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

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    Author
    Hayes, H; Gibson, J; Fitzpatrick, B; Checkland, K; Guthrie, B; Sutton, M; Gillies, J; Mercer, SW
    Date
    2020-10-30
    Source Title
    BMJ Open
    Publisher
    BMJ Journals
    University of Melbourne Author/s
    Sutton, Matthew
    Affiliation
    Melbourne Institute of Applied Economic and Social Research
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Hayes, H., Gibson, J., Fitzpatrick, B., Checkland, K., Guthrie, B., Sutton, M., Gillies, J. & Mercer, S. W. (2020). Working lives of GPs in Scotland and England: cross-sectional analysis of national surveys. BMJ Open, 10 (10), pp.e042236-e042236. https://doi.org/10.1136/bmjopen-2020-042236.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252992
    DOI
    10.1136/bmjopen-2020-042236
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604859
    Abstract
    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.

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