Dataset Information

Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan.

ABSTRACT:

Objective

The aim of this study was to systematically and simultaneously examine the association of intrinsic and extrinsic motivating factors with physician burnout and job dissatisfaction.

Design

A nationally representative survey was fielded from September to November 2017.

Setting

Hospitals and clinics throughout Taiwan.

Participants

A total of 6674 physicians.

Main exposure measure

The main exposure measures were intrinsic motivators (sense of calling, personally rewarding hours per day and meaningful, long-term relationships with patients) and extrinsic motivators (income, work hours, autonomy, and pay-for-performance (P4P) and bundled payment initiatives).

Main outcome measures

The main outcome measures were physician burnout and job dissatisfaction.

Results

A total of 1152 physicians returned the surveys. More sense of calling and personally rewarding hours per day were associated with less physician burnout (OR 0.16, 95%?CI 0.10 to 0.26 and OR 0.25, 95%?CI 0.13 to 0.47, respectively) and job dissatisfaction (OR 0.35, 95%?CI 0.21 to 0.57 and OR 0.46, 95%?CI 0.26 to 0.83, respectively). Longer work hours were associated with more physician burnout (OR 2.67, 95%?CI 1.54 to 4.63) and job dissatisfaction (OR 1.71, 95%?CI 1.05 to 2.79). Not receiving P4P bonuses from their organisations was associated with more physician burnout (OR 1.56, 95%?CI 1.02 to 2.38). Not sharing the losses from caring for patients included in the bundled payment system was associated with less physician burnout (OR 0.59, 95%?CI 0.36 to 0.97).

Conclusions

Fostering a healthcare work environment that supports intrinsic motivation and improves work hours may reduce physician burnout and job dissatisfaction. Rewarding physicians fairly and equitably may prevent them from feeling burned out. Value-based care delivery and payment model innovations, such as bundled payments, may encourage healthcare professionals to coordinate care through the standardisation of care to decrease burnout.

SUBMITTER: Tung YC

PROVIDER: S-EPMC7066621 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan.

Tung Yu-Chi YC Chou Ying-Yi YY Chang Yu-Hsuan YH Chung Kuo-Piao KP

BMJ open 20200310 3

<h4>Objective</h4>The aim of this study was to systematically and simultaneously examine the association of intrinsic and extrinsic motivating factors with physician burnout and job dissatisfaction.<h4>Design</h4>A nationally representative survey was fielded from September to November 2017.<h4>Setting</h4>Hospitals and clinics throughout Taiwan.<h4>Participants</h4>A total of 6674 physicians.<h4>Main exposure measure</h4>The main exposure measures were intrinsic motivators (sense of calling, pe ...[more]

PMID: 32161163

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Dataset Information

Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan.

Objective

Design

Setting

Participants

Main exposure measure

Main outcome measures

Results

Conclusions

Publications

Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan.

Similar Datasets

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