Morale among general practitioners: qualitative study exploring relations between partnership arrangements, personal style, and workload

被引:40
作者
Huby, G
Gerry, M
McKinstry, B
Porter, M
Shaw, J
Wrate, R
机构
[1] Univ Edinburgh, Primary Care Res Grp, Dept Community Hlth Sci, Edinburgh EH8 9DX, Midlothian, Scotland
[2] Family Business Facilitat, Kirkwall KW15 1PR, Orkney, Scotland
[3] Lister Inst, Edinburgh EH8 9DR, Midlothian, Scotland
[4] Univ Edinburgh, Royal Edinburgh Hosp, Dept Psychiat, Young Peoples Unit, Edinburgh EH10 5HF, Midlothian, Scotland
来源
BMJ-BRITISH MEDICAL JOURNAL | 2002年 / 325卷 / 7356期
关键词
D O I
10.1136/bmj.325.7356.140
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives To explore general practitioners' experiences of wellbeing and distress at work, to identify their perceptions of the causes of and solutions to distress, and to draw out implications for improving morale in general practice. Design Three stage qualitative study consisting of one to one unstructured interviews, one to one guided interviews, and focus groups. Setting Fife, Lothian, and the Borders, South East Scotland. Participants 63 general practitioner principals. Results Morale of general practitioners was explained by the complex interrelations between factors. Three key factors were identified: workload, personal style, and practice arrangements. Workload was commonly identified as a cause of low morale, but partnership arrangements were also a key mediating variable between increasing workload and external changes in general practice on the one hand and individual responses to these changes on the other. Integrated interventions at personal, partnership, and practice levels were seen to make considerable contributions to improving morale. Effective partnerships helped individuals to manage workload, but increasing Workload was also seen to take away time and Opportunities for practices to manage change and to build Supportive and effective working environments. Conclusions Solutions to the problem of low morale need integrated initiatives at individual, partnership, practice, and policy levels. Improving partnership arrangements is a key intervention, and rigorous action research is needed to evaluate different approaches.
引用
收藏
页码:140 / 142B
页数:5
相关论文
共 11 条
[11]   JOB STRESS, SATISFACTION, AND MENTAL-HEALTH AMONG GENERAL-PRACTITIONERS BEFORE AND AFTER INTRODUCTION OF NEW CONTRACT [J].
SUTHERLAND, VJ ;
COOPER, CL .
BMJ-BRITISH MEDICAL JOURNAL, 1992, 304 (6841) :1545-1548