Nav: Home

GPs not dissatisfied with performance related pay, study finds

December 08, 2016

Linking GPs' pay to their performance has no discernible effect on their job satisfaction, a University of Manchester study of almost 2,000 UK doctors over a four-year period has found.

Based on a belief that income is a key motivating factor, many countries have introduced performance related pay for GPs. In the UK this is known as the Quality and Outcomes Framework (QOF).

There have been concerns that this payment method can have adverse effects on GP morale and the UK scheme has been watered-down and may be withdrawn. But there has been no research to back up this claim. The new findings provide evidence that performance related pay does not reduce morale.

A linked blog by the study authors is available here or from here.

For the first time the University of Manchester study links levels of payment through the QOF to the GP Worklife Survey (also carried out by Manchester) at three time points - 2004 before the QOF was introduced, 2005 and 2008.

This group comprised 1,920 GPs who were assessed on overall satisfaction and 12 other measures including hours of work and levels of autonomy, recognition and responsibility.

Dr Thomas Allen, from the University's Manchester Centre for Health Economics, led the study. He said: "Policy makers have experimented with a number of ways to prevent GPs leaving their jobs, but dropping the link between pay and performance is not one that will work."

The time-frame covered a point (2004) when GP satisfaction was very low, and the introduction of performance-related pay was one measure that tried to address this. The findings from the year after introduction and four years later in 2008, showed satisfaction had improved across the board and was not related to the proportion of income at risk.

Further changes to QOF were made in 2013, outside of this study period, which reduced the exposure of GPs to performance related pay and returned more to an older model of payment per patient.

Maintaining high satisfaction is an important issue, not just for retaining GPs, but also for ensuring the best possible quality of care is provided.

The authors of the study believe that their findings have important implications for further changes to the source of GP income. "Policymakers should not believe that dropping performance-related pay for GPs will increase their satisfaction," Dr Allen said.
The paper, 'Does the proportion of pay linked to performance affect the job satisfaction of general practitioners?' was published in the journal Social Science & Medicine. DOI: 10.1016/j.socscimed.2016.11.028

University of Manchester

Related Job Satisfaction Articles:

IBS patients (can't get no) satisfaction, UB study finds
A new University at Buffalo study of 483 patients with irritable bowel syndrome (IBS) revealed that many factors that contribute to patient satisfaction are beyond the doctor's control.
Engagement with natural environment a significant contributor to life satisfaction
Looking to improve your overall life satisfaction? Try regularly hiking in a forest or otherwise engaging with the natural environment.
Medscape doctor survey shows: Boost in job satisfaction, gender pay gap, race disparities
According to Medscape's Annual Physician Compensation Report, African-American physicians earn 15 percent less than their white colleagues, but are happier than white physicians in their jobs.
Maintaining an active sex life may lead to improved job satisfaction, engagement in work
Maintaining a healthy sex life at home boosts employees' job satisfaction and engagement at the office, underscoring the value of a strong work-life balance, an Oregon State University researcher has found.
New research examines patients' satisfaction with their radiologists
New research reports that most US radiologists receive favorable satisfaction scores from their patients.
More complications, less satisfaction in breast cancer patients who get radiation, implants
A new study finds that breast cancer patients who have implant reconstruction following radiation therapy had more complications from the surgery and were less satisfied with the result than women who had implants but no radiation.
New research explores patients' satisfaction with their radiologists
According to a new research study, most US radiologists receive favorable satisfaction scores from their patients.
Greater job satisfaction for transgender employees
Transgender individuals in the workplace can sometimes feel stigmatized, either through the actions and attitudes of their coworkers, or through their own fears of being treated as an 'other.' But recent research from Larry Martinez at Portland State University shows that the experiences of employees who transition genders is highly dependent on the interactions they have with their coworkers.
Perceived obesity causes lower body satisfaction for women than men
'Owning' an obese body produces significantly lower body satisfaction for females than males, scientists have found.
Leadership expert says political skills important to leader satisfaction
Political skill is a fundamental quality of a transformational leader and being good at it can increase job satisfaction and engagement, according to research published by Andrew Wefald, associate professor in the Staley School of Leadership Studies, and Kansas State University alumni Kyle van Ittersum and Jennifer Mencl.

Related Job Satisfaction Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Changing The World
What does it take to change the world for the better? This hour, TED speakers explore ideas on activism—what motivates it, why it matters, and how each of us can make a difference. Guests include civil rights activist Ruby Sales, labor leader and civil rights activist Dolores Huerta, author Jeremy Heimans, "craftivist" Sarah Corbett, and designer and futurist Angela Oguntala.
Now Playing: Science for the People

#520 A Closer Look at Objectivism
This week we broach the topic of Objectivism. We'll be speaking with Keith Lockitch, senior fellow at the Ayn Rand Institute, about the philosophy of Objectivism as it's taught through Ayn Rand's writings. Then we'll speak with Denise Cummins, cognitive scientist, author and fellow at the Association for Psychological Science, about the impact of Objectivist ideology on society. Related links: This is what happens when you take Ayn Rand seriously Another Critic Who Doesn’t Care What Rand Thought or Why She Thought It, Only That She’s Wrong Quote is from "A Companion to Ayn Rand"