Which positive factors determine the GP satisfaction in clinical practice? A systematic literature review.
Looking at what makes General Practitioners (GPs) happy in their profession, may be important in increasing the GP workforce in the future. The European General Practice Research Network (EGPRN) created a research team (eight national groups) in order to clarify the factors involved in GP job satisfaction throughout Europe. The first step of this study was a literature review to explore how the satisfaction of GPs had been studied before. The research question was "Which factors are related to GP satisfaction in Clinical Practice?"



Systematic literature review according to the PRISMA statement. The databases searched were Pubmed, Embase and Cochrane. All articles were identified, screened and included by two separate research teams, according to inclusion or exclusion criteria. Then, a qualitative appraisal was undertaken. Next, a thematic analysis process was undertaken to capture any issue relevant to the research question.



The number of records screened was 458. One hundred four were eligible. Finally, 17 articles were included. The data revealed 13 subthemes, which were grouped into three major themes for GP satisfaction. First there were general profession-related themes, applicable to many professions. A second group of issues related specifically to a GP setting. Finally, a third group was related to professional life and personal issues.



A number of factors leading to GP job satisfaction, exist in literature They should be used by policy makers within Europe to increase the GP workforce. The research team needs to undertake qualitative studies to confirm or enhance those results.
ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Faculté de Médecine et des Sciences de la Santé, 22, avenue Camille Desmoulins CS 93837 29238, Brest, CEDEX 3, France. blefloch1@univ-brest.fr.
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0000-0003-2405-6634
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Le Floch
Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
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Bastiaens
ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Faculté de Médecine et des Sciences de la Santé, 22, avenue Camille Desmoulins CS 93837 29238, Brest, CEDEX 3, France.
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Le Reste
Centre for Public Health and Healthcare, Hannover Medical School, Hannover, Germany.
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Lingner
Department of Family Medicine, Tel Aviv University, Tel Aviv, Israel.
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Hoffman
University Nicolaus Copernicus, Torun, Poland.
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Czachowski
Department of General Practice, Medical University of Plovdiv, Faculty of Medicine, Plovdiv, Bulgaria.
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Assenova
Department of General Practice, University of Tampere, Tampere, Finland.
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Koskela
Department of Family Medicine, University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia.|Department of Family Medicine, University of Maribor, Faculty of Medicine, Maribor, Slovenia.
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Klemenc-Ketis
ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Faculté de Médecine et des Sciences de la Santé, 22, avenue Camille Desmoulins CS 93837 29238, Brest, CEDEX 3, France.
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Nabbe
Department of English, Nicolaus Copernicus University, Torun, Poland.
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Sowinska
ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Faculté de Médecine et des Sciences de la Santé, 22, avenue Camille Desmoulins CS 93837 29238, Brest, CEDEX 3, France.|Unité INSERM 1078, SFR 148 ScInBioS, Université Européenne de Bretagne, Faculté de Médecine et des Sciences de la Santé, Brest, France.
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Montier
Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.|Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Universiteit Antwerp, Antwerp, Belgium.|Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel, Ixelles, Belgium.
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Peremans
D002983:Clinical Competence; D058005:General Practitioners / Q000523:psychology*; D006801:Humans; D007182:Income; D007588:Job Satisfaction; D020377:Self Efficacy; D000072358:Work-Life Balance; D016526:Workload
Adult; Career choice; Career mobility; Family practice; General practitioners; Health care system; Humans; Job satisfaction; Physician; Primary health care