Similar documents
Getting Beyond Money: What Else Drives Physician Performance?

What is the job satisfaction and active participation of medical staff in public hospital reform: a study in Hubei province of China

Physician Job Satisfaction in Primary Care. Eman Sharaf, ABFM* Nahla Madan, ABFM* Awatif Sharaf, FMC*

Job Satisfaction among Doctors at Jinnah Hospital, Lahore

Date: 1.Oct Curriculum Vitae. Personal Information

Place of birth: Yasuj; Iran. Date of birth : EDUCATION

Downloaded from at 9:07 IRDT on Monday June 20th /2/9 : 3

Downloaded from unmf.umsu.ac.ir at 5: on Tuesday October 2nd com

Original Article A Survey of Client Satisfaction on Service Delivery in Urban Health Centers of Yazd

In most countries, physicians work conditions undergo

Evaluation of clients expectations and perception gap regarding the quality of primary healthcare service in healthcare centers of Gorgan

The Effect of Activating Early Warning System on Motahari Hospital Preparedness

) 3.( (α=092) ( ). ( ).. t SPSS.Ver.11 ( ). ( 432) ± ( 568) 92 ( 364) 59 ( 06) ( 37) 6 ( 593) 96 ( 084) ( 568).. (196

Effects of the Total Quality Management Implication on Patient Satisfaction in the Emergency Department of Military Hospitals

Effect of Managed Care and Financing on Practice Constraints and Career Satisfaction in Primary Care

Physicians perceptions of quality of care, professional autonomy, and job satisfaction in Canada, Norway, and the United States

Chronic Pain Management Team

The New England Journal of Medicine. Special Article CHANGES IN THE SCOPE OF CARE PROVIDED BY PRIMARY CARE PHYSICIANS. Data Source

Kingdom of Saudi Arabia Ministry of Defense General Staff Command Medical Services Directorate King Fahad Armed Forces Hospital, Jeddah

Clients Satisfaction with Primary Health Care in Muscat

Telephone triage systems in UK general practice:

QUALITY OF WORK LIFE OF NURSES AND PARAMEDICAL STAFF IN HOSPITALS

Research Paper: The Attitudes, Knowledge and Performance of Ilam Nurses Regarding Disaster Preparedness

The Relationship between Performance Indexes and Service Quality Improvement in Valiasr Hospital of Tehran in 1393

Stress, Depression and Job Satisfaction among Physicians in Iraq

Predictors of Newly Licensed Nurses Perception of Orientation

A "PATTERN" OF INTEGRATED SERVICES FOR THE ELDERLY AT COMMUNITY LEVEL

A Client Satisfaction Survey at a Large Rural Medical Facility

The Effect of Health Promoting Schools Programs in Improving the Health Status of Schools in Urmia, North West of Iran

Academic-Related Stress and Responses of Nursing College Students in Baghdad University

Differences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses

INVESTIGATION OF THE PROFESSIONAL SELF-CONCEPT OF NURSING STUDENTS IN SHIRAZ, IRAN

Does leadership effectiveness correlates with leadership styles in healthcare executives of Iran University of Medical Sciences

How can primary care contribute to the medical undergraduate curriculum? Lessons from the UK

spss Published By Tehran University Of Medical Sciences:

Mrs Catherine Smith RGN/RMN/MBA PHD Student University of Southampton UK

Study population The study population comprised patients requesting same day appointments between 8:30 a.m. and 5 p.m.

A Study on AQ (Adversity Quotient), Job Satisfaction and Turnover Intention According to Work Units of Clinical Nursing Staffs in Korea

The Egyptian Journal of Hospital Medicine (January 2018) Vol. 70 (10), Page

Physician Morale and the Medical Workplace A Canadian Perspective

How resilient are doctors and can resilience skills be taught? Dr Beatrice Downie Leadership Fellow

On the Relationship between Emotional Intelligence and Demographical Variables in Nurses

Downloaded from ijn.iums.ac.ir at 22:33 IRDT on Sunday September 16th 2018

ICT Use in Family Caregiving of Elderly and Disabled Subjects

A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars

Factors Affecting Turnover and Retention of Hospital Consultants and Midwives Authors

Confidence and Use of Communication Skills in Medical Students

A mental health brief intervention in primary care: Does it work?

Downloaded from unmf.umsu.ac.ir at 23: on Friday September 14th

What organisations can do to improve women's ability to achieve their potential. Chief Medical Officer Professor Dame Sally C Davies FRS FMedSci

Health of Physicians. Statement from the Royal Australasian College of Physicians

An Investigation into the Effect of Mcclelland Motivational Factors on Productivity Including the Employed Nurses in Ahwaz Medical Education Hospitals

THE PRACTICE OF MEDICINE

A Balanced Scorecard Approach to Determine Accreditation Measures with Clinical Governance Orientation: A Case Study of Sarem Women s Hospital

Nurse satisfaction with working in a nurse led primary care walk-in centre: an Australian experience.

Recruiting. Right Physicians. Your practice can hire the best candidates by knowing its needs and anticipating theirs.

JOB SATISFACTION AMONG CRITICAL CARE NURSES IN AL BAHA, SAUDI ARABIA: A CROSS-SECTIONAL STUDY

%&'#!()" !"#$ 7 T7( A A! U M VW 1 X % $%*+,-./ * 3 = M L F < 3 * TU B VJ S F F;.< W L/ - >?0 - :

:

THE INFLUENCE OF JOB STRESSOR TO PERFORMANCE OF NURSES IN PIRNGADI GENERAL HOSPITAL OF MEDAN INDONESIA

Original Article Prevalence of occupational stress and its correlates among firefighters, Tehran, Iran, 2013

Job satisfaction of nurses in Ministry of Health Hospitals in Riyadh, Saudi Arabia

A Comparison of Service Quality in Teaching and Non-teaching Hospitals: The Gap Analysis

Effectiveness of Solution-Focused Communication Training (SFCT) in Nurses Communication Skills

Perspectives on chronic illness care in the Southern region. Fiona Doolan-Noble, Robin Gauld; Debra Waters & Sophia Leon de la Barra.

SPSS V19. :

Homeira Sajadi Born in Qom, Iranian citizen, Married, 2 child, born 1966 Address: University of Social Welfare & Rehabilitation Sciences, Koodakyar

Nurses perception of smart IV pump technology characteristics and quality of working life

Improving Outcome and Efficiency with. Service Delivery

Hossein Ebrahimipour, Marzieh Meraji, Elahe Hooshmand, Fatemeh Nezamdoust, Yasamin Molavi-Taleghani, Narges Hoseinzadeh and Ali Vafaee-Najar

Downloaded from ijn.iums.ac.ir at 0:23 IRST on Sunday September 30th 2018

Downloaded from jmed.ssu.ac.ir at 9:42 IRST on Saturday October 13th 2018

Downloaded from ijn.iums.ac.ir at 18:38 IRDT on Friday August 31st 2018

3. The requirements for taking part in the ES are as follows:

Perceptions of Adding Nurse Practitioners to Primary Care Teams

Consumer perceptions of the effectiveness of a breast care nurse in providing coordinated care to women with breast cancer in Queensland, Australia

Australian doctors satisfaction with their work: results from the MABEL longitudinal survey of doctors

The Relationship between Structural and Psychological Empowerment and Participation in Continuing Professional Development in Oncology Nurses

Patient satisfaction in emergency medicine. Emerg Med J 2004;21: doi: /emj

NHS Employers Health and well-being. Your occupational health service

Ninth National GP Worklife Survey 2017

Organizations that are highly successful in achieving

Original Article Retention of general practitioners in rural Nepal: A qualitative study

Text-based Document. The Relationship Among Change Fatigue, Resilience, and Job Satisfaction of Hospital Staff Nurses. Authors Brown, Robin J.

Introduction. Journal of Caring Sciences, 2012, 1(2), doi: /jcs journals.tbzmed.ac.ir/ JCS

Analyzing Quality Gap of Nursing Services in the Selective Academic Hospitals

Selecting Hospital's Key Performance Indicators, Using Analytic Hierarchy Process Technique

STRESS AMONG DOCTORS IN MALAYSIA

Downloaded from hayat.tums.ac.ir at 2:28 IRDT on Thursday June 7th 2018

Educational Environment of Nursing Undergraduates in University of Ruhuna: Effect of Gender

Fact Sheet. American Board of Medical Specialties (ABMS) and the ABMS Maintenance of Certification (ABMS MOC ) Program

SPECIAL ISSUE. Evaluating Health Plan Quality 2: Survey Design Principles for Measuring Health Plan Quality

Leadership and management curriculum planning for Iranian general practitioners

Drugs and Alcohol: Spotlight on Substance Misuse Training

Available online at ISSN No:

Emergency Department Waiting Times (EDWaT): A Patient Flow Management and Quality of Care Rating mhealth Application

Assessing effective factors in development of entrepreneurship in agricultural cooperatives of Zanjan province

Revista Publicando, 5 No 16. (1). 2018, ISSN

بررسي همبستگي رضايت ارتباطي با تعهد سازماني در پرستاران

Registered Nurses Job Satisfaction in Navy Hospitals

Transcription:

E-mail: Bdamari@gmail.com

National Health Services-NHS Shearer BMJ Stoddard Robinson Linzer Health Maintenance Organizations-HMO HMO

Qualitative-Quantitative Sequential Triangulation fee-forservice SPSS

BUN UC UA 2ME

70 60 50 40 30 20 10 0...

Landon Landon Landon

Robinson 1. Kassirer J. Doctor discontent. New England Journal of Medicine 1998; 339: 1543-5 2. Zuger A. Dissatisfaction with medical practice. New England Journal of Medicine 2004;/350: /69-/75 3. Shearer S, Toedt M. Family physicians observations of their practice, well being, and health care in the United States. Journal of Family Practice 2001; 50: 751-/6 4. Smith R. Why are doctors so unhappy? British Medical Journal 2001; 322: 1073-4 5. Edwards N, Kornacki MJ, Silversin J. Unhappy doctors: what are the causes and what can be done? British Medical Journal 2002; 324: 835-8 6. Mechanic D. Physician discontent. Journal of the American Medical Association 2003; 290: 941-6 7. Stoddard JJ, Hargraves JL, Reed M, Vratil A. Managed care, professional autonomy, and income. Journal of General Internal Medicine 2001; 16: 675-84 8. Erlick RG. Career satisfaction in female physicians. Journal of the American Medical Association 2004; 291: 635 (doi:10.1001/jama.291.5.635) 9. Konrad TR 1, Williams ES, Linzer M, McMurray J, Pathman DE, Gerrity M, et al. Measuring physician job satisfaction in a changing workplace and a challenging environment. SGIM Career Satisfaction Study Group. Society of General Internal Medicine. Medical Care 1999; 37: 1174-82 10. Landon BE. Career satisfaction among physicians. Journal of the American Medical Association 2004; 291: 634 (doi:10.1001/jama.291.5.634)

11. Landon BE, Reschovsky J, Blumenthal D. Changes in career satisfaction among primary care and specialist physicians, 1997-2001. Journal of the American Medical Association 2003; 289: 442-9 12. Linzer M, Konrad TR. Managed care, time pressure, and physician job satisfaction. Journal of General Internal Medicine 2000: 15: 441-50 13. Freeborn D. Satisfaction, commitment, and psychological well-being among HMO physicians. West J Med. 2001; 174: 13-8 14. Blegen M. Nurses' job satisfaction: a meta-analysis of related variables. Clinical Nursing Research 1993; 42: 36-41 15. Sibbald B, Enzer I, Cooper C, Rout U, Sutherland V. GP job satisfaction in 1987, 1990 and 1998: lessons for the future? Family Practice 2000; 17: 364-71 16. Nylenna M, Gulbrandsen Pal, Førde R, Aasland OG. Job satisfaction among Norwegian general practitioners; Scandinavian. Journal of Primary Health Care 2005; 23: 198-202 17. Nylenna M, Gulbrandsen P, Førde R, Aasland OG. Unhappy doctors? A longitudinal study of life and job satisfaction among Norwegian doctors 1994/2002. BMC Health Service Research 2005; 5: 44 18. Bergin E, Johansson H, Bergin R. Are doctors unhappy? A study of residents with an open interview form. Quality Management in Health Care 2004; 13: 81-/7 19. Davidson JM, Lambert TW, Goldacre MJ, Parkhouse J. UK senior doctors career destinations, job satisfaction, and future intentions: questionnaire survey. British Medical Journal 2002; 325: 685-/6 20. Ulmer B, Harris M. Australian GPs are satisfied with their job: Even more so in rural areas. Family Practice 2002; 19: 300-/3 21. Pathman DE, Williams ES, Konrad TR. Rural physician satisfaction: its sources and relationship to retention. Journal of Rural Health 1996; 12: 366-77 22. Pillay Rubin. Work satisfaction of medical doctors in the South African private health sector. Journal of Health Organization and Management 2008; 22: 254-68 23. Kerr Eve A, Hays Ron D, Mittman Brian S, Siu Albert L, Leake Barbara, Brook Robert H. Primary care physicians' satisfaction with quality of care in California Capitated Medical Groups. Journal of the American Medical Association 1997; 278: 308-12 24. Linn LS, Yager J, Cope D, Leake B. Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty. Journal of the American Medical Association 1985; 254: 2775-82 25. Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? Journal of General Internal Medicine 2000; 15: 122-8 26. Buchbinder SB, Wilson M, Melick CF, Powe NR. Estimates of costs of primary care physician turnover. American Journal of Management Care 1999; 5: 1431-8 27. Torabian S, Cheraghi MA, Azarhomayoon A. Family physicians' satisfactions from family medicine program in Hamadan province. Payesh (in press) [Persian] 28. Health services management team. Guidelines for Family physician and rural insurance. 10th version revised. Ministry of Health (MOH) Publication: Tehran, 2009 [Persian] 29. Shahdpour K, Pileroudi S. Health for all and primary health care s in 20th and 21st centuries. Ministry of Health and Medical Education, Nashr Tandis: Tehran, 1999 [Persian] 30. Tawfik AM, AL Shehri AM, Abdul Aziz F. Patterns of referral from health centers to hospital in Riyadh region. East Mediterranean Health Journal 1997; 3: 236-53 31. WHO. The role of hospital in primary health care. Reported of a conference sponsored by the Agakhan Foundation, 1981 32. Nasrollahpour Shirvani SD, Raeisee P, Motlagh ME, Ashrafian Amiri H. Performance evaluation of vice chancellery for health of universities, schools of medical sciences in Iran based on Iranian national productivity and excellence award model Hakim Research Journal 2010; 13: 19-25 [Persian] 33. Rasoulinejad A, Rasoulinejad M. A Study of referral system in health care delivery system and recommended alternative strategies: Kashan Health Care Network. Hakim Research Journal 2001; 4: 238-42 [Persian] 34. Hosseini SR, Dadashpour M, Mesbah N. Assessment of referral system in health care delivery center of Paeengatab, Babol. Journal of Babol University of Medical Sciences 2005; 7: 85-90 [Persian] 35. Ebadifarde Azar F. Patients admission and referral system observance in five educational centers (IUMS). Journal of Qazvin University of Medical Sciences 2002; 23: 30-5 [Persian]

36. Coyle YM, Aday LA, Battles JB, Hynan LS. Measuring and predicting academic generalists work satisfaction: implications for retaining faculty. Academic Medicine 1999; 74:1021-7 37. McCullough T, Dodge HR, Moeller S. Physician recruitment: understanding what physicians want. Health Marketing Quarterly 1999; 16: 55-64

Payesh Journal of the Iranian Institute for Health Sciences Research ABSTRACT Rural Insurance : family physicians' satisfaction Saadat Torabian 1, Behzad Damari 2, Mohammad Ali Cheraghi 3 1. Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamedan, Iran 2. Department of Social Determinants of Health, National Institute of Health Research, Tehran, Iran 3. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Payesh 2014; 13: 561-573 Accepted for publication: 5 May 2013 [EPub a head of print-10 September 2014] Objective (s): This study aimed to assess the extent to which family physicians are satisfied with Rural Insurance in Hamedan province in Iran. Methods: A triangulation approach was applied to collect data., quali-quanti and cross-sectional study, in which were used interview and questionnaire techniques. The performance of rural insurance program and and physicians' satisfactions was assessed. Results: Physicians' satisfaction was lower than acceptable level. They indicated several reasons that contributed to their dissatifaction including issues related to referral process, limitations for precription, difficulties in using health records for patients, and intersectoral problems. Conclusion: The study findings showed that physicians' were unhappy with rural insurance program. Indeed this not only might damage the program, but also may cause problems for pbulic s health. Therefore, it is essential to find and reduce the causes of dissatisfaction, prior to expanding the program. Key Words: Job satisfaction, Family physician, Dissatisfaction, Rural insurance program, Rules, Regulations Corresponding author: Department of Social Determinants of Health, National Institute of Health Research, Tehran, Iran. E-mail: Bdamari@gmail.com