Abstract

BackgroundTo explore the determinants of job satisfaction and work-life balance satisfaction of family physicians in Canada.MethodsThis is a secondary analysis of the Canadian 2013 National Physician’s Survey using descriptive statistics and binomial logistic regression. An estimated 34,753 family physicians practicing in Canada at the time of survey administration in 2013 were eligible for the survey. The main outcome measures were respondent satisfaction with professional life and satisfaction with work-life balance.ResultsThe survey had a response rate of 17%. Seventy-two percent of respondents were satisfied with their professional lives, and 49% were satisfied with their work-life balance. Male family physicians had lower odds of satisfaction with their work-life balance than their female counterparts (OR = 0.86, 95% CI 0.82–0.92). Family physicians using an electronic medical record had higher odds of dissatisfaction with their professional lives (OR = 1.13, 95% CI 1.05–1.22) and work-life balance (OR = 1.22, 95% CI 1.15–1.30) than those not using an EMR. Family physicians not in a focused practice had greater odds of dissatisfaction (OR = 1.61, 95% CI 1.50–1.72) with both their professional lives and work-life balance (OR = 1.29, 95% CI 1.22–1.37) compared to their colleagues who have one or more areas of clinical focus.ConclusionsCanadian family physicians are more satisfied with their professional lives than with their work-life balance. Novel findings that family physicians with one or more clinical areas of focus are more satisfied with their work and work-life balance satisfaction, and that family physicians using electronic health records are less satisfied with their work and their work-life balance merit further inquiry.

Highlights

  • To explore the determinants of job satisfaction and work-life balance satisfaction of family physicians in Canada

  • This study aims to address the current research gap in the field of family physician job satisfaction by investigating the determinants of professional satisfaction and the determinants of satisfaction with work-life balance of family physicians

  • This study was a secondary analysis of the 2013 National Physician Survey (NPS), a collaborative partnership between the Canadian Medical Association (CMA), the College of Family Physicians of Canada (CFPC) and the Royal College of Physicians and Surgeons of Canada (RCPSC) with the goal of compiling a comprehensive database of the physician workforce in Canada [40]

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Summary

Introduction

To explore the determinants of job satisfaction and work-life balance satisfaction of family physicians in Canada. A number of determinants that have been shown to influence this satisfaction include the doctor-patient relationship, the provision of quality care, professional autonomy, academic involvement, Malhotra et al BMC Family Practice (2018) 19:100 clear relationship between physician satisfaction and patient care outcomes, more satisfied physicians have more satisfied patients [9, 30], and there is a significant relationship between low physician satisfaction and higher attrition rates [9]. It is unclear if these practice differences improve or worsen a family physician’s job satisfaction. Lepnurm et al in 2007 provided the most comprehensive analysis of family physician satisfaction in Canada with an emphasis on the variation between rural and urban practitioners [33]

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