Variables | Burnout | Job dissatisfaction | ||
Yes | No | Yes | No | |
% | % | % | % | |
Demographic characteristics | ||||
Gender | ||||
Male | 27.3 | 72.7 | 35.1 | 64.9 |
Female | 29.0 | 71.0 | 36.1 | 63.9 |
Age, years | ||||
<30 | 36.1 | 63.9*** | 32.7 | 67.3* |
30–39 | 37.3 | 62.7 | 40.8 | 59.2 |
40–49 | 30.9 | 69.1 | 40.7 | 59.3 |
50–59 | 23.7 | 76.3 | 30.0 | 70.0 |
≥60 | 14.2 | 85.8 | 30.5 | 69.5 |
Practice site | ||||
Clinic | 27.4 | 72.6 | 36.5 | 63.5 |
District hospital | 31.7 | 68.3 | 40.8 | 59.2 |
Regional hospital | 34.1 | 65.9 | 38.5 | 61.5 |
Academic medical centre | 24.7 | 75.3 | 31.6 | 68.4 |
Specialties | ||||
Internal medicine | ||||
No | 28.7 | 71.3 | 36.9 | 63.1 |
Yes | 28.5 | 71.5 | 32.5 | 67.5 |
Surgery | ||||
No | 29.9 | 70.1* | 36.3 | 63.7 |
Yes | 19.2 | 80.8 | 33.0 | 67.0 |
Obstetrics and gynaecology | ||||
No | 28.3 | 71.7 | 34.8 | 65.2** |
Yes | 33.1 | 66.9 | 51.7 | 48.3 |
Paediatrics | ||||
No | 29.6 | 70.4* | 37.0 | 63.0* |
Yes | 20.8 | 79.2 | 27.1 | 72.9 |
Years in practice | ||||
<10 | 34.1 | 65.9*** | 35.6 | 64.4** |
10–19 | 36.1 | 63.9 | 42.5 | 57.5 |
≥20 | 20.7 | 79.3 | 32.0 | 68.0 |
Practice location | ||||
Taipei | 28.8 | 71.2 | 38.3 | 61.7 |
Northern | 27.1 | 72.9 | 35.9 | 64.1 |
Central | 25.2 | 74.8 | 27.7 | 72.3 |
Southern | 30.9 | 69.1 | 38.6 | 61.4 |
Kao-Ping | 32.0 | 68.0 | 39.0 | 61.0 |
Eastern | 24.4 | 75.6 | 26.8 | 73.2 |
Attitudes towards the NHI | ||||
The NHI is necessary for public health | ||||
Strongly agree or agree | 23.5 | 76.5*** | 26.9 | 73.1*** |
Neutral | 31.5 | 68.5 | 47.9 | 52.1 |
Strongly disagree or disagree | 56.2 | 43.8 | 73.6 | 26.4 |
The NHI is a favourable system to me | ||||
Strongly agree or agree | 21.3 | 78.7*** | 22.1 | 77.9*** |
Neutral | 30.2 | 69.8 | 44.3 | 55.7 |
Strongly disagree or disagree | 48.7 | 51.3 | 65.1 | 34.9 |
Intrinsic motivators | ||||
Practice of medicine is a calling | ||||
Strongly agree or agree | 18.8 | 81.2*** | 29.1 | 70.9*** |
Neutral | 41.6 | 58.4 | 43.4 | 56.6 |
Strongly disagree or disagree | 72.0 | 28.0 | 68.6 | 31.4 |
Personally rewarding hours per day | ||||
<2.5 | 55.1 | 44.9*** | 58.8 | 41.2*** |
2.5–5.0 | 33.6 | 66.4 | 39.6 | 60.4 |
5.0–7.5 | 20.7 | 79.3 | 27.7 | 72.3 |
≥7.5 | 17.5 | 82.5 | 30.4 | 69.6 |
Meaningful, long-term relationships with patients | ||||
Most | 29.7 | 70.3*** | 36.1 | 63.9 |
Many | 23.9 | 76.1 | 34.5 | 65.5 |
A few | 28.5 | 71.5 | 35.6 | 64.4 |
None | 44.3 | 55.7 | 41.5 | 58.5 |
Extrinsic motivators | ||||
Monthly income, NT$ | ||||
<200 000 | 31.9 | 68.1* | 39.3 | 60.7* |
200 000–299 999 | 28.5 | 71.5 | 35.7 | 64.3 |
≥300 000 | 21.8 | 78.2 | 28.9 | 71.1 |
Work hours a week | ||||
≤40 | 17.4 | 82.6*** | 27.8 | 72.2* |
41–59 | 28.7 | 71.3 | 36.8 | 63.2 |
≥60 | 33.9 | 66.1 | 38.8 | 61.2 |
Am able to provide needed outpatient services | ||||
Strongly agree or agree | 27.8 | 72.2 | 36.6 | 63.4 |
Neutral | 33.4 | 66.6 | 29.4 | 70.6 |
Strongly disagree or disagree | 39.8 | 60.2 | 44.4 | 55.6 |
Am able to provide needed inpatient services | ||||
Strongly agree or agree | 27.2 | 72.8 | 34.5 | 65.5 |
Neutral | 39.5 | 60.5 | 36.7 | 63.3 |
Strongly disagree or disagree | 31.3 | 68.7 | 51.5 | 48.5 |
Not applicable | 28.2 | 71.8 | 37.1 | 62.9 |
Under pay-for-performance | ||||
No | 28.4 | 71.6* | 37.0 | 63.0 |
Yes, receive bonus | 21.9 | 78.1 | 27.9 | 72.1 |
Yes, do not receive bonus | 35.3 | 64.7 | 35.7 | 64.3 |
Yes, missing | 17.0 | 83.0 | 45.9 | 54.1 |
Under bundled payments | ||||
No | 30.4 | 69.6 | 36.1 | 63.9 |
Yes, be required to share losses | 24.5 | 75.5 | 40.9 | 59.1 |
Yes, be not required to share losses | 22.9 | 77.1 | 31.6 | 68.5 |
NT$32 equaled $1 in 2017.
*p<0.05; **p<0.01; ***p<0.001.
NHI, National Health Insurance; NT, New Taiwan.