• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of brjgenpracRCGP homepageJ R Coll Gen Pract at PubMed CentralBJGP at RCGPBJGP at RCGP
Br J Gen Pract. May 1992; 42(358): 181–185.
PMCID: PMC1372020

Attitudes to medical care, the organization of work, and stress among general practitioners.

Abstract

Eighty five volunteer general practitioners in Lothian region recorded clinical and contextual information on 21,000 consultations during 1987-88. During their recording sessions they reported their perceived levels of stress using a previously validated scale. Subsequently, 80 of the doctors completed a previously validated multi-dimensional scale about their attitudes to patient care. Three attitude subscales (psychological orientation, appropriateness of consultations and responsibility for decisions) correlated with processes of care previously identified as indicators of good care. The 20 doctors who scored most highly on these patient-centred scales recorded self-perceived stress in 27% of their consultations compared with 11% of the consultations of the 33 doctors who scored lowest on these scales. Among the 20 most patient-centred doctors those booking patients at eight patients per hour or more reported stress at twice as many consultations as those with a longer booking interval; doctors whose preferred working styles conflicted with their booking patterns reported stress in up to 62% of consultations. Doctors with a higher patient-centred orientation find their work more stressful. Longer booking intervals remove much of that stress, particularly when doctors' preferred style of consulting requires them to spend more time at individual consultations. Previously described work stressors offer a theoretical explanation for a problem which is important for both doctors and patients.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.1M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Irvine DH. Standards in general practice: the quality initiative revisited. Br J Gen Pract. 1990 Feb;40(331):75–77. [PMC free article] [PubMed]
  • Farmer A. Setting up consensus standards for the care of patients in general practice. Br J Gen Pract. 1991 Apr;41(345):135–136. [PMC free article] [PubMed]
  • Reynolds GA, Chitnis JG, Roland MO. General practitioner outpatient referrals: do good doctors refer more patients to hospital? BMJ. 1991 May 25;302(6787):1250–1252. [PMC free article] [PubMed]
  • Wilson A. Consultation length in general practice: a review. Br J Gen Pract. 1991 Mar;41(344):119–122. [PMC free article] [PubMed]
  • Howie JG, Porter AM, Heaney DJ, Hopton JL. Long to short consultation ratio: a proxy measure of quality of care for general practice. Br J Gen Pract. 1991 Feb;41(343):48–54. [PMC free article] [PubMed]
  • Wilson A, McDonald P, Hayes L, Cooney J. Longer booking intervals in general practice: effects on doctors' stress and arousal. Br J Gen Pract. 1991 May;41(346):184–187. [PMC free article] [PubMed]
  • Howie JG, Porter AM, Forbes JF. Quality and the use of time in general practice: widening the discussion. BMJ. 1989 Apr 15;298(6679):1008–1010. [PMC free article] [PubMed]
  • Cockburn J, Killer D, Campbell E, Sanson-Fisher RW. Measuring general practitioners' attitudes towards medical care. Fam Pract. 1987 Sep;4(3):192–199. [PubMed]
  • Raynes NV, Cairns V. Factors contributing to the length of general practice consultations. J R Coll Gen Pract. 1980 Aug;30(217):496–498. [PMC free article] [PubMed]
  • Cooper CL, Rout U, Faragher B. Mental health, job satisfaction, and job stress among general practitioners. BMJ. 1989 Feb 11;298(6670):366–370. [PMC free article] [PubMed]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...