title: Factors associated with professional satisfaction in primary care: Results from EUprimecare project.
abstract: BACKGROUND
  Given the importance of primary care to healthcare systems and population health, it seems crucial to identify factors that contribute to the quality of primary care. Professional satisfaction has been linked with quality of primary care. Physician dissatisfaction is considered a risk factor for burnout and leaving medicine.
  
  
  OBJECTIVE
  This study explored factors associated with professional satisfaction in seven European countries.
  
  
  METHODS
  A survey was conducted among primary care physicians. Estonia, Finland, Germany and Hungary used a web-based survey, Italy and Lithuania a telephone survey, and Spain face to face interviews. Sociodemographic information (age, sex), professional experience and qualifications (years since graduation, years of experience in general practice), organizational variables related to primary care systems and satisfaction were included in the final version of the questionnaire. A logistic regression analysis was performed to assess the factors associated with satisfaction among physicians.
  
  
  RESULTS
  A total of 1331 primary care physicians working in primary care services responded to the survey. More than half of the participants were satisfied with their work in primary care services (68.6%). We found significant associations between satisfaction and years of experience (OR = 1.01), integrated network of primary care centres (OR = 2.8), patients having direct access to specialists (OR = 1.3) and professionals having access to data on patient satisfaction (OR = 1.3). Public practice, rather than private practice, was associated with lower primary care professional satisfaction (OR = 0.8).
  
  
  CONCLUSIONS
  Elements related to the structure of primary care are associated with professional satisfaction. At the individual level, years of experience seems to be associated with higher professional satisfaction.
authors.affiliation: a Agency for Health Technology Assessment , Instituto de Salud Carlos III , Madrid , Spain.|b Rheumatology Spanish Society , Madrid , Spain.
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Sanchez-Piedra
authors.affiliation: c Lithuanian University of Health Sciences , Kaunas , Lithuania.
authors.forename: Lina
authors.initials: L
authors.lastname: Jaruseviciene
authors.affiliation: a Agency for Health Technology Assessment , Instituto de Salud Carlos III , Madrid , Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Prado-Galbarro
authors.affiliation: c Lithuanian University of Health Sciences , Kaunas , Lithuania.
authors.forename: Ida
authors.initials: I
authors.lastname: Liseckiene
authors.affiliation: b Rheumatology Spanish Society , Madrid , Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Sánchez-Alonso
authors.affiliation: a Agency for Health Technology Assessment , Instituto de Salud Carlos III , Madrid , Spain.
authors.forename: Sonia
authors.initials: S
authors.lastname: García-Pérez
authors.affiliation: a Agency for Health Technology Assessment , Instituto de Salud Carlos III , Madrid , Spain.|d Red de Investigación en Servicios, Red de Servicios de Salud Orientados a Enfermedades Crónicas (REDISECC) , Madrid , Spain.|e Medicina Preventiva y Salud Pública , Universidad de Alcalá, 'Alcalá de Henares , Madrid , Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Sarria Santamera
mesh_terms: D022126:Access to Information; D000328:Adult; D005060:Europe; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D058007:Physicians, Primary Care / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration; D013038:Specialization; D011795:Surveys and Questionnaires
keywords: Primary health care; attitude of health personnel; consumer satisfaction; patient-centred care; physician; primary care; quality indicators; quality of health care/standards