Professional satisfaction among Singapore physicians.

OBJECTIVE This paper reports on a questionnaire survey among Singapore physicians, carried out from November, 2003 to January, 2004 to gauge their professional satisfaction levels. METHODS The survey participants (N=380) were drawn randomly from both public and private sectors and comprised both general practitioners (GPs) and specialists. Multivariate analysis identified the predictive factors leading to positive or negative responses on selected items. Findings were compared with similar studies in other countries and possible reasons for differences obtained are offered. RESULTS Our findings indicate the majority of physicians in Singapore are quite satisfied with their autonomy to treat patients (92%) and their relationship with patients (94%), but rather dissatisfied with the amount of leisure time they have (48%) and promotion and career development prospects (38%). Compared to specialists, GPs are more likely to be satisfied with amount of time for each patient (82%), ability to initiate changes in the way work is done in medical practice (73%), and harmony of relationship among colleagues and staff associates (80%). CONCLUSIONS To the best of the authors' knowledge, this study is the first attempt to measure physicians' view on professional satisfaction in Singapore. It could serve as a benchmark which is very useful for policy makers, hospital administrators to better manage physicians.

[1]  M. Gerrity,et al.  Physician, practice, and patient characteristics related to primary care physician physical and mental health: results from the Physician Worklife Study. , 2002, Health services research.

[2]  K. Davis,et al.  Physicians' views on quality of care: a five-country comparison. , 2001, Health affairs.

[3]  M Linzer,et al.  Measuring physician job satisfaction in a changing workplace and a challenging environment. SGIM Career Satisfaction Study Group. Society of General Internal Medicine. , 1999, Medical care.

[4]  W H Rogers,et al.  Physicians' characteristics influence patients' adherence to medical treatment: results from the Medical Outcomes Study. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[5]  S. Shortell,et al.  The effect of hospital control strategies on physician satisfaction and physician-hospital conflict. , 1990, Health services research.

[6]  J. Ben-David,et al.  The Professional Role of the Physician in Bureaucratized Medicine: A Study in Role Conflict , 1958 .

[7]  D. Mechanic The orginization of medical practice and practice orientations among physicians in prepaid and nonprepaid primary care settings. , 1975, Medical care.

[8]  J. Hill A Consideration of Labour Turnover as the Resultant of a Quasi-Stationary Process , 1951 .

[9]  D. Dunstone,et al.  Professional Satisfaction of Physicians , 1989 .

[10]  D P Moberg,et al.  Changing nature of physician satisfaction with health maintenance organization and fee-for-service practices. , 1997, The Journal of family practice.

[11]  Diane P. Martin,et al.  Managed care and primary physician satisfaction. , 2003, The Journal of the American Board of Family Practice.

[12]  Ellen M A Smets,et al.  Stress, satisfaction and burnout among Dutch medical specialists. , 2003, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[13]  D. Mechanic General Medical Practice: Some Comparisons between the Work of Primary Care Physicians in the United States and England and Wales , 1972, Medical care.

[14]  Leiyu Shi,et al.  Delivering Health Care in America: A Systems Approach , 1998 .

[15]  B. Leake,et al.  Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty. , 1985, JAMA.

[16]  Lim Meng-Kin Health care systems in transition. II. Singapore, Part I. An overview of health care systems in Singapore. , 1998 .

[17]  M. Lim,et al.  Quest for quality care and patient safety: the case of Singapore , 2004, Quality and Safety in Health Care.

[18]  A. Bowley Income in the United States , 1923 .

[19]  A. Haase,et al.  Measurement of Work Satisfaction among Health Professionals , 1978, Medical care.

[20]  M. Lim Shifting the burden of health care finance: a case study of public-private partnership in Singapore. , 2004, Health policy.

[21]  A. Melville Job satisfaction in general practice: implications for prescribing. , 1980, Social science & medicine. Medical psychology & medical sociology.

[22]  Peter E. Hilsenrath,et al.  The World Health Report 2000 , 2002 .

[23]  D. McElrath Perspective and Participation of Physicians in Prepaid Group Practice , 1961 .

[24]  L. Lee,et al.  Rhetorical analysis of Prime Minister Goh Chok Tong's National Day Rally speeches 1999-2001. , 2002 .

[25]  R. Burke,et al.  Occupational stress and job satisfaction among physicians: sex differences. , 1991, Social science & medicine.

[26]  R H Brook,et al.  Physician and Patient Satisfaction as Factors Related to the Organization of Internal Medicine Group Practices , 1985, Medical care.