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Biomedical subjects

I G Chenoweth

Publications and source records attributed to I G Chenoweth.

4 recordsLinked to original sources

Job demands and control as predictors of occupational satisfaction in general practice.

OBJECTIVE: To investigate the role of job demands and job control as predictors of job satisfaction in general practice. DESIGN AND SETTING: A descriptive postal survey of general practitioners in Victoria selected at random from the Health Insurance Commission's database. PARTICIPANTS: 353 of 562 GPs (63%) participated in the study. The demographic details of the respondents were similar to those for all GPs in Victoria. MAIN OUTCOME MEASURES: Job demands of general practice; job control in general practice; job satisfaction in general practice; effect of demands and control on job satisfaction; interactive effect of demands and control on job satisfaction. RESULTS: The "average" GP in this study perceived their work as characterised by high demands and low control. In addition, only 50% of respondents were satisfied with their work. The major determinants of job satisfaction were gender, job demands, hours worked and job control. Of these, job control was the most powerful predictor of job satisfaction. Although no evidence was found for a modifying effect of control on the relationship between demands and satisfaction, an interaction between hours worked and control was evident. CONCLUSIONS: The low level of job satisfaction in general practice is, to a degree, a reflection of the beliefs held by the "average" GP that their ability to control their work is low. As GPs who are satisfied with their work provide a higher standard of medical care, policymakers should consider the importance of maintaining professional autonomy for GPs when implementing changes aimed at achieving policy objectives.

Adult↗

HIV: patients attitudes to GPs.

OBJECTIVES: To describe the characteristics of HIV-infected patients attending hospital HIV outpatient clinics in Melbourne and to measure their attitudes to general practitioners. DESIGN: Data were collected by attending physician and by a self administered anonymous questionnaire given to patients sequentially and returned by prepaid envelope. SETTING: Tertiary hospital HIV outpatient clinics. PATIENTS: HIV-infected patients willing and able to participate. RESULTS: Response rate 61%. This sample had high occupational status and functional capacity, and 63% had had GP care before hospital attendance. Only a small number of GPs are involved, and their involvement declined after hospital care commenced. There was strong overall support for shared care, although only 7% supported predominant care by a GP in the terminal phase, and only 39% supported predominant care by a GP when completely well. The major factors determining attitude toward GPs were the GPs' attitude, confidentiality and service, with knowledge and skills being more important for GPs who have a special interest in HIV care. CONCLUSIONS: This group of patients have particular concerns about GPs that need to be addressed if GPs are to increase their involvement in HIV care.

Adult↗

HIV: a lethal masquerade.

Knowing patients over a period of time often improves quality of care. However, vigilance that a variety of 'trivial' conditions may indicate a more sinister one is always necessary.

Acquired Immunodeficiency Syndrome↗