title: GP job satisfaction in view of contract reform: a national survey.
abstract: BACKGROUND
  Job satisfaction has been associated with intentions to quit and aspects of quality of care. In 2001, GP job satisfaction in England had fallen to its lowest point for over a decade.
  
  
  OBJECTIVE
  To assess GP job satisfaction and stressors immediately prior to implementation of the 2004 contract.
  
  
  METHODS
  National survey of a random sample of GPs.
  
  
  METHODS
  England.
  
  
  METHODS
  One thousand, nine hundred and fifty principal and salaried GPs surveyed in February 2004 were compared with 1828 principals surveyed in 1998 and 1841 principal and salaried GPs surveyed in 2001. Job satisfaction and stressor scores were adjusted for 2004 age-sex distributions. Determinants of overall satisfaction were examined through ordinary least squares regression.
  
  
  RESULTS
  The 2004 response rate was 53%. GPs were most dissatisfied with hours of work, recognition for good work and remuneration, and experienced most pressure from paperwork, increasing workloads and having insufficient time. The majority of doctors were satisfied with their job overall. Satisfaction was higher than in 2001 and approximately the same as in 1998. Overall stress in 2004 was lower than in 2001 but still higher than in 1998. After allowing for personal, practice and job characteristics, higher satisfaction was associated with lower job stress, involvement in decision making, increasing job interest and ability to meet conflicting demands.
  
  
  CONCLUSIONS
  Despite recent initiatives to enhance workforce capacity and working lives for GPs, workload, time pressures and job control remain potential areas of concern. Addressing such issues may be key to maintaining morale as the new contract is implemented.
authors.affiliation: National Primary Care Research and Development Centre, University of Manchester, Oxford Road, Manchester M13 9PL, UK. diane.whalley@manchester.ac.uk
authors.forename: Diane
authors.initials: D
authors.lastname: Whalley
authors.forename: Chris
authors.initials: C
authors.lastname: Bojke
authors.forename: Hugh
authors.initials: H
authors.lastname: Gravelle
authors.forename: Bonnie
authors.initials: B
authors.lastname: Sibbald
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003284:Contract Services; D004739:England; D005194:Family Practice; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family / Q000523:psychology*; D011897:Random Allocation; D012044:Regression Analysis; D013315:Stress, Psychological / Q000523:psychology