Health Economics and Management Review (Sep 2024)
Impediments to Physicians’ Workplace Contentment and Wellness: A Multifaceted Qualitative Inquiry
Abstract
Medical practice is influenced by numerous factors. The purpose of this study is to explore the challenges faced by physicians and their respective outcomes. Given the purpose of research is to comprehend the social phenomenon in the context of healthcare, research design is phenomenology. Data were gathered through semi-structured interviews with physicians working all over Pakistan. The snowball sampling technique was used to recruit interviewees for the study. The interview transcriptions were analyzed and categorized into codes and themes using qualitative data analysis (QDA miner) software. The healthcare sector presents numerous challenges for physicians, affecting their personal and professional well-being. Thematic analysis of qualitative data revealed that physicians’ contentment is contingent upon career by choice, sense of service and achievement, personality-job fit, and nobility of the medical profession. The most common challenges faced by physicians are poor work-life balance, lack of institutional support, and disgruntled patients. There are some unique challenges that Pakistani physicians face more regularly. For example, about half of the respondents are concerned about the poor work-life balance that medical doctors face. Similarly, another major challenge is the disrespectful behavior of some patients or their family members. Additionally, physicians regularly face barriers due to institutional issues, gender biases associated with cultural upbringing, lack of adequate behavioral and interpersonal training, poor compensation for medical doctors and other healthcare professionals, lack of respect, and never-ending assessments and monitoring throughout their medical career. Skills like emotional regulation and social abilities are most vital to the medical profession. The study also identified themes on physicians’ work ethic, exhaustion levels, and the subsequent coping mechanisms employed to mitigate exhaustion. This study contributes to the discussion on certain lesser-discussed topics pertaining to the healthcare sector. These include choosing to practice medicine out of free volition, gender disparity, coping mechanisms to curb exhaustion, and the need for socio-behavioral training of physicians through a revised medical curriculum. This study assists healthcare administrators in learning and addressing the primary physicians’ grievances and neutralizing their negative individual and organizational outcomes. Human beings often attribute certain outcomes and behaviors to situational and cultural factors, since our unconscious thoughts are heavily influenced by programmed and reprogrammed norms, mores, and values. The mix of genetic and environmental factors, socialization, and unique personal experiences enable all workers to make choices that help them serve society, and this is certainly the case with healthcare professionals as they save lives, enhance quality of life, and/or reduce human suffering through their hard work and accumulated specialized knowledge. As such, healthcare leaders, managers, and researchers are encouraged to provide sufficient training and resources for all physicians and their colleagues so they can better serve society.
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