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. 2001 Apr;47:737–744.

Mental health, job satisfaction, and intention to relocate. Opinions of physicians in rural British Columbia.

H V Thommasen 1, M Lavanchy 1, I Connelly 1, J Berkowitz 1, S Grzybowski 1
PMCID: PMC2018427  PMID: 11340754

Abstract

OBJECTIVE: To determine the prevalence of depression and burnout among family physicians working in British Columbia's Northern and Isolation Allowance communities. Current level of satisfaction with work and intention to move were also investigated. DESIGN: Cross-sectional, mailed survey. SETTING: Family practices in rural communities eligible for British Columbia's Northern and Isolation Allowance. PARTICIPANTS: A random sample of family physicians practising in rural BC communities. Initial response rate was 66% (131/198 surveys returned); excluding physicians on leave and in temporary situations and those who received duplicate mailings gave a corrected response rate of 92% (131/142 surveys returned). MAIN OUTCOME MEASURES: Demographics; self-reported depression and burnout; Beck Depression Inventory and Maslach Burnout Inventory scores; job satisfaction; and intention to leave. RESULTS: Self-reported depression rate was 29%; the Beck Depression Inventory indicated 31% of physicians suffered from mild to severe depression. About 13% of physicians reported taking antidepressants in the past 5 years. Self-reported burnout rate was 55%; the Maslach Burnout Inventory showed that 80% of physicians suffered from moderate-to-severe emotional exhaustion, 61% suffered from moderate-to-severe depersonalization, and 44% had moderate-to-low feelings of personal accomplishment. Depression scores correlated with emotional exhaustion scores. More than half the respondents were considering relocation. CONCLUSION: Physicians working in these communities suffer from high levels of depression and very high levels of burnout and are dissatisfied with their current jobs. More than half are considering relocating. Intention to move is strongly associated with poor mental health.

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Selected References

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  1. Appleton K., House A., Dowell A. A survey of job satisfaction, sources of stress and psychological symptoms among general practitioners in Leeds. Br J Gen Pract. 1998 Mar;48(428):1059–1063. [PMC free article] [PubMed] [Google Scholar]
  2. Bland R. C., Newman S. C., Orn H. Period prevalence of psychiatric disorders in Edmonton. Acta Psychiatr Scand Suppl. 1988;338:33–42. doi: 10.1111/j.1600-0447.1988.tb08545.x. [DOI] [PubMed] [Google Scholar]
  3. Burke R. J., Richardsen A. M. Sources of satisfaction and stress among Canadian physicians. Psychol Rep. 1990 Dec;67(3 Pt 2):1335–1344. doi: 10.2466/pr0.1990.67.3f.1335. [DOI] [PubMed] [Google Scholar]
  4. Burke R. J. Stress, satisfaction and militancy among Canadian physicians: a longitudinal investigation. Soc Sci Med. 1996 Aug;43(4):517–524. doi: 10.1016/0277-9536(95)00431-9. [DOI] [PubMed] [Google Scholar]
  5. Caplan R. P. Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managers. BMJ. 1994 Nov 12;309(6964):1261–1263. doi: 10.1136/bmj.309.6964.1261. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Chambers R. Avoiding burnout in general practice. Br J Gen Pract. 1993 Nov;43(376):442–443. [PMC free article] [PubMed] [Google Scholar]
  7. Chambers R., Campbell I. Anxiety and depression in general practitioners: associations with type of practice, fundholding, gender and other personal characteristics. Fam Pract. 1996 Apr;13(2):170–173. [PubMed] [Google Scholar]
  8. Cooper C. L., Rout U., Faragher B. Mental health, job satisfaction, and job stress among general practitioners. BMJ. 1989 Feb 11;298(6670):366–370. doi: 10.1136/bmj.298.6670.366. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Desjardins M. Physician suicide. Can something be done? Can Fam Physician. 1997 Nov;43:1900-1, 1907-9. [PMC free article] [PubMed] [Google Scholar]
  10. Firth-Cozens J., Greenhalgh J. Doctors' perceptions of the links between stress and lowered clinical care. Soc Sci Med. 1997 Apr;44(7):1017–1022. doi: 10.1016/s0277-9536(96)00227-4. [DOI] [PubMed] [Google Scholar]
  11. Forti E. M., Martin K. E., Jones R. L., Herman J. M. Factors influencing retention of rural Pennsylvania family physicians. J Am Board Fam Pract. 1995 Nov-Dec;8(6):469–474. [PubMed] [Google Scholar]
  12. Johnston C. Suicide totals for MDs sad reminder of stresses facing medicine, conference told. CMAJ. 1996 Jul 1;155(1):109–111. [PMC free article] [PubMed] [Google Scholar]
  13. Juntunen J., Asp S., Olkinuora M., Aärimaa M., Strid L., Kauttu K. Doctors' drinking habits and consumption of alcohol. BMJ. 1988 Oct 15;297(6654):951–954. doi: 10.1136/bmj.297.6654.951. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Keller K. L., Koenig W. J. Management of stress and prevention of burnout in emergency physicians. Ann Emerg Med. 1989 Jan;18(1):42–47. doi: 10.1016/s0196-0644(89)80309-9. [DOI] [PubMed] [Google Scholar]
  15. Kovess V., Valla J. P., Tousignant M. Psychiatric epidemiology in Quebec: an overview. Can J Psychiatry. 1990 Jun;35(5):414–418. doi: 10.1177/070674379003500509. [DOI] [PubMed] [Google Scholar]
  16. Linn L. S., Yager J., Cope D. W., Leake B. Factors associated with life satisfaction among practicing internists. Med Care. 1986 Sep;24(9):830–837. doi: 10.1097/00005650-198609000-00004. [DOI] [PubMed] [Google Scholar]
  17. Linn L. S., Yager J., Cope D., Leake B. Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty. JAMA. 1985 Nov 15;254(19):2775–2782. [PubMed] [Google Scholar]
  18. Lloyd S., Streiner D., Shannon S. Burnout, depression, life and job satisfaction among Canadian emergency physicians. J Emerg Med. 1994 Jul-Aug;12(4):559–565. doi: 10.1016/0736-4679(94)90360-3. [DOI] [PubMed] [Google Scholar]
  19. Mainous A. G., 3rd, Ramsbottom-Lucier M., Rich E. C. The role of clinical workload and satisfaction with workload in rural primary care physician retention. Arch Fam Med. 1994 Sep;3(9):787–792. doi: 10.1001/archfami.3.9.787. [DOI] [PubMed] [Google Scholar]
  20. Martel R. Rural medicine needs help. Can Fam Physician. 1995 Jun;41:974–976. [PMC free article] [PubMed] [Google Scholar]
  21. McCue J. D. The effects of stress on physicians and their medical practice. N Engl J Med. 1982 Feb 25;306(8):458–463. doi: 10.1056/NEJM198202253060805. [DOI] [PubMed] [Google Scholar]
  22. Parikh S. V., Wasylenki D., Goering P., Wong J. Mood disorders: rural/urban differences in prevalence, health care utilization, and disability in Ontario. J Affect Disord. 1996 Apr 26;38(1):57–65. doi: 10.1016/0165-0327(95)00096-8. [DOI] [PubMed] [Google Scholar]
  23. Post D. M. Values, stress, and coping among practicing family physicians. Arch Fam Med. 1997 May-Jun;6(3):252–255. doi: 10.1001/archfami.6.3.252. [DOI] [PubMed] [Google Scholar]
  24. Rafferty J. P., Lemkau J. P., Purdy R. R., Rudisill J. R. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol. 1986 May;42(3):488–492. doi: 10.1002/1097-4679(198605)42:3<488::aid-jclp2270420315>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
  25. Scally G. Physicians can't heal themselves. Lancet. 1996 Apr 20;347(9008):1059–1059. doi: 10.1016/s0140-6736(96)90273-1. [DOI] [PubMed] [Google Scholar]
  26. Schiedermayer D. L., Tesch B. J. Primary care physician burnout: definitions, self-assessment and treatment. Wis Med J. 1992 Apr;91(4):179-80, 182. [PubMed] [Google Scholar]
  27. Sibbald B. In your face: a new wave of militant doctors lashes out. CMAJ. 1998 Jun 2;158(11):1505–1509. [PMC free article] [PubMed] [Google Scholar]
  28. Sullivan P., Buske L. Results from CMA's huge 1998 physician survey point to a dispirited profession. CMAJ. 1998 Sep 8;159(5):525–528. [PMC free article] [PubMed] [Google Scholar]

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