RT Journal Article
SR Electronic
T1 Well-being at work among general practitioners working in multidisciplinary primary care teams: a cross sectional study
JF BJGP Open
JO BJGP Open
FD Royal College of General Practitioners
SP BJGPO.2024.0201
DO 10.3399/BJGPO.2024.0201
A1 Cohidon, Christine
A1 Cachou de Camaret, Adeline
A1 Senn, Nicolas
A1 Wild, Pascal
YR 2025
UL http://bjgpopen.org/content/early/2025/07/04/BJGPO.2024.0201.1.abstract
AB Background Transforming primary care (PC) through the development of multidisciplinary teams can represent a challenge in terms of occupational well-being.Aim This study aimed to investigate associations between occupational stress, job satisfaction among general practitioners (GPs) and the professional composition of PC teams.Desing and setting We conducted a secondary analysis of the data from 11 Western countries that participated in the 2019 Commonwealth Fund International Health Policy Survey of Primary Care Physicians (N = 13,200).Method PC practice types (N=5) were defined in a previous study, based on their composition of healthcare professionals: the Traditional, Multidisciplinary, Nurse-centred, Psychologist-centred and Physiotherapist-centred models. Using ordered logistic regression analysis, we assessed associations between the five practice models and two GP-reported indicators of well-being at work: job satisfaction and occupational stress.Results Working in multidisciplinary teams, when compared to traditional (GP-centred) practice, was associated with higher occupational well-being, both through lower occupational stress (OR = 0.77, 95% CI [0.68–0.87]) and greater job satisfaction (OR = 1.43, 95% CI [1.26–1.62]). This positive association was also observed in psychologist-centred practices (OR = 0.81, 95% CI [0.71–0.93] for occupational stress and OR = 1.24, 95% CI [1.09–1.42] for job satisfaction). Working in nurse-centred practices was associated with greater satisfaction but only in the smallest practices (OR = 1.59, 95% CI [1.14–2.22]) with <1.4 full-time equivalent GPs.Conclusion Positive associations between multidisciplinary PC teams and occupational well-being are important results for the future of healthcare systems in Western countries, providing interesting avenues for improvements for healthcare professionals and policy-makers.