title: Rural doctors' satisfaction in Japan: a nationwide survey.
abstract: OBJECTIVE
  The purpose of this paper was to discover to what degree Japanese rural doctors are satisfied with various aspects of their jobs and lives, and to find out whether they intend to continue their rural careers.
  
  
  METHODS
  Nationwide postal survey.
  
  
  METHODS
  Public clinics or hospitals in municipalities that are authorised as 'rural' by the national government.
  
  
  METHODS
  A total of 4896 doctors working for public clinics or hospitals.
  
  
  METHODS
  Self-evaluation questionnaires were mailed. The rural doctors were asked to evaluate their satisfaction with 19 items related to their job conditions and 10 items concerning life conditions, using a four-point scale. They also were asked to evaluate their intent to stay in rural practice until retirement.
  
  
  RESULTS
  The response rate was 64%. Overall, rural doctors were satisfied with both their work and life conditions. However, only 27% of respondents hoped to continue rural practice beyond the usual age of retirement. Among job-related items, continuing medical education and interactions with municipal governments were rated as least satisfactory. Among lifestyle-related items, duration of holidays and workload were unsatisfactory. Subgroup analysis revealed male doctors showed greater intent to stay in rural practice. Doctors aged > 50 years were more satisfied with most aspects of their job and lifestyle than younger doctors. A strong correlation was found between the degree of intent to stay and several items such as interactions with municipal government, human interactions salary and job fulfillment.
  
  
  CONCLUSIONS
  Strategies, based on the results of this survey, should be implemented. Particularly in Japan, positive interaction between doctors and municipal governments is crucial.
  
  
  CONCLUSIONS
  Though rural doctors in Japan in general were satisfied with their lifestyle and work conditions, they have low intentions to stay in rural areas. Among the various factors that can cause this dissociation between satisfaction and intention to stay, doctors' interactions with municipal governments play a pivotal role.
authors.affiliation: Department of Community and Family Medicine, Jichi Medical School, Tochigi, Japan. matmo10@jb3.so-net.ne.jp
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Masanobu
authors.initials: M
authors.lastname: Okayama
authors.forename: Eiji
authors.initials: E
authors.lastname: Kajii
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D007400:Interprofessional Relations; D007564:Japan; D007588:Job Satisfaction; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D010821:Physicians, Family / Q000523:psychology*; D011365:Professional Practice Location; D019035:Rural Health Services; D011795:Surveys and Questionnaires; D013997:Time Factors; D000078329:Workforce