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Document Typology: Newspaper / Magazine article
Methodology addressed by the publication:International Classification of Functioning, Disability and Health
Title of document: Job satisfaction of primary health care physicians in Lithuania
Name of author(s): Ilona Buciuniene, Aurelija Blazeviciene and Egle Bliudziute
Name of publisher: Social Medicine Department, Kaunas Medical University, Kaunas, Lithuania
Language of the publication: English
Language of the review: English
The aim of this research paper is to study job satisfaction of physicians and general practitioners at primary health care institutions during the health care reform in Lithuania.In 1989, after regaining its independence, Lithuania inherited an extremely centralised health care system that mainly conditioned ineffective health care management and resource usage. The above situation was an outcome of the former Soviet health care policy, as it did not encourage people or the state to treasure or safeguard its citizens' health . The Soviet model of medicine that existed in Lithuania was based exclusively on the exaggerated focus and development of the hospital level, whereas the need to develop the primary health care level was practically ignored.
The situation has changed a lot though, and the current Lithuanian health policy states that priority shall be given to the development of primary health care . Later on the primary health care concept, policy and strategy were further developed in such documents as "Health to Everybody – 2000" and "Health in the 21st Century". As regards the health care policy, the above documents are considered of utmost importance in Lithuania as well as other EU countries. During the health care reform, the Lithuanian government came to a decision that the greater part of the health care budget should be allocated to primary health care
Reviewer's comments on the document:
Total job satisfaction of doctors working at primary health care establishments in Lithuania is relatively low, and compensation, social status, and workload are among the key factors that condition PHC doctors' dissatisfaction with their job.
Job satisfaction is the affective orientation that an employee has
towards his work. Greater physician satisfaction is associated with greater patient adherence and satisfaction. Nurses' job satisfaction, have great impact on the organizational success. Knowing parts of job dissatisfaction among physicians and nurses is important in forming strategies for retaining them in primary health care (PHC) centers.Also, to explore the relationship of their personal and job characteristics with job satisfaction. A descriptive cross- sectional epidemiological approach was adopted. A self completion questionnaire was distributed to physicians and nurses at PHC centers.The dissatisfying domains for majority of nurses were
professional opportunities, workload and appreciation reward. Exploring the relation between demographic and job characteristics with job satisfaction revealed that older, male, non-Saudi, specialists physicians had insignificantly higher mean score of job satisfaction than their counterparts. While older, female, non-Saudi, senior nurses had significantly higher mean score than their counterparts. It is highly recommended to reduce workload for nurses and provision of better opportunities promotional for PHC physicians and nurses.
Where to find it:

I Buciuniene, A Blazeviciene… - BMC Family Practice, 2005 -

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