Job satisfaction of primary healthcare professionals: a cross-sectional survey in Greece: Job satisfaction in Greek primary care

Job satisfaction of primary healthcare professionals: a cross-sectional survey in Greece

Job satisfaction in Greek primary care

Authors

Keywords:

Primary healthcare centers; Job satisfaction; Well-being; Performance; Engagement; Covid-19; Greece

Abstract

Background: The role of job satisfaction is essential for the operation of public Primary Healthcare Centers in Greece. The dimensions of job satisfaction can be used to gauge employees’ engagement and performance. Methods: Job Satisfaction Survey was employed among healthcare professionals in 32 Primary Healthcare Centers, between June 2019 and October 2020. The 36 items of the questionnaire are expressed on a six-point Likert scale divided into 9 aspects: salary, promotion, supervision, fringe benefits, contingent rewards, operating procedures, co-workers, nature of work, and communication. Additional questions were added covering sociodemographic characteristics. Results: A total of 1,007 professionals completed the questionnaire (83.92% response rate), of which 51.04% were nurses, 27.61% physicians, and 21.35% other healthcare employees. The average overall job satisfaction score indicates ambivalence (3.63 out of 6). Participants were dissatisfied with salaries (2.38) and promotion (2.84) aspects and ambivalent regarding fringe benefits (3.04), operating procedures (3.23), and contingent rewards (3.30). Moderate satisfaction was reported for the nature of work (4.53), supervision (4.52), co-workers (4.37), and communication (4.22). Nurses by far reported the lower levels of satisfaction in all dimension except communication compared to the other groups. Conclusions: The findings suggest that decreasing administrative workload and the improvement of working conditions, procedures, payment, and provision of better opportunities for the promotion of PHC professionals might be the most effective ways to subsequently improve their subjective well-being and their job satisfaction which in turn will improve their performance.

References

Liu W, Zhao S, Shi L, et al. Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study BMJ Open 2018;8:e019525. doi:10.1136/bmjopen-2017-019525

Willis-Shattuck M, Bidwell P, Thomas S, et al. Motivation and retention of health workers in de-veloping countries: a systematic review. BMC Health Serv Res. 2008; 8(4):247. doi:10.1186/1472-6963-8-247

Croxson CH, Ashdown HF, Hobbs FR. GPs' perceptions of workload in England: a qualitative interview study. Br J Gen Pract. 2017 Feb; 67(655):e138-e147. doi:10.3399/bjgp17X688849.

Shengelia B, Tandon A, Adams OB, et al. Access, utilization, quality, and effective coverage: an integrated conceptual framework and measurement strategy. Soc Sci Med. 2005 Jul; 61(1):97-109. doi:10.1016/j.socscimed.2004.11.055.

Buddeberg-Fischer B, Klaghofer R, Stamm M, et al. Primary Care in Switzerland--no Longer At-tractive for Young Physicians? Swiss Med Wkly. 2006 Jul 8; 136(27-28):416-24.

Spector PE. Measurement of Human Service Staff Satisfaction: Development of the Job Satisfac-tion Survey. Am J Community Psychol. 1985; 13(6):693-694. doi:10.1007/BF00929796.

Tsounis A, Sarafis P. Validity and reliability of the Greek translation of the Job Satisfaction Survey (JSS). BMC Psychol. 2018; 6:1-6. doi:10.1186/s40359-018-0241-4.

Cronbach LJ. Coefficient alpha and internal structure of tests. Psychometrika. 1951; 16:297-334. doi:10.1007/BF02310555.

WHO. WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19-13 March 2020. Available online:https://www.who.int/directorgeneral/speeches/detail/who-director -general-s-opening-remarks-at-the-mission-briefing-on-covid-19---13-march-2020 (accessed on 30 May 2021).

Kvist T, Voutilainen A, Mäntynen R, et al. The relationship between patients' perceptions of care quality and three factors: nursing staff job satisfaction, organizational characteristics and patient age. BMC Health Serv Res. 2014 Oct 18; 14:466. doi:10.1186/1472-6963-14-466.

Fogarty L, Kim YM, Juon HS, et al. Job satisfaction and retention of health-care professionals in Afghanistan and Malawi. Hum Resour Health. 2014; 12:11. doi:10.1186/1478-4491-12-11

Gu J, Zhen T, Song Y, et al. Job satisfaction of certified primary care physicians in rural Shandong Province, China: a cross-sectional study. BMC Health Serv Res. 2019; 19,75. doi: 10.1186/s12913-019-3893-8

Kumar P, Khan AM, Inder D, et al. Job satisfaction of primary healthcare professionals (public sector) in urban setting. J Family Med Prim Care. 2013 Jul; 2(3):227-33. doi: 10.4103/2249-4863.120718.

Behmann M, Schmiemann G, Lingner H, et al. Job satisfaction among primary care physicians: results of a survey. Dtsch Arztebl Int. 2012; 109(11), 193-200. doi:10.3238/arztebl.2012.0193.

Singh T, Kaur M, Verma M, et al. Job satisfaction among healthcare providers: A cross-sectional study in public health facilities of Punjab, India. J Family Med Prim Care, 2019; 8 (10), 3268-75. doi:10.4103/jfmpc.jfmpc_600_19

Papoutsis D, Labiris G, Niakas D. Midwives’ job satisfaction and its main determinants: A survey of midwifery practice in Greece. Br J Midwifery. 2014; 22(7):480–6. doi:10.12968/bjom.2014.22.7.480

Moisoglou I, Meimeti E, Arvanitidou E, et al. Job Satisfaction in Primary Health Care in Athens, Greece: A Pilot Study. Int J Caring Sci. 2021; 14(1):166-173.

Judge TA, Thoresen CJ, Bono JE, et al. The job satisfaction job performance relationship: a qual-itative and quantitative review. Psychological Bulletin. 2001; 127(3):376-407. doi:10.1037/0033-2909.127.3.376.

Scheurer D, McKean S, Miller J, et al. U.S. physician satisfaction: a systematic review. J Hosp Med. 2009 Nov; 4(9):560-8. doi:10.1002/jhm.496. PMID: 20013859.

Poghosyan L, Brooks J, Liu J, et al. Physician and Nurse Practitioner Teamwork and Job Satis-faction: Gender and Profession. J Gen Intern Med. 2022 June 18; 18(8):819-24. doi:10.1016/j.nurpra.2022.05.013

Oikonomidou E, Anastasiou F, Dervas D, et al. Rural primary care in Greece: working under limited resources. Int J Qual Health Care. 2010 Aug; 22(4):333-7. doi:10.1093/intqhc/mzq032.

Emmanouilidou M. The 2017 Primary Health Care (PHC) reform in Greece: Improving access despite economic and professional constraints? Health Policy. 2021 Mar; 125(3):290-295. doi: 10.1016/j.healthpol.2020.12.017.

Frengidou E, Galanis P. Patients’ satisfaction with the National Primary Health Care net in Greece. Int J Caring Sci. 2020; 13(1):267–278.

Kringos D, Boerma W, Bourgueil Y, et al. The strength of primary care in Europe: An international comparative study. Br J Gen Pract. 2013;63:e742–e750. doi:10.3399/bjgp13X674422.

Karaferis D, Aletras V, Niakas D. Job Satisfaction and Associated Factors in Greek public hospitals. Acta Biomed. 2022; 93(5):e2022230. doi:10.23750/abm.v93i5.13095.

Cohidon C, Wild P, Senn N. Practice Organization Characteristics Related to Job Satisfaction Among General Practitioners in 11 Countries. Ann Fam Med. 2019 Nov;17(6):510-517. doi: 10.1370/afm.2449.

Goetz K, Jossen M, Szecsenyi J, et al. Job satisfaction of primary care physicians in Switzerland: an observational study, Family Practice. 2016 October; 33(5):498-503. doi:10.1093/fampra/cmw047

Sobrequés J, Cebrià J, Segura J, et al. Job satisfaction and burnout in general practitioners. Aten Primaria. 2003 March 15; 31 (4): 227-33. doi:10.1016/s0212-6567(03)79164-1

Sanchez-Piedra CA, Jaruseviciene L, Prado-Galbarro FJ, et al. Factors associated with professional satisfaction in primary care: Results from EUprimecare project. Eur J Gen Pract. 2017 Dec;23(1):114-120. doi: 10.1080/13814788.2017.1305350.

Buciuniene I, Blazeviciene A, Bliudziute E. Health care reform and job satisfaction of primary health care physicians in Lithuania. BMC Fam Pract. 2005 Mar 7;6(1):10. doi:10.1186/1471-2296-6-10

Nylenna M, Gulbrandsen P, Førde R, et al. Job satisfaction among Norwegian general practitioners. Scand J Prim Health Care. 2005 Dec; 23(4):198-202. doi:10.1080/02813430500311792.

McCarthy M. Sustainable general practice: looking across Europe. Br J Gen Pract. 2016 Jan; 66(642):36. doi: 10.3399/bjgp16X683233.

Sepetis A. Sustainable Health Care Management in the Greek Health Care Sector. Open J Soc Sci. 2019; 7(12):386-402. doi:10.4236/jss.2019.712030.

Karaferis D, Aletras V, Niakas D. Determining dimensions of job satisfaction in healthcare using factor analysis. BMC Psychol. 2022; 10:240. doi:10.1186/s40359-022-00941-2.

Warr P, Cook J, Wall T. Scales for the measurement of some work attitudes and aspects of psy-chological well-being. J Occup Psychol. 1979; 52(2):129–48. doi:10.1111/j.2044-8325.1979.tb00448.x

Downloads

Published

14-06-2023

Issue

Section

ORIGINAL CLINICAL RESEARCH

How to Cite

1.
Karaferis D, Aletras V, Niakas D. Job satisfaction of primary healthcare professionals: a cross-sectional survey in Greece: Job satisfaction in Greek primary care. Acta Biomed [Internet]. 2023 Jun. 14 [cited 2024 Jul. 18];94(3):e2023077. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/13878