Relationship between general practitioners job characteristics and their attitudes towards self-assessment glycaemic control (S-AGLIC) practices

Abstract

The systematic adherence to S-AGliC is a key element to obtain a positive therapeutic effect in diabetic patients. METHODS Pilot study was performed to evaluate the impact of general practitioners (GPs) job characteristics and their attitudes towards S-AGliC practices and adherence among diabetic primary care (PC) patients. 24 consecutive GPs took part in the study. Five aspects of job satisfaction (current career, possibilities for qualification improvement, work in a team, cooperation and communication with specialists, and access to work equipment) and job satisfaction in general were measured on 5 item Likert type scales. Perceived supervisor (S) support was measured by short version of Greenhaus, Parasuraman ir Wromley (1990) scale. GPs had to indicate their fatigue at work as well as stress on 10 point Likert type scales. RESULTS The importance of patients’ S-AGliC practices and adherence was related with different aspects of S support for GPs: the correlation with GPs’ recognition was r=0,438, p=0,035; the correlation with the feedback provided to GPs by S was r=0,462, p=0,027; and the correlation with GPs’ development conditions was r=0,476, p=0,022. GPs’ satisfaction with possibilities for qualification improvement was related with three aspects: correlation with the impact of S-AGliC on diabetes control/correction/HbA1C% was r=0,416, p=0,043; correlation with the time, needed for GPs to consume for patients’ S AGliC was r=0,413, p=0,045; and correlation with perceived patients’ harm and benefit ratio of S-AGliC was r=0,475, p=0,019. The satisfaction with access to work equipment correlated significantly with the impact of S-AGliC on diabetes control/correction/HbA1C% as well with the time, needed for GPs to consume for patients’ S-AGliC. Patients’ S-AGliC and cooperation with his/her GP were both significantly related with doctors’ fatigue and stress at work. CONCLUSIONS The impor. [...].