Abstract
BackgroundTo assess the validity and reliability of the set of scales (general professional activity, health services management, and working conditions) on the different areas of job satisfaction in Peruvian physicians based on the data from the National Survey of Satisfaction of Users in Health (ENSUSALUD).MethodWe carried out a psychometric study based on the secondary data analysis of Questionnaire 2 of ENSUSALUD-2016. Participants were selected from a two-stage stratified national probability representative sampling by political region. Validity was assessed by exploratory and confirmatory factor analyses, and measurement invariance analysis. We assessed the reliability using internal consistency coefficients (alpha and omega). The set of scales were composed of items related to three different areas of job satisfaction: 1) satisfaction with general professional activity, 2) satisfaction with the health services management, and 3) satisfaction with the working conditions of the health center.ResultsWe included 2137 participants in the analysis. The general professional activity scale with six items (Comparative Fit Index, CFI = 0.946; Root Mean Square Error of Approximation, RMSEA = 0.071; Standardized Root Mean Square Residual, SRMR = 0.035), the health services management scale with eight items (CFI) = 0.972; RMSEA = 0.081; SRMR = 0.028), showed good measurement properties for the one-dimensional model. The working conditions scale with eight items for individual conditions and three items for infrastructural conditions (CFI = 0.914; RMSEA = 0.080; SRMR = 0.055) presented adequate measurement properties with a two-dimensional model. The invariance analysis showed that comparisons between sex, age, civil status, medical speciality, working in other institutions, work-related illness, chronic disease, and time working in the healthcare center. All scales had adequate internal consistency (ω and α between 0.70 and 0.90).ConclusionsThe set of scales has a solid factorial structure and measurement invariance, making it possible for group comparison. The study achieved stability in the scores as they showed adequate internal consistency coefficients. Based on our findings, these instruments are suitable for measuring job satisfaction among outpatient physicians throughout Peru, as our data is representative of the country level.
Highlights
To assess the validity and reliability of the set of scales on the different areas of job satisfaction in Peruvian physicians based on the data from the National Survey of Satisfaction of Users in Health (ENSUSALUD)
The working conditions scale with eight items for individual conditions and three items for infrastructural conditions (CFI = 0.914; Root Mean Square Error of Approximation (RMSEA) = 0.080; SRMR = 0.055) presented adequate measurement properties with a two-dimensional model
The study achieved stability in the scores as they showed adequate internal consistency coefficients. These instruments are suitable for measuring job satisfaction among outpatient physicians throughout Peru, as our data is representative of the country level
Summary
To assess the validity and reliability of the set of scales (general professional activity, health services management, and working conditions) on the different areas of job satisfaction in Peruvian physicians based on the data from the National Survey of Satisfaction of Users in Health (ENSUSALUD). International evidence suggests that the health workers with higher job satisfaction improve employee performance and patients’ perceptions of care quality [2, 3]. For low levels of job satisfaction among health workers, detrimental results appear, such as burnout, employee turnover, job change, and poor working performance [4, 5]. These poor functioning and quality outcomes worsen accountability and resilience of healthcare systems, contributing to pervasive health gaps between and within socioeconomic groups [4, 5]. Evaluating health workers job satisfaction, including the physician who often leads healthcare teams, is a significant dimension to consider in the global public health agenda
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