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Physician, Practice, and Patient Characteristics Related to Primary Care Physician Physical and Mental Health: Results from the Physician Worklife Study[Note 2. This study was sponsored by a grant from the ...]
Author(s) -
Eric S. Williams,
Thomas R. Konrad,
Mark Linzer,
Julia E. McMurray,
Donald E. Pathman,
Martha Gerrity,
Mark D. Schwartz,
William E. Scheckler,
J. A. Douglas
Publication year - 2002
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.00007
Subject(s) - job satisfaction , mental health , structural equation modeling , primary care physician , family medicine , medicine , health maintenance , health care , quality (philosophy) , conceptual model , nursing , psychology , primary care , psychiatry , social psychology , statistics , mathematics , epistemology , economic growth , philosophy , economics
Objective. To study the impact that physician, practice, and patient characteristics have on physician stress, satisfaction, mental, and physical health. Data Sources. Based on a survey of over 5,000 physicians nationwide. Four waves of surveys resulted in 2,325 complete responses. Elimination of ineligibles yielded a 52 percent response rate; 1,411 responses from primary care physicians were used. Study Design. A conceptual model was tested by structural equation modeling. Physician job satisfaction and stress mediated the relationship between physician, practice, and patient characteristics as independent variables and physician physical and mental health as dependent variables. Principle Findings. The conceptual model was generally supported. Practice and, to a lesser extent, physician characteristics influenced job satisfaction, whereas only practice characteristics influenced job stress. Patient characteristics exerted little influence. Job stress powerfully influenced job satisfaction and physical and mental health among physicians. Conclusions. These findings support the notion that workplace conditions are a major determinant of physician well‐being. Poor practice conditions can result in poor outcomes, which can erode quality of care and prove costly to the physician and health care organization. Fortunately, these conditions are manageable. Organizational settings that are both “physician friendly” and “family friendly” seem to result in greater well‐being. These findings are particularly important as physicians are more tightly integrated into the health care system that may be less clearly under their exclusive control.