Job stress and job satisfaction of physicians in private practice: Comparison of German and Norwegian physicians

International Archives of Occupational and Environmental Health

Volumn 85, Issue 7, 2012, Pages 819-828

  Voltmer, Edgar ^a   Rosta, Judith ^b   Siegrist, Johannes ^c   Aasland, Olaf G ^b,d  

^a Theologische Hochschule Friedensau   (Germany)

^b Research Institute of the Norwegian Medical Association   (Norway)

^c HEINRICH HEINE UNIVERSITY   (Germany)

^d UNIVERSITY OF OSLO   (Norway)

Author keywords

Effort Reward Imbalance; Germany; Job satisfaction; Norway; Occupational stress; Physicians in private practice

Indexed keywords

ARTICLE; COMPARATIVE STUDY; ETHNOLOGY; FEMALE; GERMANY; HUMAN; JOB SATISFACTION; MALE; MENTAL STRESS; MIDDLE AGED; NORWAY; PHYSICIAN; PRIVATE PRACTICE; PSYCHOLOGICAL ASPECT; WORK;

FEMALE; GERMANY; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; NORWAY; PHYSICIANS; PRIVATE PRACTICE; STRESS, PSYCHOLOGICAL; WORK;

EID: 84866734822     PISSN: 03400131     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00420-011-0725-5     Document Type: Article

References (72)

1. Aasland OG, Olff M, Falkum E, Schweder T, Ursin H (1997) Health complaints and job stress in Norwegian physicians: the use of an overlapping questionnaire design. Soc Sci Med 45:1615-1629
2. Aasland OG, Rosta J, Nylenna M (2010) Healthcare reforms and job satisfaction among doctors in Norway. Scand J Public Health 38:253-258
3. Bakker AB, Killmer CH, Siegrist J, Schaufeli WB (2000) Effortreward imbalance and burnout among nurses. J Adv Nurs 31:884-891
4. Bausch M (2004) Ärztinnen und Ärzte. Facharztmangel droht. In: Arbeitsmarktinformation für Fach-und Führungskräfte. Bundesagentur für Arbeit. Zentralstelle für Arbeitsvermittlung
5. Bestmann B, Rohde V, Wellmann A, Küchler T (2004a) Berufsreport 2003 Geschlechterunterschiede im Beruf. Dt Ärztebl 101:A776-A779
6. Bestmann B, Rohde V, Wellmann A, Küchler T (2004b) Berufsreport 2003 Zufriedenheit von Ärztinnen und Ärzten. Dt Arztebl 101:A23-A28
7. Buddeberg-Fischer B, Klaghofer R, Abel T, Buddeberg C (2005) Junior physicians' workplace experiences in clinical fields in German-speaking Switzerland. Swiss Med Wkly 135:19-26
8. Buddeberg-Fischer B, Klaghofer R, Stamm M, Siegrist J, Buddeberg C (2008) Work stress and reduced health in young physicians: prospective evidence from Swiss residents. Int Arch Occup Environ Health 82:31-38
9. Businger A, Stefenelli U, Guller U (2010) Prevalence of burnout among surgical residents and surgeons in Switzerland. Arch Surg 145:1013-1016
10. Calnan M, Wainwright D, Almond S (2000) Jobstrain, effort-reward imbalance and mental distress: a study of occupations in general medical practice. Work Stress 14:297-311
11. Carlsen B, Norheim OF (2003) Introduction of the patient-list system in general practice. Changes in Norwegian physicians' perception of their gatekeeper role. Scand J Prim Health Care 21:209-213
12. Dannecker G, Huster S, Katzenmeier C, Bohmeier A, Schmitz-Luhn B, Streng AF (2009) Priorisierung: notwendiger rechtlicher Gestaltungsspielraum. Dt Arztebl 106:A2007-A2010
13. DKG (2011) Gehaltssituation deutscher und europäischer Krankenhausärzte im Vergleich. Retrieved 14 Nov. 2011, from Deutsche Krankenhausgesellschaft: http://www.bdpk.de/media/file/857. Anlage-3- Arztverguetungen-international.pdf
14. Firth-Cozens J, Greenhalgh J (1997) Doctors' perceptions of the links between stress and lowered clinical care. Soc Sci Med 44:1017-1022
15. Fujisawa R, Lafortune G (2008) The Remuneration of general practitioners and specialists in 14 OECD countries: what are the factors influencing variations across countries? OECD Health Working Papers no. 41. OECD. http://www.oecd.org/dataoecd/51/48/41925333.pdf
16. Götz K, Broge B, Willms S, Joos S, Szecsenyi J (2010) Job satisfaction of general practitioners. Med Klin (Munich) 105:767-771
17. Hartz B (2009) Kampf gegen Ärztemangel. Nordlicht 4-5
18. Hibbeler B (2011) Thüringen. 500 Ärzte fehlen. Dt Ärztebl 108:115
19. Hoppe JD (2007) Limitations to the physician's discretionary and therapeutic freedom and to the provision of health care for the general population by a shortage of financial and human resources-the rules of section 2 para. 1 and 4 of the Medical Professional Code of conduct and how much they are really worth. Z Arztl Fortbild Qualitatssich 101:521-525
20. Keeton K, Fenner DE, Johnson TR, Hayward RA (2007) Predictors of physician career satisfaction, work-life balance, and burnout. Obstet Gynecol 109:949-955
21. Kern T, Kohnen T (2010) Healthcare system and aspects of healthcare economics. Sector ophthalmology-Part 2: outpatient care. Ophthalmologe 107:1185-1191 quiz 1192
22. Kivimaki M, Virtanen M, Elovainio M, Kouvonen A, Vaananen A, Vahtera J (2006) Work stress in the etiology of coronary heart disease-A meta-Analysis. Scand J Work Environ Health 32:431-442
23. Klein J, Frie KG, Blum K, Siegrist J, dem Knesebeck OV (2010) Effort-reward imbalance, job strain and burnout among clinicians in surgery. Psychother Psychosom Med Psychol 60:374-379
24. Klein J, Frie KG, Blum K, von dem Knesebeck O (2011) Psychosocial stress at work and perceived quality of care among clinicians in surgery. BMC Health Serv Res 11:109
25. Koch K, Miksch A, Schürmann C, Joos S, Sawicki PT (2011) The German Health Care System in international comparison: the primary care physicians' perspective. Dt Ärztebl 108:255-261
26. Konrad TR, Link CL, Shackelton RJ, Marceau LD, von dem Knesebeck O, Siegrist J, Arber S, Adams A, McKinlay JB (2010) It's about time: physicians' perceptions of time constraints in primary care medical practice in three national healthcare systems. Med Care 48:95-100
27. Kopetsch T (2009) The migration of doctors to and from Germany. J Public Health 17:33-39
28. Kroneman MW, Van der Zee J, Groot W (2009) Income development of general practitioners in eight European countries from 1975 to 2005. BMC Health Serv Res 9:26
29. Landon BE, Reschovsky JD, Pham HH, Blumenthal D (2006) Leaving medicine: the consequences of physician dissatisfaction. Med Care 44:234-242
30. Lisac M, Reimers L, Henke KD, Schlette S (2010) Access and choice-competition under the roof of solidarity in German health care: an analysis of health policy reforms since 2004. Health Econ Policy Law 5:31-52
31. McKinlay JB, Marceau L (2011) New wine in an old bottle: does alienation provide an explanation of the origins of physician discontent? Int J Health Serv 41:301-335
32. Melville A (1980) Job satisfaction in general practice: implications for prescribing. Soc Sci Med Med Psychol Med Sociol 14 A: 495-499
33. Möhlmann T (2009) Arbeitsplatz Krankenhaus-Zukunftsperspektiven für Ärztinnen und Ärzte. In: Landesversammlung des Marburger Bundes Bayern. Nürnberg
34. NAV (2008) Styringsdata for fastlegeordningen 2008 [management data on the regular general practitioners' scheme 2008]. Retrieved 15 Nov. 2011, from The Norwegian Labour and Welfare Administration: http://www.nav. no/Om?NAV/Tall?og?analyse/Annen?statistikk/Helsetjenester/Fastlegeordningen/ -Attachment/184202?=true&-ts=11f37d80d40
35. NMA (2011) Normaltariffen [service fees]. Retrieved 15 Nov. 2011, from The Norwegian Medical Association. http://normaltariffen. legeforeningen. no/normaltariff.xsp?id=&kap=
36. Nylenna M, Gulbrandsen P, Forde R, Aasland OG (2005a) Job satisfaction among Norwegian general practitioners. Scand J Prim Health Care 23:198-202
37. Nylenna M, Gulbrandsen P, Forde R, Aasland OG (2005b) Unhappy doctors? A longitudinal study of life and job satisfaction among Norwegian doctors 1994-2002. BMC Health Serv Res 5(44):1-9
38. Osterloh F (2010) Ohne Ärzte geht es nicht. Dt Ärztebl 107:A2148-A2149
39. Renzi C, Tabolli S, Ianni A, Di Pietro C, Puddu P (2005) Burnout and job satisfaction comparing healthcare staff of a dermatological hospital and a general hospital. J Eur Acad Dermatol Venereol 19:153-157
40. Richter P, Stoll A, Plaff H (2007) Job demand-control, effort-reward models and burnout in hospitals. In: Richter P, Peiro JM, Schaufeli WB (eds) Psychosocial resources in health care systems. Hampp, München, pp 111-124
41. Ripp J, Babyatsky M, Fallar R, Bazari H, Bellini L, Kapadia C, Katz JT, Pecker M, Korenstein D (2011) The Incidence and predictors of job burnout in first-year internal medicine residents: a fiveinstitution study. Acad Med 86:1304-1310
42. Rosta J, Gerber A (2008) Job satisfaction of hospital doctors. Results of a study of a national sample of hospital doctors in Germany. Gesundheitswesen 70:519-524
43. Rosta J, Nylenna M, Aasland OG (2009) Job satisfaction among hospital doctors in Norway and Germany. A comparative study on national samples. Scand J Public Health 37:503-508
44. Salavecz G, Chandola T, Pikhart H, Dragano N, Siegrist J, Jockel KH, Erbel R, Pajak A, Malyutina S, Kubinova R, Marmot M, Bobak M, Kopp M (2010) Work stress and health in Western European and post-communist countries: an East-West comparison study. J Epidemiol Community Health 64:57-62
45. Scheffler A (2010) Dealing with bottlenecks in ambulatory patient care: experiences of an office-based statutory health insurance physician. Z Evid Fortbild Qual Gesundhwes 104:372-374
46. Scheurer D, McKean S, Miller J, Wetterneck T (2009) US physician satisfaction: a systematic review. J Hosp Med 4:560-568
47. Schulz M, Damkröger A, Heins C, Wehlitz L, Löhr M, Driessen M, Behrens J, Wingfield K (2009) Effort-reward imbalance and burnout among German nurses in medical compared with psychiatric hospital settings. J Psychiatr Ment Health Nurs 16:225-233
48. Shanafelt TD, Bradley KA, Wipf JE, Back AL (2002) Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 136:358-367
49. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, Collicott P, Novotny PJ, Sloan J, Freischlag J (2010) Burnout and medical errors among American surgeons. Ann Surg 251:995-1000
50. Sibbald B, Enzer I, Cooper C, Rout U, Sutherland V (2000) GP job satisfaction in 1987, 1990 and 1998: lessons for the future? Fam Pract 17:364-371
51. Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1:27-41
52. Siegrist J, Starke D, Chandola T, Godin I, Marmot M, Niedhammer I, Peter R (2004) The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med 58:1483-1499
53. Siegrist J, Wege N, Puhlhofer F, Wahrendorf M (2009) A short generic measure of work stress in the era of globalization: effort-reward imbalance. Int Arch Occup Environ Health 82:1005-1013
54. Siegrist J, Shackelton R, Link C, Marceau L, Olaf von dem K, McKinlay J (2010) Work stress of primary care physicians in the US, UK and German health care systems. Soc Sci Med 71:298-304
55. Soler JK, Yaman H, Esteva M, Dobbs F, Asenova RS, Katic M, Ozvacic Z, Desgranges JP, Moreau A, Lionis C, Kotanyi P, Carelli F, Nowak PR, de Aguiar Sa Azeredo Z, Marklund E, Churchill D, Ungan M (2008) Burnout in European family doctors: the EGPRN study. Fam Pract 25:245-265
56. Stansfeld S, Candy B (2006) Psychosocial work environment and mental health-A meta-Analytic review. Scand J Work Environ Health 32:443-462
57. Stock SA, Redaelli M, Lauterbach KW (2007) Disease management and health care reforms in Germany-does more competition lead to less solidarity? Health Policy 80:86-96
58. Tanner M (2008) The grass is not always greener. a look at national health care systems around the world. Policy Analysis no. 613. Cato Institute, Washington. http://healthcare-economist.com/2008/04/18/health-care-Around-the- world-norway
59. Thomas NK (2004) Resident burnout. JAMA 292:2880-2889
60. Tschuschke C (2003) Rationelle Diagnostik des alternden Mannes in der Praxis/Berufspolitik. In: Jonas U (ed) Ageing Male-benignes Protatasyndrom. Thieme, Stuttgart, pp 84-102
61. Tsutsumi A, Kayaba K, Theorell T, Siegrist J (2001) Association between job stress and depression among Japanese employees threatened by job loss in a comparison between two complementary job-stress models. Scand J Work Environ Health 27:146-153
62. Unterbrink T, Hack A, Pfeifer R, Buhl-Griesshaber V, Muller U, Wesche H, Frommhold M, Scheuch K, Seibt R, Wirsching M, Bauer J (2007) Burnout and effort-reward-imbalance in a sample of 949 German teachers. Int Arch Occup Environ Health 80:433-441
63. van den Hombergh P, Kunzi B, Elwyn G, van Doremalen J, Akkermans R, Grol R, Wensing M (2009) High workload and job stress are associated with lower practice performance in general practice: an observational study in 239 general practices in the Netherlands. BMC Health Serv Res 9:118
64. van den Noord P, Hagen T, Iversen T (1998) The Norwegian health care system. Working Papers no. 198. OECD Economics Department. doi:10.1787/ 571585217086. http://www.oecd.org/dataoecd/34/49/1864965.pdf
65. Van Ham I, Verhoeven AA, Groenier KH, Groothoff JW, De Haan J (2006) Job satisfaction among general practitioners: a systematic literature review. Eur J Gen Pract 12:174-180
66. Voltmer E, Kieschke U, Spahn C (2007) Work-related behavior and experience of physicians in the third to eighth year of their professional life. Z Psychosom Med Psychother 53:244-257
67. Voltmer E, Schwappach D L B, Frank E, Wirsching M, Spahn C (2010) Work-related experience and behavior patterns and predictors of mental health in German physicians in medical practice. Fam Med 42:433-439
68. Walger M, Köpf P (2005) Einkommen von Krankenhausärzten-eine differenzierte Betrachtung. Das Krankenhaus (12):1075-1078
69. Warr P, Cook J, Wall T (1979) Scales for the measurement of some work attitudes and aspects of psychological well-being. J Occup Psychol 52:129-148
70. Whalley D, Bojke C, Gravelle H, Sibbald B (2006) GP job satisfaction in view of contract reform: a national survey. Br J Gen Pract 56:87-92
71. Williams ES, Manwell LB, Konrad TR, Linzer M (2007) The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Health Care Manage Rev 32:203-212
72. Wörz M, Busse R (2005) Analysing the impact of health-care system change in the EU member states-Germany. Health Econ 14:S133-S149