Employment models for general practitioners in england: evidence from repeated surveys

IF 3.4 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-09-02 DOI:10.1016/j.healthpol.2025.105425

Jonathan Martin Gibson, Sean Urwin, Sharon Spooner, Kath Checkland, Matt Sutton

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引用次数: 0

Abstract

Background

Recruitment and retention of General Practitioners (GPs) is a global challenge in primary care. Traditionally, GPs in the UK have worked as self-employed partners. However, policy changes in England have allowed for salaried GP positions within primary care partnerships. The effects of these different employment models on recruitment and retention remain unclear.

Objective

This study investigates the impact of partnership vs. salaried employment models on GP job satisfaction, job pressures, and intentions to reduce working hours in England.

Methods

Data from nine waves of the national GP Worklife Survey (2001–2019) were analysed using multivariate regression models. The analysis adjusted for several GP characteristics, including age, gender, ethnicity, marital status, and number of children.

Results

Salaried GPs reported higher satisfaction with working hours but lower satisfaction with income compared to partner GPs. Partner GPs experienced higher job pressures and were more likely to intend to reduce their working hours within five years.

Conclusions

Flexible working arrangements, such as salaried positions, may enhance job satisfaction and retention among GPs, helping to address workforce challenges in primary care. Targeted policies are needed to mitigate job pressures and improve satisfaction, particularly among partner GPs.

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英国全科医生的就业模式：来自重复调查的证据。

背景：招聘和保留全科医生（gp）是一个全球性的挑战在初级保健。传统上，英国的普通合伙人都是自雇合伙人。然而，英国的政策变化允许在初级保健合作伙伴中有带薪全科医生职位。这些不同的雇佣模式对招聘和保留的影响尚不清楚。目的：本研究探讨了合伙与受薪雇佣模式对GP工作满意度、工作压力和减少工作时间意愿的影响。方法：采用多元回归模型对2001-2019年全国全科医生工作生活调查的九波数据进行分析。分析调整了几个全科医生特征，包括年龄、性别、种族、婚姻状况和子女数量。结果：与合伙人相比，受薪全科医生对工作时间的满意度较高，但对收入的满意度较低。合伙人全科医生的工作压力更大，更有可能打算在五年内减少工作时间。结论：灵活的工作安排，如带薪职位，可以提高全科医生的工作满意度和保留率，有助于解决初级保健中的劳动力挑战。需要有针对性的政策来减轻工作压力，提高满意度，尤其是合伙人的满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.