Assessing the Job Satisfaction of Some Physicians in Rwanda and the Associated Factors

L. Kubwimana, J.B.A. Hakizimana, N.C. Ishimwe, G.I. Iradukunda, J. Nzisabira, N. Shimelash, R. Wong
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Abstract

Background: Previous studies have shown poor job satisfaction is a major reason causing physicians to leave their jobs. Poor job  satisfaction among physicians can also affect patient health outcomes and discourage young students from pursuing a medical career.  This study assessed the level of physician job satisfaction in Rwanda and the associated factors. Methods: This was a descriptive cross- sectional study. An online survey was conducted to assess the level of physician job satisfaction using the Physician Worklife Survey (PWS)  tool. Our sample size was 189. The tool has 41 Likert scale 5-point statements divided into ten domains. Job satisfaction was  classified as low if the average survey score was less than 3. Ethical approval was obtained from the University of Global Health Equity IRB  committee (Reference no: 0156). Results: Out of 100 respondents who filled the tool, 50% reported poor job satisfaction. The four  domains with the most reported poor satisfaction were related to low income (87.6%), lack of personal time (76.8%), dissatisfaction with  work (75.5%), and lack of resources at the workplace (74.5%). Other causes include poor infrastructure, lack of education opportunities,  and ignored physicians’ rights. Physicians who were married, specialists, had more than two years of experience and had a second job  had better satisfaction levels. Conclusion: Overall, satisfaction among physicians in Rwanda is low. The factors significantly associated  with lower satisfaction were salaries, workloads, and resources. The findings suggest that addressing financial incentives, workloads, and  resources may be effective in elevating physician job satisfaction in Rwanda.  
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评估卢旺达部分医生的工作满意度及其相关因素
背景:以往的研究表明,工作满意度低是导致医生离职的一个主要原因。医生工作满意度低还会影响患者的健康结果,并使年轻学生不愿从事医疗职业。 本研究评估了卢旺达医生的工作满意度及其相关因素。研究方法这是一项描述性横断面研究。我们使用医生工作生活调查(PWS)工具进行了在线调查,以评估医生的工作满意度。样本量为 189 人。该工具有 41 个李克特五点量表陈述,分为十个领域。如果调查的平均得分低于 3 分,则工作满意度为低。研究获得了全球健康公平大学 IRB 委员会的伦理批准(参考编号:0156)。结果在 100 名填写问卷的受访者中,50% 的人表示工作满意度较低。报告满意度较差的四个领域分别与低收入(87.6%)、缺乏个人时间(76.8%)、对工作不满意(75.5%)和工作场所缺乏资源(74.5%)有关。其他原因包括基础设施薄弱、缺乏教育机会和医生权利被忽视。已婚、专科医生、有两年以上工作经验和有第二份工作的医生的满意度较高。结论总体而言,卢旺达医生的满意度较低。与满意度较低明显相关的因素是工资、工作量和资源。研究结果表明,解决经济激励、工作量和资源问题可能会有效提高卢旺达医生的工作满意度。
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