satisfied with the opportunities for training (31%), the economic incentives (29%), or the salary (24%). The satisfaction’s means of work, benefits, insurances, labor union and collective bargaining agreement were significantly higher than the means of salary and economic incentives. Satisfaction means were significantly higher in Clinic #53 than in Clinic #51 for job satisfaction and opportunities for training, as well as percentages of response in institutional support, incentives and recognitions for their work, were higher in Clinic 53 compared to all other clinics; however, it´s the smallest clinic in this study. Conclusions. Family doctors find satisfaction in their practice, and factors such as institutional support, recognition and incentives may improve their general job satisfaction.

REFERENCES

1. Cetina-Tabares RE, Chan-Canul AG, Sandoval-Jurado L. Nivel de satisfacción laboral y síndrome de desgaste profesional en médicos familiares. Rev Med Inst Mex Seguro Soc 2006; 44(6): 535-40.

2. Salinas-Oviedo C, Laguna-Calderón J, Mendoza Martínez M. La satisfacción laboral y su papel en la evaluación de la calidad de la atención médica. Salud Publica Mex 1994; 36(1): 22-9.

3. López-Soriano F, Bernal L, Cánovas A. Satisfacción laboral de los profesionales en un Hospital Comarcal de Murcia. Rev Calidad Asistencial 2001; 16: 243-6.

4. Martín J, Cortes JA, Morente M, Caboblanco M, Garito J, Rodríguez A. Características métricas del cuestionario de calidad de vida profesional (CVP-35). Gac Sanit 2004; 18(2): 129-36.

5. Mechanic D. Physician discontent. Challenges and opportunities. JAMA 2003; 290(7): 941-6.

6. Rodríguez JA. Redefiniendo la profesión: los médicos de Barcelona en el nuevo milenio. Educ Méd 2004; 7(1): 2-8. [citado 2007-09-25] Disponible en: . ISSN 1575-1813.

7. Edwards N, Kornacki MJ, Silversin J. Unhappy doctors: what are the causes and what can be done? Br Med J 2002; 324(7341): 835-8.

8. Campion EW. A symptom of discontent. N Engl J Med 2001; 344: 223-5.

9. Robles GM, Dierssen ST, Martinez OE, Herrera-Carral P, Diaz-Mendi AR, Llorca-Diaz J. Variables relacionadas con la satisfacción laboral: un estudio transversal a partir del modelo EFQM. Gac Sanit 2005; 127-34.

10. Van Ham I, Verhoeven AA, Groenier KH, Groothoff JW, De Haan J. Job satisfaction among general practitioners: a systematic literature review. Eu J General Practice 2006; 12(4): 174-80.

11. Sánchez GR, Álvarez NR, Lorenzo BS. Calidad de vida profesional de los trabajadores de Atención Primaria del Área 10 de Madrid. Medfam 2003; 13(4): 291-6.

12. Fernández MA, Iglesias CAI, Vidal AF. Perception of professionals’ quality of life in the Asturias a Health Care Area, Spain. Aten Primaria 2002; 30(8): 483-9.

13. Cortes-Rubio JA, Martin-Fernandez J, Morente Paez M, Corboblanco Muñoz M, et al. Working atmosphere in primary care: what needs improving? Aten Primaria 2003; 32(5): 288-95.

14. Caballero MM, Bermejo FF, Nieto GR, Caballero MF. Prevalence and factors associated with burnout in a health area. Aten Primaria 2001; 27(5); 313-7.

15. Esteva M, Larraz C, Jiménez F. Mental health in family doctors; effects of satisfaction and stress at work. Revista Clínica Española 2006; 206(2); 77-83.

16. Gene-Badia J, Escaramis-Babiano G, Sans-Corrales M, Sampietro- Colom L, et al. Impact of economic incentives on quality of professional life and on end-user satisfaction in primary care. Health Policy 2007; 80(1): 2-10.

17. Lomeña-Villalobos JA, Campaña VFM, Nuevo TG, Rosas SD, et al. Burnout y satisfacción laboral en atención primaria. Medicina en Familia 2004; 5: 147-55.

18. Martínez de la Casa Muñoz A, Del Castillo CC, Magaña LE, Bru EI, et al. Study of the prevalence of burnout in doctors in the Health Area of Talavera de la Reina. Aten Primaria 2003; 32(6): 343-8.

19. Rodríguez FJ, Blanco Ramos MA, Issa Perez S, Romero García L, Ganoso Diz P. Relación de la calidad de vida profesional y el burnout en médicos de atención primaria. Aten Primaria 2005; 36(8): 442-7.

20. Sobreques J, Cebira J, Segura J, Rodríguez C, et al. Job satisfaction and burnout in general practitioners. Aten Primaria 2003; 31(4): 227-33.

21. Amoran OE, Omokhodion FO, Dairo MD, Adebayo AO. Nigerian Journal of Medicine 2005; 14(2): 195-9.

22. Goehring C, Bouvier GM, Kunzi B, Bovier P. Psychosocial and professional characteristics of burnout in Swiss primary care practitioners: a cross sectional survey. Swiss Medical Weekly 2005; 135(7-8): 101-8.

23. Buciuniene I, Blazeviciene A, Bluidziute E. Health care reform and job satisfaction of primary health care physicians in Lithuania. BMC Family Practice 2005; 6(1): 10.

24. Kushnir T, Cohen AH. Job structure and burnout among primary care pediatricians. Work 2006; 27(1): 67-74.

25. McManus IC, Winder BD, Gordon D. The causal links between stress and burnout in a longitudinal study of UK doctors. Lancet 2002; 359: 2089-90.

26. Nylenna M, Gulbrandsen P, Forde R, Aasland OG. Job satisfaction among Norwegian general practitioners. Scandinavian Journal of Primary Health Care 2005; 23(4); 198-202.

27. Curiel-García JA. Rodríguez-Moran M, Guerrero-Romero F. Síndrome de agotamiento profesional en personal de atención a la salud. Rev Med Inst Mex Seguro Soc 2006; 44(3); 221-6.

28. Palmer-Morales LY, Gómez-Vera A. Cabrera-Pivaral C, Prince- Velez R, Searcy-Bernal R. Prevalence of burnout syndrome among anesthesiologists in Mexicali. Gac Med Mex 2005; 141:181-3.

29. Cabrera-Gutierrez LS, Lopez Rojas P, Salinas Tovar S, Ochoa Tirado JG, et al. Burnout syndrome among Mexican hospital nurse staff. Rev Med Inst Mex Seguro Soc 2005; 43: 11-15.

30. Dawson-Saunders B, Trapp RG. Probability, sampling & probability distributions. In: Basic and Clinical Biostatistics. Conneticut, Estados Unidos: Appleton & Lange, Norwalk; 1990, p. 64-81.

31. Dawson-Saunders B, Trapp RG. Comparing three or more means. In: Basic and Clinical Biostatistics. Conneticut, Estados Unidos: Appleton & Lange, Norwalk; 1990, p. 124-41.

32. Elliot RJ. One Way Anova. In: Learning SAS in the Computer Lab. 2a. Ed. Canada: Duxbury Press; 2000, p. 93-100.

33. Dawson-Saunders B, Trapp RG. Estimating and comparing proportions.I: Basic and Clinical Biostatistics. Conneticut, Estados Unidos: Appleton & Lange, Norwalk; 1990, p. 142-60.

34. Landon BE, Reschovsky J, Blumenthal D. Changes in career satisfaction among primary care and specialist physicians 1997-2001. JAMA 2003; 289(4): 442-9.

35. Visser M, Smets E, OKokrt FJ, Haes HCJM. Stress, satisfaction and burnout among Dutch medical specialists. Can Med Assoc J 2003; 168(3); 271-5.

36. Kassirer JP. Doctor discontent. N Engl J Med 1998; 339: 1543-5.

37. Munoz-Seco E, Coll-Benejam JM, Torrent-Quetglas M, Linares-Pou L. Influence of organizational climate in job satisfaction among health professionals. Atención Primaria 2006; 37(4): 209-14.

38. Graham J, Ramirez AJ, Field S, Richards MA. Job stress and satisfaction among clinical radiologists. Clinical Radiology 2000; 55(3): 182-5.