Abstract
In Hirschman’s classic formulation, physicians can signal discontent with their conditions of work by “exiting” (leaving the profession or not entering it in the first place) or by giving “voice” to their concerns (e.g. complaining, protesting, bargaining collectively, or conducting work actions and strikes). This Commentary reviews the findings of a survey of Israeli neonatologists by Moshe et al. Survey respondents were satisfied with their careers but not with salary, patient care demands, and leisure time, a pattern that has been seen in other countries, particularly within “small, acute care specialties” (SACS). One question for policymakers is how to help physicians in SACS maintain work-life balance and avoid burnout while providing superb patient care. The Commentary considers several possible solutions while advocating for rigorous and comprehensive monitoring of physician satisfaction over time.
Highlights
In Hirschman’s classic formulation, physicians can signal discontent with their conditions of work by “exiting” or by giving “voice” to their concerns
The paper by Moshe et al in this issue of IJHPR [3] focuses on the work satisfaction of neonatologists
When growing clinical demands collide with staffing shortages, physician satisfaction is a victim
Summary
In Hirschman’s classic formulation, physicians can signal discontent with their conditions of work by “exiting” (leaving the profession or not entering it in the first place) or by giving “voice” to their concerns (e.g. complaining, protesting, bargaining collectively, or conducting work actions and strikes). When physicians are dissatisfied with their conditions of practice, they have two broad options. The paper by Moshe et al in this issue of IJHPR [3] focuses on the work satisfaction of neonatologists. This specialty is responsible for the care of some of our tiniest, most vulnerable patients.
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