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Physician satisfaction under the Ontario Health Insurance Plan.

https://arctichealth.org/en/permalink/ahliterature228941
Source
Med Care. 1990 Jun;28(6):502-12
Publication Type
Article
Date
Jun-1990
Author
R L Kravitz
L S Linn
M F Shapiro
Author Affiliation
Department of Medicine, University of California, Los Angeles.
Source
Med Care. 1990 Jun;28(6):502-12
Date
Jun-1990
Language
English
Publication Type
Article
Keywords
Adult
Decision Making
Female
Humans
Insurance, Physician Services - statistics & numerical data
Interprofessional Relations
Job Satisfaction
Male
Middle Aged
National Health Programs
Ontario
Physicians - statistics & numerical data
Questionnaires
Abstract
To determine the level of professional satisfaction experienced by physicians practicing in Ontario, Canada, a probability sample of 1,028 physicians was surveyed; 69% responded. The majority of Ontario doctors were at least moderately satisfied with each of 16 aspects of their work, and the percentage who were dissatisfied exceeded 15% for only four aspects. Factor analysis suggested the presence of four underlying satisfaction facets: satisfaction with quality of care, with the rewards of practice, with patients, and with the practice environment. Multivariate regression analysis supported the validity of the four-facet model and demonstrated a consistent association between lower satisfaction and younger age, lower income, and the perception that it is difficult to obtain fair reimbursement for medical services (P less than 0.05). Least satisfied physicians were most likely to have participated in the June, 1986 Ontario doctors' strike (P less than 0.001). Despite some misgivings, the majority of physicians practicing under the Ontario Health Insurance Plan in 1987 were satisfied with their professional lives. They were least satisfied with their ability to make administrative decisions and to manipulate the system for the benefit of their patients. Policymakers should be cognizant of the effects various strategies may have upon physician satisfaction as they consider new approaches to health care organization.
PubMed ID
2355756 View in PubMed
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