Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Professional Job Perception, Job Stress and Job Satisfaction of Doctors Practicing in Local Clinic in Daegu City

개원의사들의 전문직업성과 직무스트레스가 직업만족도에 미치는 영향

  • Jin, Dae-Gu (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Kang, Yune-Sik (Department of Preventive Medicine, School of Medicine, Gyeongsang National University and Institute of Health Science) ;
  • Cho, Yong-Kee (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Sang-Won (Department of Preventive Medicine. Catholic University of Daegu School of Medicine) ;
  • Kim, Jong-Yeon (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Ahn, Soon-Gi (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Chun, Byung-Yeol (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Yeh, Min-Hae (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Kam, Sin (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
  • 진대구 (경북대학교 의과대학 예방의학교실) ;
  • 강윤식 (경상대학교 의과대학 예방의학교실 및 건강과학연구원) ;
  • 조용기 (경북대학교 의과대학 예방의학교실) ;
  • 이상원 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 김종연 (경북대학교 의과대학 예방의학교실) ;
  • 안순기 (경북대학교 의과대학 예방의학교실) ;
  • 천병렬 (경북대학교 의과대학 예방의학교실) ;
  • 예민해 (경북대학교 의과대학 예방의학교실) ;
  • 감신 (경북대학교 의과대학 예방의학교실)
  • Published : 2003.06.01
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Abstract

Objective : This study was conducted in order to investigate professional job perception, job stress and job satisfaction in doctors. Method : The authors conducted a survey using a self-administered questionnaire, conducted between August and September,2001. The study subjects were 457 doctors practicing at local clinics in Daegu City. Results : For the professionalism scale, the score for 'sense of calling to field' and 'feeling of autonomy' were relatively high, Age, working hours per day, and perception of socioeconomic status significantly influenced the professionalism scale scores (p<0.01). For the job stress scale, the scores for 'clinical responsibility/decision' factor were the highest of all the surveyed factors. Working hours per day significantly influenced the job stress scores (p<0.01). To investigate the overall relationship between the variables, the authors conducted a linear structural equation model analysis. The equation was statistically appropriate and a good fit. The job stress, and the professionalism factors, respectively influenced job satisfaction negatively and positively (T>2.0). The working hours per day and status perception also influenced their job satisfaction (T>2.0). Conclusion : To promote the iob satisfaction of doctors, the development of coping tools and other intervention methods are needed to increase doctor's professional job perception and reduce their job stress. Further studies are required to understand the characteristics of job satisfaction and for its promotion with doctors.

Keywords

References

  1. Carr-Saunders AM, Wilson PA. Pro-fessions. Oxford:Clarendon Press; 1933. p.15-37
  2. Greenwood E. Attributes of profession. Soc Work 1957; 2(3): 45-55
  3. Gross E. Work and society. New York: Thomas Y. Cromwell; 1958
  4. Goode W. Encroachment, chalantalism, and the 'emerging profession: psychiatry, sociology and medicine. Am Sociol Rev 1960; 25: 902-914
  5. Moore WE. The professions: Roles and rules. New York:Russel Sage foundation; 1970
  6. Pavalko RM. Sociology of occupations and professions. Peacock Publishers, Inc., 1971
  7. Freidson E. Profession of medicine. New York:Dodd, Mead & Company; 1972.p.71-84
  8. Freidson E. Professional dominance. New York:Atherton Press, Inc.; 1970.p.82-104
  9. Cockerham WC. Medical sociology, 5th Ed. New Jersey:Prentice-Hall Inc.; 1992.p.67-82
  10. Park CY. A study on the trend of medical professionalism in Korea. Thesis article for the degree of doctors of philosophy. Graduate School of Yonsei University 1992; 2-12 (Korean)
  11. Hall RH. Professionalization and bureau-cratization. Am Sociol Rev 1968; 33(Feb): 92-104 https://doi.org/10.2307/2092242
  12. Kim YI, Cho BH, Cha CH. A study on professionalism of Korean medical student. J Korean Med Assoc 1983; 26(11): 1048-1052 (Korean)
  13. Haug MR. Deprofessionalization: An alternate hypothesis for the future. Sociol Rev Monogr 1973; 20(Dec): 195-211
  14. Haug MR. The erosion of professional authority : A cross-cultural inquiry in the case of the physicians. Milbank Memorial Fund Quarterly 1976; winter: 83-106
  15. Larson MS. Professionalism: Rise and fall. Int J Health Serv 1979; 9(4): 607-627 https://doi.org/10.2190/68JG-4BT4-JDW9-0LHR
  16. Reed RR, Evans D. The deprofessional-ization of medicine - causes, effects, and responses. JAMA 1987; 258(2): 3279-3282 https://doi.org/10.1001/jama.258.22.3279
  17. Cho BH. A study on professionalism and job satisfaction in doctors who practice in Korea. Korean Sociol 1994; 28(summer): 37-64 (Korean)
  18. 정경균，김영기，문창진，조병희，김정선. 보건사회학. 서울대학교 출판부; 1995,(209-283쪽)
  19. Kang YS, Kam S, Yeh MH. Intern's and resident" s professional job perception and its effect to their satisfaction. Korean J Prev Med 1997; 30(1): 209-228 (Korean)
  20. Han DS, Cho BH, Bae SS, Kim CY, Lee SI, Lee YI. A study on professional social-ization of medical students. Korean J Prev Med 1996; 29(2): 265-278 (Korean)
  21. Coombs RH. Mastering medicine: Professional socialization in medical school. New York Free Press; 1978.p.108-132
  22. McCue JD. The effects of stress on physicians and their medical careers. NEJM 1982; 306: 458-464 https://doi.org/10.1056/NEJM198202253060805
  23. Gerber LA. Married to their careers and family dilemmas in doctor' s lives. New York:Tavistock; 1983.p.36-54
  24. Bowman MA, Allen DI. Stress and women physicians. New York:Springer-Verlag; 1985
  25. Hawk J, Scott CD. A case of family medicine: Sources of stress in residents of health professionals. New York:Vruner/Mazel; 1986.p.111-156
  26. Sutherland VJ, Cooper CL. Job stress, satisfaction, and mental health among general practitioners before and after introduction of new contract. BMJ 1992; 304: 1545-1548 https://doi.org/10.1136/bmj.304.6841.1545
  27. Karasek RA Jr. Job demands, job decision latitude and mental strain: Implications for job redesign. Adm Sci Q 1979; 24: 285-308 https://doi.org/10.2307/2392498
  28. Muldary TW. Burnout and health pro-fessional: Manifestation and management. Norwalk, CT, Appletone-Century-Crofts; 1983
  29. Kim MJ. Job perception of Korean doctors. Phenomenon & Cognition 1989; 13(1,2): 26-52 (Korean)
  30. Kang YS. Professionalism, job stress and job stress of doctors. Thesis article for the degree of doctors of medical science. Graduate School of Kyungpook National University 2000(Korean)
  31. Kang YS, Kam S, Lee SW, Chun BY, Yeh MH. Job stress and related factors in South Korean doctors. Korean J Prev Med 2001; 34(2): 141-148 (Korean)
  32. Snizek WE. Hall' s professionalism scale: An emperical reassessment. Am Sociol Rev 1972; 37(Feb): 109-114 https://doi.org/10.2307/2093498
  33. Wolfgang AP. The health professions stress inventory. Psychol Rep 1988; 62: 220-222 https://doi.org/10.2466/pr0.1988.62.1.220
  34. Burke RJ, Richardsen AM. Sources of satisfaction and stress among Canadian physicians. Psychol Rep 1990; 67: 1335-1344 https://doi.org/10.2466/pr0.1990.67.3f.1335
  35. Cho BH. Structural analysis of Korean medical profession. Phenomenon & Cognition 1989; 13(1,2): 9-25 (Korean)
  36. Haug M, Lavin B. Consumerism in medi-cine: Challenging physician authority. Beverly Hills, Sage; 1983.p.35-58
  37. Cooper CL, Rout U, Faragher B. Mental health, job satisfaction, and job stress among general practitioners. BMJ 1989; 298: 366-370 https://doi.org/10.1136/bmj.298.6670.366