Higher Work-Privacy Conflict and Lower Job Satisfaction in GP Leaders and Practice Assistants Working Full-Time Compared to Part-Time: Results of the IMPROVE job Study

Julian Göbel, Manuela Schmidt, Tanja Seifried-Dübon, Karen Linden, Lukas Degen, Esther Rind, Anna-Lisa Eilerts, Claudia Pieper, Matthias Grot, Brigitte Werners, Verena Schröder, Karl-Heinz Jöckel, Monika A. Rieger, Birgitta M. Weltermann and on behalf of the IMPROVEjob Consortium
Additional contact information
Julian Göbel: Institute of General Practice and Family Medicine, University Hospital Bonn, University of Bonn, Germany Venusberg-Campus 1, 53127 Bonn, Germany
Manuela Schmidt: Institute of General Practice and Family Medicine, University Hospital Bonn, University of Bonn, Germany Venusberg-Campus 1, 53127 Bonn, Germany
Tanja Seifried-Dübon: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Osianderstraße 5, 72076 Tuebingen, Germany
Karen Linden: Institute of General Practice and Family Medicine, University Hospital Bonn, University of Bonn, Germany Venusberg-Campus 1, 53127 Bonn, Germany
Lukas Degen: Institute of General Practice and Family Medicine, University Hospital Bonn, University of Bonn, Germany Venusberg-Campus 1, 53127 Bonn, Germany
Esther Rind: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tuebingen, Wilhelmstr. 27, 72074 Tuebingen, Germany
Anna-Lisa Eilerts: Institute for Medical Informatics, Biometry and Epidemiology, University Hospital Essen, Hufelandstr. 55, 45147 Essen, Germany
Claudia Pieper: Institute for Medical Informatics, Biometry and Epidemiology, University Hospital Essen, Hufelandstr. 55, 45147 Essen, Germany
Matthias Grot: Institute of Management, Operations Research, Ruhr University Bochum, Universitätsstr. 150, 44801 Bochum, Germany
Brigitte Werners: Institute of Management, Operations Research, Ruhr University Bochum, Universitätsstr. 150, 44801 Bochum, Germany
Verena Schröder: Center for Clinical Trials, University Hospital Essen, Hufelandstr. 55, 45147 Essen, Germany
Karl-Heinz Jöckel: Center for Clinical Trials, University Hospital Essen, Hufelandstr. 55, 45147 Essen, Germany
Monika A. Rieger: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tuebingen, Wilhelmstr. 27, 72074 Tuebingen, Germany
Birgitta M. Weltermann: Institute of General Practice and Family Medicine, University Hospital Bonn, University of Bonn, Germany Venusberg-Campus 1, 53127 Bonn, Germany
on behalf of the IMPROVEjob Consortium: Collaborators of the IMPROVE job Consortium are indicated in the Acknowledgments section.

IJERPH, 2022, vol. 19, issue 5, 1-10

Abstract: Background: Work-privacy conflict (WPC) has become an important issue for medical professionals. The cluster-randomized controlled IMPROVE job study aimed at improving job satisfaction (primary outcome), with additional outcomes such as examining the work-privacy conflict in German general practice personnel. Using baseline data of this study, the relationship between work-privacy conflict and job satisfaction (JS) was analyzed. In addition, factors associated with higher WPC were identified. Methods: At baseline, 366 participants (general practitioners (GPs) in leadership positions, employed general practitioners, and practice assistants) from 60 German practices completed a questionnaire addressing socio-demographic data and job characteristics. Standardized scales from the German version of the COPSOQ III requested data concerning job satisfaction and work-privacy conflict. Both scores range from 0 (lowest) to 100 (highest). Multilevel analysis accounted for the clustered data. Statistical analyses were performed using IBM SPSS and RStudio software, with a significance level set at p < 0.05. Results: Job satisfaction was 77.16 (mean value; SD = 14.30) among GPs in leadership positions ( n = 84), 79.61 (SD = 12.85) in employed GPs ( n = 28), and 72.58 (SD = 14.42) in practice assistants ( n = 254). Mean values for the WPC-scale were higher for professionals with more responsibilities: GPs in leadership positions scored highest with 64.03 (SD = 29.96), followed by employed physicians (M = 45.54, SD =30.28), and practice assistants (M = 32.67, SD = 27.41). General practitioners and practice assistants working full-time reported significantly higher work-privacy conflict than those working part-time ( p < 0.05). In a multilevel analysis, work-privacy conflict was significantly associated with job satisfaction ( p < 0.001). A multiple regression analysis identified working hours, as well as and being a practice owner or an employed physician as factors significantly influencing WPC. Discussion: WPC was high among general practice leaders and practice personnel working full-time. Future interventions to support practice personnel should focus on reducing WPC, as there is good evidence of its effects on job satisfaction.

Keywords: work-privacy conflict; job satisfaction; general practitioner; general practice leader; practice assistant; primary care; working conditions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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