Cargando…

Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys

OBJECTIVES: The UK faces major problems in retaining general practitioners (GPs). Scotland introduced a new GP contract in April 2018, intended to better support GPs. This study compares the career intentions and working lives of GPs in Scotland with GPs in England, shortly after the new Scotland co...

Descripción completa

Detalles Bibliográficos
Autores principales: Hayes, Helen, Gibson, Jonathan, Fitzpatrick, Bridie, Checkland, Kath, Guthrie, Bruce, Sutton, Matt, Gillies, John, Mercer, Stewart W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604859/
https://www.ncbi.nlm.nih.gov/pubmed/33127639
http://dx.doi.org/10.1136/bmjopen-2020-042236
_version_ 1783604204688900096
author Hayes, Helen
Gibson, Jonathan
Fitzpatrick, Bridie
Checkland, Kath
Guthrie, Bruce
Sutton, Matt
Gillies, John
Mercer, Stewart W
author_facet Hayes, Helen
Gibson, Jonathan
Fitzpatrick, Bridie
Checkland, Kath
Guthrie, Bruce
Sutton, Matt
Gillies, John
Mercer, Stewart W
author_sort Hayes, Helen
collection PubMed
description OBJECTIVES: The UK faces major problems in retaining general practitioners (GPs). Scotland introduced a new GP contract in April 2018, intended to better support GPs. This study compares the career intentions and working lives of GPs in Scotland with GPs in England, shortly after the new Scotland contract was introduced. DESIGN AND SETTING: Comparison of cross-sectional analysis of survey responses of GPs in England and Scotland in 2017 and 2018, respectively, using linear regression to adjust the differences for gender, age, ethnicity, urbanicity and deprivation. PARTICIPANTS: 2048 GPs in Scotland and 879 GPs in England. MAIN OUTCOME MEASURES: Four intentions to reduce work participation (5-point scales: 1=‘none’, 5=‘high’): reducing working hours; leaving medical work entirely; leaving direct patient care; or continuing medical work but outside the UK. Four domains of working life: job satisfaction (7-point scale: 1=‘extremely dissatisfied’, 7=‘extremely satisfied’); job stressors (5-point-scale: 1=‘no pressure’, 5=‘high pressure); positive and negative job attributes (5-point scales: 1=‘strongly disagree’, 5=‘strongly agree’). RESULTS: Compared with England, GPs in Scotland had lower intention to reduce work participation, including a lower likelihood of reducing work hours (2.78 vs 3.54; adjusted difference=−0.52; 95% CI −0.64 to −0.41), a lower likelihood of leaving medical work entirely (2.11 vs 2.76; adjusted difference=−0.32; 95% CI −0.42 to −0.22), a lower likelihood of leaving direct patient care (2.23 vs 2.93; adjusted difference=−0.37; 95% CI −0.47 to −0.27), and a lower likelihood of continuing medical work but outside of the UK (1.41 vs 1.61; adjusted difference=−0.2; 95% CI −0.28 to −0.12). GPs in Scotland reported higher job satisfaction, lower job stressors, similar positive job attributes and lower negative job attributes. CONCLUSION: Following the introduction of the new contract in Scotland, GPs in Scotland reported significantly better working lives and lower intention to reduce work participation than England.
format Online
Article
Text
id pubmed-7604859
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-76048592020-11-12 Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys Hayes, Helen Gibson, Jonathan Fitzpatrick, Bridie Checkland, Kath Guthrie, Bruce Sutton, Matt Gillies, John Mercer, Stewart W BMJ Open General practice / Family practice OBJECTIVES: The UK faces major problems in retaining general practitioners (GPs). Scotland introduced a new GP contract in April 2018, intended to better support GPs. This study compares the career intentions and working lives of GPs in Scotland with GPs in England, shortly after the new Scotland contract was introduced. DESIGN AND SETTING: Comparison of cross-sectional analysis of survey responses of GPs in England and Scotland in 2017 and 2018, respectively, using linear regression to adjust the differences for gender, age, ethnicity, urbanicity and deprivation. PARTICIPANTS: 2048 GPs in Scotland and 879 GPs in England. MAIN OUTCOME MEASURES: Four intentions to reduce work participation (5-point scales: 1=‘none’, 5=‘high’): reducing working hours; leaving medical work entirely; leaving direct patient care; or continuing medical work but outside the UK. Four domains of working life: job satisfaction (7-point scale: 1=‘extremely dissatisfied’, 7=‘extremely satisfied’); job stressors (5-point-scale: 1=‘no pressure’, 5=‘high pressure); positive and negative job attributes (5-point scales: 1=‘strongly disagree’, 5=‘strongly agree’). RESULTS: Compared with England, GPs in Scotland had lower intention to reduce work participation, including a lower likelihood of reducing work hours (2.78 vs 3.54; adjusted difference=−0.52; 95% CI −0.64 to −0.41), a lower likelihood of leaving medical work entirely (2.11 vs 2.76; adjusted difference=−0.32; 95% CI −0.42 to −0.22), a lower likelihood of leaving direct patient care (2.23 vs 2.93; adjusted difference=−0.37; 95% CI −0.47 to −0.27), and a lower likelihood of continuing medical work but outside of the UK (1.41 vs 1.61; adjusted difference=−0.2; 95% CI −0.28 to −0.12). GPs in Scotland reported higher job satisfaction, lower job stressors, similar positive job attributes and lower negative job attributes. CONCLUSION: Following the introduction of the new contract in Scotland, GPs in Scotland reported significantly better working lives and lower intention to reduce work participation than England. BMJ Publishing Group 2020-10-30 /pmc/articles/PMC7604859/ /pubmed/33127639 http://dx.doi.org/10.1136/bmjopen-2020-042236 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle General practice / Family practice
Hayes, Helen
Gibson, Jonathan
Fitzpatrick, Bridie
Checkland, Kath
Guthrie, Bruce
Sutton, Matt
Gillies, John
Mercer, Stewart W
Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys
title Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys
title_full Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys
title_fullStr Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys
title_full_unstemmed Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys
title_short Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys
title_sort working lives of gps in scotland and england: cross-sectional analysis of national surveys
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604859/
https://www.ncbi.nlm.nih.gov/pubmed/33127639
http://dx.doi.org/10.1136/bmjopen-2020-042236
work_keys_str_mv AT hayeshelen workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT gibsonjonathan workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT fitzpatrickbridie workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT checklandkath workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT guthriebruce workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT suttonmatt workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT gilliesjohn workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys
AT mercerstewartw workinglivesofgpsinscotlandandenglandcrosssectionalanalysisofnationalsurveys