Table 3.
Factors associated with physician burnout and job dissatisfaction (n=1152)
| Burnout | Job dissatisfaction | |
| OR (95% CI) | OR (95% CI) | |
| Intrinsic motivators | ||
| Practice of medicine is a calling (ref: disagree) | ||
| Agree | 0.16 (0.10 to 0.26)*** | 0.35 (0.21 to 0.57)*** |
| Neutral | 0.39 (0.23 to 0.68)*** | 0.52 (0.30 to 0.90)* |
| Personally rewarding hours per day (ref: <2.5) | ||
| 2.5–5.0 | 0.59 (0.36 to 0.99)* | 0.67 (0.41 to 1.10) |
| 5.0–7.5 | 0.34 (0.20 to 0.58)*** | 0.41 (0.24 to 0.68)*** |
| ≥7.5 | 0.25 (0.13 to 0.47)*** | 0.46 (0.26 to 0.83)* |
| Meaningful, long-term relationships with patients (ref: most) | ||
| Many | 0.62 (0.32 to 1.22) | 1.01 (0.54 to 1.89) |
| A few | 0.55 (0.28 to 1.08) | 0.87 (0.46 to 1.62) |
| None | 0.79 (0.37 to 1.71) | 0.80 (0.38 to 1.68) |
| Extrinsic motivators | ||
| Monthly income, NT$ (ref: ≥300 000) | ||
| <200 000 | 1.21 (0.77 to 1.91) | 1.72 (1.14 to 2.61)* |
| 200 000–299 999 | 1.20 (0.76 to 1.88) | 1.43 (0.95 to 2.17) |
| Work hours a week (ref: ≤40) | ||
| 41–59 | 2.12 (1.30 to 3.47)** | 1.57 (1.02 to 2.40)* |
| 60+ | 2.67 (1.54 to 4.63)*** | 1.71 (1.05 to 2.79)* |
| Am able to provide needed outpatient services (ref: disagree) | ||
| Agree | 0.89 (0.29 to 2.71) | 1.22 (0.40 to 3.76) |
| Neutral | 0.74 (0.23 to 2.39) | 0.54 (0.16 to 1.75) |
| Am able to provide needed inpatient services (ref: disagree) | ||
| Agree | 1.18 (0.34 to 4.15) | 0.36 (0.13 to 1.02) |
| Neutral | 1.15 (0.31 to 4.35) | 0.42 (0.13 to 1.32) |
| Not applicable | 2.08 (0.46 to 9.35) | 0.55 (0.15 to 2.01) |
| Pay-for-performance (ref: no) | ||
| Yes, receive bonus | 1.00 (0.58 to 1.71) | 0.85 (0.52 to 1.39) |
| Yes, do not receive bonus | 1.56 (1.02 to 2.38)* | 0.98 (0.65 to 1.48) |
| Yes, missing | 0.76 (0.12 to 4.92) | 1.96 (0.52 to 7.43) |
| Bundled payments (ref: no) | ||
| Yes, be required to share losses | 0.59 (0.33 to 1.05) | 0.96 (0.58 to 1.61) |
| Yes, be not required to share losses | 0.59 (0.36 to 0.97)* | 0.78 (0.49 to 1.23) |
| Attitudes towards the NHI | ||
| The NHI is necessary for public health (ref: disagree) | ||
| Agree | 0.53 (0.31 to 0.91)* | 0.29 (0.17 to 0.50)*** |
| Neutral | 0.42 (0.23 to 0.76)** | 0.41 (0.23 to 0.74)** |
| The NHI is a favourable system to me (ref: disagree) | ||
| Agree | 0.60 (0.37 to 0.97)* | 0.29 (0.19 to 0.46)*** |
| Neutral | 0.72 (0.45 to 1.15) | 0.61 (0.39 to 0.95)* |
| Likelihood ratio test for model: x2 | 290.11*** | 283.69 *** |
| C index | 0.80 | 0.78 |
| Hosmer and Lemeshow test: x2 | 7.61 | 10.89 |
Regressions adjusted for physician gender, age, practice site, specialties, years in practice and practice location. NT$32 equaled $1 in 2017.
*p<0.05; **p<0.01; ***p<0.001.
NHI, National Health Insurance; NT, New Taiwan.