Article

Caring For Patients In A Malpractice Crisis: Physician Satisfaction And Quality Of Care

Columbia University, New York, New York, United States
Health Affairs (Impact Factor: 4.32). 07/2004; 23(4):42-53. DOI: 10.1377/hlthaff.23.4.42
Source: PubMed

ABSTRACT The rhetoric of malpractice reform is at fever pitch, but political advocacy does not necessarily reflect grassroots opinion. To determine whether the ongoing liability crisis has greatly reduced physicians' professional satisfaction, we surveyed specialist physicians in Pennsylvania. We found widespread discontent among physicians practicing in high-liability environments, which seems to be compounded by other financial and administrative pressures. Opinion alone should not determine public policy, but physicians' perceptions matter for two reasons. First, perceptions influence behavior with respect to practice environment and clinical decision making. Second, perceptions influence the physician-patient relationship and the interpersonal quality of care.

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    • "There is currently growing interest in using a positive approach in institutions, promoting health at the workplace and other relevant factors (Ariza, Quevedo-Blasco, Ramiro, & Bermúdez, 2013; Bakker, Rodríguez-Muñoz, & Derks, 2012; Fuente, et al., 2013). A good example of this is work satisfaction, given that high satisfaction indices among healthcare professionals influences the quality of the service provided and the satisfaction of the patient him/herself (DeVoe, Fryer, Hargraves, Phillips, & Green, 2002; Mello et al., 2004; Paquet & Gagnon, 2010; Pratt, 2010), whereas workers with high indices of dissatisfaction are more prone to suffering from burnout (Escriba-Agüir, Artazcoz, & Pérez-Hoyos, 2008; Lu, Barriball, Zhang, & While, 2011), physical and mental deterioration (Faragher, Cass, & Cooper, 2005) and an increase in absenteeism, change of post, with all the damage that this entails at the personal and institutional spheres (Buchbinder, Wilson, Melick, & Powe, 1999). Job satisfaction can be defined as the affective orientation an individual has toward his/her work (Price, 2001). "
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    ABSTRACT: The main goal of this research is to explore the organizational climate perceived by administrative and healthcare personnel working in Spanish healthcare services, analyzing the differences according to their health specialization, sex, age and professional status. The sample was made up of 3,787 individuals working in the administrative and healthcare services of the Public Health System of the Principality of Asturias, 88.7% were working in specialist care and 11.3% in primary care. Mean age was 51.88 (standard deviation of 6.28); 79.9% were women and 20.1% men. The organizational climate was assessed with the CLIOR scale. The organizational climate perceived is moderately positive, with a global mean of 3.03 on a scale of 1 to 5 points. The differences are statistically significant (p < .01) according to specialty, age and profession. A better working climate is perceived in primary care than in specialist care, and among older as compared to younger workers. The results indicate that the working climate perceived by administration and services staff employees in the Spanish healthcare context is moderately positive, with a better perceived climate in primary care than in specialist care. Resumen El objetivo de este trabajo es conocer el clima organizacional percibido por los tra-bajadores de administración y servicios del sistema español de salud pública, analizando su es-pecialidad sanitaria, género, edad y categoría profesional. La muestra estuvo compuesta por 3.787 trabajadores de administración y servicios del Servicio de Salud Pública de Asturias, 88,7% procedían de atención especializada y 11,3% de atención primaria. La media de edad es de 51,88 años (desviación típica 6,28); 79,9% fueron mujeres y 20,1% hombres. El clima organi-zacional se evaluó mediante la escala CLIOR, obteniéndose una media de 3,03 en una escala de... PALABRAS CLAVE Satisfacción laboral; Personal sanitario; Salud pública; Estudio descriptivo mediante encuesta
    International Journal of Clinical and Health Psychology 04/2014; 14(14):102-110. DOI:10.1016/S1697-2600(14)70043-2 · 2.79 Impact Factor
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    • "Perceived autonomy or work control, on the other hand, has been found to contribute to higher levels of satisfaction in medical work (Bell et al., 2006; Cydulka & Korte, 2008; Katerndahl et al., 2009; Kinzl, Knotzer, Traweger, Lederer, Heidegger, & Benzer, 2005; McGlone, & Chenoweth, 2001; McNearney et al., 2008). Patient-related factors have been shown to be related to lower satisfaction with medical work, including in relation to the complexity of care needs (Katerndahl et al., 2009), perceived degree of emotional burden (Garfinkel, Bagby, Schuller, Dickens, & Schulte, 2005), the threat of legal action for malpractice (Mello et al., 2004), and community underinsurance (Pagán, Balasubramanian, & Pauly, 2007). Overall, it appears that job satisfaction reflects a range of personal, work, and patient-related factors that may ultimately affect the availability of medical services and the quality and safety of medical care. "
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    Evaluation &amp the Health Professions 03/2011; 35(1):47-76. DOI:10.1177/0163278710397339 · 1.67 Impact Factor
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    • "For one, health worker satisfaction influences retention, as has been shown in several studies [96-98], including in studies of financial-incentive programs for return of service [12,41,63]. Moreover, health worker satisfaction is associated with patient satisfaction [99] and quality of care [100,101]. Health workers are also likely to share their experiences with colleagues and may thus influence the supply of health workers to underserved areas as well as participation in financial-incentive programs. The reviewed studies offer some insight into the mechanism through which individual programs affect participant satisfaction. "
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