Does accreditation affect the job satisfaction of general practitioners? A combined panel data survey and cluster randomised field experiment
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Does accreditation affect the job satisfaction of general practitioners? A combined panel data survey and cluster randomised field experiment. / Pedersen, Line Bjørnskov; Allen, Thomas; Waldorff, Frans Boch; Andersen, Merethe Kirstine Kousgaard.
I: Health Policy, Bind 124, Nr. 8, 2020, s. 849-855.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Does accreditation affect the job satisfaction of general practitioners? A combined panel data survey and cluster randomised field experiment
AU - Pedersen, Line Bjørnskov
AU - Allen, Thomas
AU - Waldorff, Frans Boch
AU - Andersen, Merethe Kirstine Kousgaard
PY - 2020
Y1 - 2020
N2 - A critical question for policy makers in health care is whether external interventions have unintended consequences such as lowering professionals’ job satisfaction. We investigate whether a non-monetary incentive, in the form of mandatory accreditation, affects the job satisfaction of Danish GPs. Accreditation of general practice in Denmark was introduced as a cluster randomised stepwise implementation from 2016 to 2018. We measure job satisfaction at three time points: before the randomisation took place, one year into the accreditation process and two years into the accreditation process. We use a balanced panel of GPs who have completed all three waves of the survey (n = 846) and estimate a series of random and mixed effects ordered logit models. Despite many GPs having negative attitudes towards accreditation, we find no evidence of accreditation affecting GP job satisfaction. However, there are negative associations between job satisfaction and perceiving accreditation as a tool for external control. Policy makers are therefore encouraged to carefully inform about new interventions and identify barriers to diminish pre-existing negative perceptions about the incentive.
AB - A critical question for policy makers in health care is whether external interventions have unintended consequences such as lowering professionals’ job satisfaction. We investigate whether a non-monetary incentive, in the form of mandatory accreditation, affects the job satisfaction of Danish GPs. Accreditation of general practice in Denmark was introduced as a cluster randomised stepwise implementation from 2016 to 2018. We measure job satisfaction at three time points: before the randomisation took place, one year into the accreditation process and two years into the accreditation process. We use a balanced panel of GPs who have completed all three waves of the survey (n = 846) and estimate a series of random and mixed effects ordered logit models. Despite many GPs having negative attitudes towards accreditation, we find no evidence of accreditation affecting GP job satisfaction. However, there are negative associations between job satisfaction and perceiving accreditation as a tool for external control. Policy makers are therefore encouraged to carefully inform about new interventions and identify barriers to diminish pre-existing negative perceptions about the incentive.
KW - Accreditation
KW - Denmark
KW - General practice
KW - Job satisfaction
KW - Non-monetary incentives
U2 - 10.1016/j.healthpol.2020.04.002
DO - 10.1016/j.healthpol.2020.04.002
M3 - Journal article
C2 - 32540210
AN - SCOPUS:85086337815
VL - 124
SP - 849
EP - 855
JO - Health Policy
JF - Health Policy
SN - 0168-8510
IS - 8
ER -
ID: 258278080