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Employed Family Physician Satisfaction and Commitment to Their Practice, Work Group, and Health Care Organization

Authors

  • Ben-Tzion Karsh,

    1. Department of Industrial & Systems Engineering, University of Wisconsin, 1513 University Avenue, Room 3218, Madison, WI 53706
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    • Address correspondence to Ben-Tzion Karsh, Ph.D., Associate Professor, Department of Industrial & Systems Engineering, University of Wisconsin, 1513 University Avenue, Room 3218, Madison, WI 53706; e-mail: bkarsh@engr.wisc.edu. John W. Beasley, M.D., Professor Emeritus, is with the Department of Family Medicine, University of Wisconsin, Madison, WI. Roger L. Brown, Ph.D., Professor, is with the Clinical Sciences Center-H6, School of Nursing, University of Wisconsin, Madison, WI.

  • John W. Beasley,

    1. Department of Family Medicine, University of Wisconsin, Madison, WI
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  • Roger L. Brown

    1. Clinical Sciences Center-H6, School of Nursing, University of Wisconsin, Madison, WI
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Abstract

Objective. Test a model of family physician job satisfaction and commitment.

Data Sources/Study Setting. Data were collected from 1,482 family physicians in a Midwest state during 2000–2001. The sampling frame came from the membership listing of the state's family physician association, and the analyzed dataset included family physicians employed by large multispecialty group practices.

Study Design and Data Collection. A cross-sectional survey was used to collect data about physician working conditions, job satisfaction, commitment, and demographic variables.

Principal Findings. The response rate was 47 percent. Different variables predicted the different measures of satisfaction and commitment. Satisfaction with one's health care organization (HCO) was most strongly predicted by the degree to which physicians perceived that management valued and recognized them and by the extent to which physicians perceived the organization's goals to be compatible with their own. Satisfaction with one's workgroup was most strongly predicted by the social relationship with members of the workgroup; satisfaction with one's practice was most strongly predicted by relationships with patients. Commitment to one's workgroup was predicted by relationships with one's workgroup. Commitment to one's HCO was predicted by relationships with management of the HCO.

Conclusions. Social relationships are stronger predictors of employed family physician satisfaction and commitment than staff support, job control, income, or time pressure.

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