Article Figures & Data
Figures
- Figure 1. Staff composition of different PC practice types¥¥ (in addition to GPs) (n = 13 027 GPs). *Percentage of practices working with each professional for each practice type ¥The traditional type represents 52% of the practices, the multidisciplinary type = 12%, the nurse-centred type = 12%, the psychologist-centred type = 19%, the physiotherapist type = 5%
- Figure 2. Job satisfaction and occupational stress (%) as reported by GPs, according to their sex and age in 11 Western countries
Tables
- Table 1. GPs’ personal characteristics, job satisfaction, and occupational stress (weighted data)
Australia Canada France Germany Netherlands New Zealand Norway Sweden Switzerland UK US Total Final sample size 500 2569 1287 809 788 503 661 2411 1095 1001 1576 13 200 Response rate (%) 14.5 39.3 20.0 14.7 48.7 16.2 33.8 42.2 42.8 26.8 21.2 29.1 Sex (%) Male 54.9 54.0 62.5 54.6 47.7 44.9 56.2 48.8 59.4 53.9 55.1 53.9 Female 45.1 45.9 37.5 45.3 52.2 55.0 43.7 51.1 40.5 46.0 44.8 46.0 Age (%)<35–44 (years) 39.0 34.2 19.2 1.7 40.8 32.3 46.8 39.6 20.3 57.5 30.8 34.0 45–64 46.8 50.3 62.7 66.5 56.9 55.5 44.2 47.4 62.2 36.2 51.3 52.2 >65 14.2 15.3 17.9 16.7 2.1 12.1 8.8 12.9 17.4 6.2 17.7 13.7 GPs’ job satisfaction (%) Low 4.4 11.9 8.7 12.2 5.5 7.1 7.9 11.8 1.6 15.0 16.3 10.4 Moderate 34.1 43.2 59.1 44.5 40.4 39.6 31.4 35.6 29.0 46.5 41.2 41.1 High 61.6 44.7 32.2 43.3 54.1 53.3 60.7 52.6 69.4 38.5 42.8 48.5 GPs’ occupational stress (%) Low 15.9 10.3 12.1 11.4 13.3 13.3 7.9 6.4 15.3 5.1 9.9 10.2 Moderate 54.7 43.9 49.6 36.1 55.3 44.9 47.9 28.3 47.2 35.3 37.1 41.2 High 29.4 45.8 38.3 52.5 31.3 41.8 44.2 65.3 37.6 59.6 53.1 48.5 - Table 2. Association between job satisfaction and PC team composition: ordered logistic regression
Univariate model Multivariate model
(n = 10 100)Number OR 95% CI OR 95% CI Sex Male (Ref) 7136 1 1 Female 6004 0.89 0.83 to 0.95 0.90 0.83 to 0.97 Age (years) 55–65 (Ref) 3845 1 1 <35–44 4408 1.15 1.06 to 1.25 1.21 1.09 to 1.34 45–55 3845 1.08 0.97 to 1.16 1.13 1.01 to 1.25 >65 1728 1.56 1.40 to 1.75 1.59 1.40 to 1.81 Area Rural (Ref) 1798 1 1 Suburb 2694 0.70 0.62 to 0.78 0.77 0.67 to 0.87 Small town 2785 0.82 0.73 to 0.93 0.84 0.73 to 0.95 City 5650 0.80 0.72 to 0.89 0.87 0.77 to 0.99 Consultation time >20 minute to≤90 minute (Ref) 2672 1 1 ≥5 minute to≤10 minute 2720 0.61 0.55 to 0.68 0.79 0.68 to 0.93 >10 minute to≤15 minute 4269 0.83 0.76 to 0.91 1.10 0.96 to 1.25 >15 minute to≤20 minute 3322 0.90 0.82 to 1.00 1.16 1.01 to 1.33 GP workforce (FTE) <0.1–1.3 (ref) 2610 ≤1.4–3 2497 1.10 0.99 to 1.23 1.12 1.00 to 1.25 ≤3–5 2379 1.05 0.94 to 1.17 1.17 1.04 to 1.33 ≤5–100 3075 1.07 0.96 to 1.18 1.18 1.04 to 1.34 Practice type Traditional type (Ref) 6771 1 1 Multidisciplinary 1643 1.12 1.01 to 1.24 1.43 1.26 to 1.62 Nurse-centred 1560 0.99 0.90 to 1.11 1.18 1.02 to 1.35 Psychologist-centred 2447 1.23 1.12 to 1.34 1.24 1.09 to 1.42 Physiotherapist-centred 992 0.98 0.85 to 1.14 0.98 0.83 to 1.15 Country Australia (Ref) 500 Canada 2569 0.49 0.40 to 0.59 0.43 0.35 to 0.53 France 1287 0.36 0.29 to 0.44 0.36 0.29 to 0.45 Germany 809 0.46 0.37 to 0.57 0.65 0.51 to 0.84 the Netherlands 788 0.75 0.60 to 0.94 0.93 0.72 to 1.19 New Zealand 503 0.71 0.56 to 0.91 0.74 0.57 to 0.95 Norway 661 0.91 0.72 to 1.16 0.84 0.65 to 1.08 Swedena 2411 0.63 0.52 to 0.77 - - Switzerland 1095 1.43 1.15 to 1.78 1.51 1.19 to 1.92 UK 1001 0.37 0.30 to 0.46 0.44 0.35 to 0.56 US 1576 0.42 0.34 to 0.51 0.38 0.31 to 0.48 aSwedish GPs did not answer to the question about FTE. FTE = full-time equivalents
- Table 3. Associations between occupational stress and PC team composition: ordered logistic regression
Univariate model Multivariate model
(n = 10 088)Number OR 95% CI OR 95% CI Sex Male (Ref) 7136 1 1 Female 6004 1.36 1.28 to 1.46 1.17 1.08 to 1.27 Age (years) 55–65 (Ref) 3845 1 1 35–44 4408 1.26 1.16 to 1.38 1.12 1.01 to 1.25 45–55 3845 1.23 1.12 to 1.35 1.12 1.00 to 1.24 >65 1728 0.50 0.45 to 0.56 0.51 0.45 to 0.58 Area Rural (Ref) 1798 1 1 Suburb 2694 1.15 1.02 to 1.29 1.04 0.92 to 1.19 Small town 2785 1.19 1.06 to 1.34 1.03 0.91 to 1.17 City 5650 1.29 1.17 to 1.44 1.00 0.97 to 1.21 Consultation time >20 minute to≤90 minute (Ref) 2672 1 1 ≥5 minute to≤10 minute 2720 1.23 1.11 to 1.37 1.76 1.50 to 2.06 >10 minute to≤15 minute 4269 0.95 0.87 to 1.04 1.31 1.16 to 1.48 >15 minute to≤20 minute 3322 1.05 0.96 to 1.16 1.09 0.96 to 1.25 GP workforce (FTE)a, <0.1–1.3 (Ref) 2610 1 ≤1.4–3 2497 1.11 1.00 to 1.23 1.00 0.89 to 1.12 ≤3–5 2379 1.20 1.07 to 1.33 0.93 0.83 to 1.05 ≤5–100 3075 1.26 1.14 to 1.39 0.94 0.83 to 1.06 Practice type Traditional type (Ref) 6771 1 1 Multidisciplinary 1643 0.85 0.77 to 0.94 0.77 0.68 to 0.87 Nurse-centred 1560 1.34 1.20 to 1.49 0.87 0.76 to 1.00 Psychologist-centred 2447 1.08 0.98 to 1.18 0.81 0.71 to 0.93 Physiotherapist-centred 992 0.82 0.71 to 0.95 1.04 0.88 to 1.23 Country Australia (Ref) 500 1 1 Canada 2569 1.87 1.56 to 2.24 2.15 1.77 to 2.61 France 1287 1.42 1.17 to1.73 1.63 1.32 to 2.01 Germany 809 2.30 1.85 to 2.84 1.78 1.39 to 2.28 The Netherlands 788 1.12 0.91 to 1.39 0.86 0.68 to 1.10 New Zealand 503 1.55 1.22 to1.96 1.49 1.17 to 1.91 Norway 661 1.86 1.50 to 2.32 2.14 1.69 to 2.71 Swedena 2411 4.06 1.06 to 1.58 - - Switzerland 1095 1.29 1.15 to 1.78 1.45 1.16 to 1.81 UK 1001 3.32 2.70 to 4.08 2.59 2.06 to 3.26 US 1576 2.41 1.99 to 2.91 2.91 2.36 to 3.59 aSwedish GPs did not answer the question about FTE. FTE = full-time equivalents
- Table 4. Association between job satisfaction, occupational stress, and primary care team composition, according to GP FTEs in the practice: ordered logistic regressiona
GP workforce (FTE), <0.1–1.4
(n = 2610)≤1.4–3
(n = 2497)≤3–5
(n = 2379)≤5–100
(n = 3075)Job satisfaction OR 95% CI OR 95% CI OR 95% CI OR 95% CI Practice type Traditional type (Ref) 1 - 1 - 1 - 1 - Multidisciplinary 1.36 0.94 to 1.99 1.40 1.01 to 1.95 1.94 1.48 to 2.54 1.36 1.12 to 1.64 Nurse-centred 1.59 1.14 to 2.22 0.91 0.68 to 1.22 1.23 0.93 to 1.61 1.16 0.89 to 1.50 Psychologist-centred 1.29 0.99 to 1.67 1.11 0.86 to 1.44 1.14 0.86 to 1.51 1.37 1.00 to 1.88 Physiotherapist-centred 0.77 0.55 to 1.08 1.24 0.89 to 1.72 0.68 0.48 to 10.97 1.19 0.85 to 1.66 Occupational stress OR 95% CI OR 95% CI OR 95% CI OR 95% CI Practice type Traditional type (Ref) 1 - 1 - 1 - 1 - Multidisciplinary 0.63 0.44 to 0.91 1.00 0.72 to 1.40 0.61 0.47 to 0.79 0.72 0.62 to 0.91 Nurse-centred 0.96 0.69 to 1.32 0.95 0.71 to 1.27 0.83 0.63 to 1.09 0.79 0.61 to 1.03 Psychologist-centred 0.75 0.58 to 0.97 1.00 0.78 to 1.27 0.76 0.57 to 1.00 0.72 0.53 to 0.98 Physiotherapist-centred 0.83 0.60 to 1.15 1.27 0.92 to 1.74 1.31 0.92 to 1.87 0.89 0.64 to 1.25 aModels adjusted for sex, age category, area, and country. FTE: Full-time equivalents
Wellbeing at work among GPs working in multidisciplinary primary care teams: a cross-sectional study
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