Background
Methods
Sample and participants
Variables
Analysis
Results
Descriptive statistics
Percent | Number | |
---|---|---|
Satisfaction with professional life | ||
Satisfied (very satisfied + satisfied) | 72 | 25,009 |
Not satisfied (neutral +dissatisfied + very dissatisfied) | 20.6 | 7144 |
Missing | 7.5 | 2600 |
Total responses | 32,153 | |
Satisfaction with work-life balance | ||
Satisfied (very satisfied + satisfied) | 49 | 17,016 |
Not satisfied (neutral +dissatisfied+ very dissatisfied) | 43.5 | 15,130 |
Missing | 7.6 | 2607 |
Total responses | 32,146 |
Percent | Number | |
---|---|---|
Gender | ||
Male | 51.2 | 17,808 |
Female | 40.3 | 14,003 |
Missing | 8.5 | 2942 |
Total responses | 31,811 | |
Age group | ||
< 35 | 9.9 | 3448 |
35–44 | 19.6 | 6826 |
45–54 | 24.5 | 8528 |
55–64 | 25.8 | 8974 |
65+ | 11.5 | 4011 |
Missing | 8.5 | 2965 |
Total responses | 31,787 | |
Provincea | ||
Atlantic provinces | 8.2 | 2839 |
QC | 24.9 | 8653 |
ON | 34.4 | 11,938 |
MB + SK | 6.3 | 2193 |
AB | 10.9 | 3800 |
BC | 14.6 | 5059 |
Missing | 0.8 | 271 |
Total responses | 34,482 | |
Number of years licensed to practice medicine | ||
< 4 yrs | 13.4 | 4664 |
5–9 yrs | 11.7 | 4077 |
10–14 yrs | 9.7 | 3373 |
15-19 yrs | 8.1 | 2821 |
20+ yrs | 49.2 | 17,112 |
Missing | 7.8 | 2706 |
Total responses | 32,047 | |
Type of practice: Family medicine only or “focused practice” | ||
Family medicine only | 34.7 | 12,068 |
“Focused” practice | 59.6 | 20,720 |
Missing | 5.7 | 1966 |
Total responses | 32,788 | |
Teaching involvement | ||
Teaches | 65.1 | 22,622 |
Does not teach | 30.4 | 10,575 |
Missing | 4.5 | 1557 |
Total responses | 33,197 | |
Primary practice population | ||
Inner city | 11.4 | 3954 |
Urban/suburban | 50.3 | 17,495 |
Small town | 14.3 | 4971 |
Rural/remote | 14.4 | 5016 |
Missing | 9.5 | 3317 |
Total responses | 31,436 | |
Method of Payment | ||
> 90% Fee for service | 32.9 | 11,423 |
> 90% Other (salary+capitation+sessional+contract+incentives+other) | 17.1 | 5949 |
> 90% Blended model | 41.1 | 14,277 |
Missing | 8.9 | 3104 |
Total responses | 31,649 | |
Provides On-Call Service | ||
Yes | 59.0 | 20,506 |
No | 32.3 | 11,230 |
Missing | 8.7 | 3017 |
Total responses | 31,736 | |
Use electronic records | ||
Yes | 59.8 | 20,768 |
No | 31.9 | 11,076 |
Missing | 8.4 | 2910 |
Total responses | 31,844 | |
Total hours worked per week | ||
< 20 h | 3.9 | 1341 |
20-40 h | 21.5 | 7457 |
40–60 h | 43.9 | 15,274 |
60–80 h | 15.4 | 5343 |
80–100 h | 5.0 | 1745 |
100–120 h | 2.5 | 878 |
> 120 h | 0.4 | 123 |
Missing | 7.5 | 2593 |
Total responses | 32,161 | |
Satisfaction with remuneration model | ||
Satisfied (very satisfied + satisfied) | 53.8 | 18,685 |
Not satisfied (neutral +dissatisfied + very dissatisfied) | 38.5 | 13,389 |
Missing | 7.7 | 2679 |
Total responses | 32,074 |
Bivariate statistics
Satisfaction with professional life | Satisfaction with work-life balance | |||||
---|---|---|---|---|---|---|
% satisfied | % dissatisfied |
p-value
| % satisfied | % dissatisfied |
p-value
| |
Gender |
< 0.001
|
< 0.001
| ||||
Male |
56.6
|
53.6
|
56.9
|
54.9
| ||
Female |
43.4
|
46.4
|
43.1
|
45.1
| ||
Age group |
< 0.001
|
< 0.001
| ||||
< 35 |
11.2
|
9.6
|
11.9
|
9.7
| ||
35–44 |
20.5
|
24.8
|
19.1
|
24.2
| ||
45–54 |
25.6
|
31.4
|
23.6
|
30.5
| ||
55–64 |
28.5
|
27.4
|
29.3
|
27.1
| ||
65+ |
14.2
|
6.8
|
16.2
|
8.5
| ||
Provincea |
< 0.001
|
< 0.001
| ||||
Atlantic provinces |
7.7
|
8.5
|
8.0
|
7.8
| ||
QC |
27.6
|
16.9
|
26.6
|
23.7
| ||
ON |
34.0
|
38.1
|
34.6
|
35.3
| ||
MB + SK |
5.8
|
7.4
|
5.4
|
7.1
| ||
AB |
10.5
|
13.1
|
11.0
|
11.2
| ||
BC |
14.3
|
16.0
|
14.5
|
14.9
| ||
Number of years licensed to practice medicine |
< 0.001
|
< 0.001
| ||||
< 4 yrs |
14.7
|
14.2
|
14.2
|
15.0
| ||
5–9 yrs |
12.3
|
14.4
|
11.3
|
14.3
| ||
10–14 yrs |
10.0
|
12.4
|
9.6
|
11.5
| ||
15-19 yrs |
8.3
|
10.7
|
8.4
|
9.3
| ||
20+ yrs |
54.8
|
48.3
|
56.5
|
49.9
| ||
Practice type |
< 0.001
|
< 0.001
| ||||
Family medicine only |
33.8
|
46.8
|
34.8
|
38.8
| ||
“Focused” practice |
66.2
|
53.2
|
65.2
|
61.2
| ||
Teaching involvement |
< 0.001
|
< 0.001
| ||||
Teaches |
70.5
|
60.8
|
67.0
|
69.9
| ||
Does not teach |
29.5
|
39.2
|
33.0
|
30.1
| ||
Primary practice population |
< 0.001
|
< 0.001
| ||||
Inner city |
12.3
|
12.8
|
13.1
|
11.7
| ||
Urban/suburban |
55.3
|
57.5
|
56.8
|
54.8
| ||
Small town |
16.7
|
12.8
|
15.4
|
16.2
| ||
Rural/remote |
15.7
|
16.9
|
14.8
|
17.3
| ||
Method of Payment |
< 0.001
|
< 0.001
| ||||
> 90% Fee for service |
34.6
|
40.4
|
36.2
|
35.7
| ||
> 90% Other |
18.5
|
19.2
|
21.1
|
15.7
| ||
> 90% Blended model |
46.9
|
40.4
|
42.6
|
48.6
| ||
Provides On-Call service |
< 0.001
|
< 0.001
| ||||
Yes |
65.6
|
60.7
|
59.1
|
70.4
| ||
No |
34.4
|
39.3
|
40.9
|
29.6
| ||
Use electronic records |
< 0.001
|
< 0.001
| ||||
Yes |
64.8
|
67.5
|
62.6
|
68.5
| ||
No |
35.2
|
32.5
|
37.4
|
31.5
| ||
Total hours worked per week |
< 0.001
|
< 0.001
| ||||
< 20 h |
4.2
|
3.7
|
6.4
|
1.6
| ||
20-40 h |
23.1
|
22.7
|
30.5
|
14.7
| ||
40–60 h |
48.9
|
43.1
|
45.4
|
50.2
| ||
60–80 h |
15.7
|
19.8
|
12.1
|
21.8
| ||
80–100 h |
4.9
|
7.5
|
3.5
|
7.7
| ||
100–120 h |
2.7
|
2.7
|
1.9
|
3.7
| ||
> 120 h |
0.4
|
0.4
|
0.3
|
0.5
| ||
Satisfaction with remuneration model |
< 0.001
|
< 0.001
| ||||
Satisfied |
65.8
|
31.5
|
72.4
|
42.3
| ||
Dissatisfied |
34.2
|
68.5
|
27.6
|
57.7
|
Multivariate analysis – dissatisfaction with professional life
Variable | Adjusted Odds ratio | 95% Confidence Interval | p-value |
---|---|---|---|
Gender (female) | Reference | ||
Gender (male) | 1.00 | 0.93–1.07 | 0.963 |
Age (> 65 years old) | Reference | ||
Age (< 35 years old) | 2.63 | 2.15–3.21 | 0.000 |
Age (35–44 years old) | 2.32 | 1.96–2.74 | 0.000 |
Age (45–54 years old) | 2.51 | 2.19–2.88 | 0.000 |
Age (55–64 years old) | 2.33 | 2.05–2.65 | 0.000 |
Province (BC)a | Reference | ||
Province (Atlantic) | 1.12 | 0.98–1.28 | 0.110 |
Province (QC) | 0.76 | 0.68–0.85 | 0.000 |
Province (ON) | 1.06 | 0.96–1.17 | 0.262 |
Province (MB/SK) | 1.41 | 1.22–1.62 | 0.000 |
Province (AB) | 1.14 | 1.01–1.29 | 0.036 |
Number of years licensed (> 20) | Reference | ||
Years licensed (< 4) | 0.78 | 0.67–0.90 | 0.001 |
Years licensed (5–9) | 0.94 | 0.82–1.07 | 0.312 |
Years licensed (10–14) | 1.03 | 0.91–1.18 | 0.609 |
Years licensed (15–19) | 1.23 | 1.08–1.39 | 0.001 |
Practice type: “focused” practice | Reference | ||
Practice type: family medicine only | 1.61 | 1.50–1.72 | 0.000 |
Teaching involvement (none) | Reference | ||
Teaching involvement (teaches) | 0.70 | 0.65–0.75 | 0.000 |
Practice population (rural/remote) | Reference | ||
Practice population (inner city) | 0.97 | 0.86–1.09 | 0.577 |
Practice population (urban) | 0.77 | 0.70–0.84 | 0.000 |
Practice population (small town) | 0.62 | 0.55–0.70 | 0.000 |
Remuneration model (blended) | Reference | ||
Remuneration model (fee for service) | 0.93 | 0.86–1.01 | 0.073 |
Remuneration model (other) | 1.25 | 1.14–1.37 | 0.000 |
Provides on-call (no) | Reference | ||
Provides on-call (yes) | 0.96 | 0.90–1.03 | 0.267 |
EMR use (no) | Reference | ||
EMR use (yes) | 1.13 | 1.05–1.22 | 0.002 |
Hours worked per week (> 120) | Reference | ||
Hours per week (< 20) | 1.47 | 0.89–2.41 | 0.132 |
Hours per week (20–40) | 1.25 | 0.78–2.02 | 0.354 |
Hours per week (40–60) | 1.14 | 0.71–1.84 | 0.577 |
Hours per week (60–80) | 1.49 | 0.93–2.40 | 0.099 |
Hours per week (80–100) | 1.86 | 1.14–3.01 | 0.012 |
Hours per week (100–120) | 0.85 | 0.51–1.42 | 0.538 |
Income satisfaction (dissatisfied) | Reference | ||
Income satisfaction (satisfied) | 0.25 | 0.24–0.27 | 0.000 |
Multivariate analysis – dissatisfaction with work-life balance
Variable | Adjusted Odds Ratio | 95% Confidence Interval | p-value |
---|---|---|---|
Gender (female) | Reference | ||
Gender (male) | 0.86 | 0.82–0.92 | 0.000 |
Age (> 65 years old) | Reference | ||
Age (< 35) | 1.15 | 0.97–1.36 | 0.104 |
Age (35–44) | 1.90 | 1.66–2.18 | 0.000 |
Age (45–54) | 1.81 | 1.63–2.01 | 0.000 |
Age (55–64) | 1.46 | 1.33–1.61 | 0.000 |
Province (BC)a | Reference | ||
Province (Atlantic) | 0.84 | 0.74–0.95 | 0.005 |
Province (QC) | 1.330 | 1.21–1.46 | 0.000 |
Province (ON) | 1.040 | 0.95–1.14 | 0.378 |
Province (MB/SK) | 1.20 | 1.05–1.37 | 0.006 |
Province (AB) | 1.03 | 0.92–1.15 | 0.594 |
Number of years licensed (> 20) | Reference | ||
Years licensed (< 4) | 0.94 | 0.83–1.07 | 0.359 |
Years licensed (5–9) | 0.99 | 0.88–1.11 | 0.893 |
Years licensed (10–14) | 1.02 | 0.91–1.14 | 0.784 |
Years licensed (15–19) | 0.86 | 0.77–0.96 | 0.006 |
Practice type: focused practice | Reference | ||
Practice type: family medicine only | 1.29 | 1.22–1.37 | 0.000 |
Teaching involvement (does not teach) | Reference | ||
Teaching involvement (teaches) | 0.99 | 0.93–1.06 | 0.840 |
Practice population (rural/remote) | Reference | ||
Practice population (inner city) | 0.82 | 0.74–0.91 | 0.000 |
Practice population (urban) | 0.84 | 0.78–0.91 | 0.000 |
Practice population (small town) | 0.94 | 0.85–1.03 | 0.200 |
Remuneration model (blended) | Reference | ||
Remuneration model (fee for service) | 0.82 | 0.77–0.87 | 0.000 |
Remuneration model (other) | 0.83 | 0.77–0.90 | 0.000 |
Provides on-call (no) | Reference | ||
Provides on-call (yes) | 1.68 | 1.58–1.78 | 0.000 |
EMR use (no) | Reference | ||
EMR use (yes) | 1.22 | 1.15–1.30 | 0.000 |
Hours worked per week (> 120) | Reference | ||
Hours per week (< 20) | 0.39 | 0.25–0.60 | 0.000 |
Hours per week (20–40) | 0.64 | 0.43–0.95 | 0.027 |
Hours per week (40–60) | 1.48 | 0.99–2.20 | 0.054 |
Hours per week (60–80) | 2.25 | 1.51–3.36 | 0.000 |
Hours per week (80–100) | 2.40 | 1.59–3.62 | 0.000 |
Hours per week (100–120) | 2.11 | 1.37–3.24 | 0.001 |
Remuneration model satisfaction (dissatisfied) | Reference | ||
Remuneration model satisfaction (satisfied) | 0.25 | 0.23–0.26 | 0.000 |