Introduction: Due to the traditional, family-centric nature of the Hungarian society as well as to the high proportion of women in the medical profession, more female than male physicians may experience work-family conflict. The authors hypothesized that work-family conflict may reduce job satisfaction, an indicator of physician well-being, among female physicians. However, there is limited information about the prevalence of work-family conflict and job dissatisfaction as well as their associations among female physicians.
Aims: To explore the prevalence of work-family conflict and its relations to job dissatisfaction among Hungarian physicians.
Methods: Cross-sectional study with 219 female and 201 male physicians using self-report questionnaires.
Results: As hypothesized, female physicians reported significantly higher level of work-family conflict compared to male physician (3.0 (SD 0.9) vs. 2.6 (SD 0.9); t(df): −3.8 (418); p<.001). Furthermore, significantly more female than male physicians experienced work-family conflict often or extremely often (56% vs. 41%, respectively; χ2(df)=9.3 (1); p<.01). Significantly fewer female (55%) than male physicians (66%) reported high levels of job satisfaction (χ2(df)= 4.8 (1), p<.05). Similarly, significantly more female physicians (13%) experienced high level of job dissatisfaction compared to men (6%) (χ2(df)= 4.7 (1), p<.05). Linear regression analyses showed that work-family conflict predicts job dissatisfaction among female and all physicians (β= −0.17, 95% CI −0.31–−0.04 and β= −0.14, 95% CI −0.22–−0.04, respectively).
Conclusions: These results show that the level and prevalence of work-family conflict experienced by female physicians in Hungary is significantly higher than that among male physicians. Furthermore, these findings suggest that work-family conflict as a stressor may contribute to the development of job dissatisfaction and hence may adversely impact the well-being of female and male physicians and consequently the quality of patient care.
[1]. S. Poelmans 2001 Individual and organizational issues in work-family conflict Research Paper No. 445 IESE Barcelona.
[2]. Pongrácz, T. S., Molnár, E.: Kisgyermekes apák és anyák szülői, családi attit djei négy európai országban. (Parental and family attitudes among fathers and mothers with small children in four European countries.) KSH NKI Kutatási Jelentései. KSH Népességtudományi Kutatóintézet. Budapest. 1994, 52.
[3]. O. Tóth 2006 Modern Behaviour, Traditional Values — Changes in the Family since 1990 The Hungarian Quarterly 47 85–92.
[4]. J. R. Rizzo R. J. House S. I. Lirtzman 1970 Role conflict and ambiguity in complex organizations Admin. Sci. Quart. 15 150–163.
[5]. J. H. Greenhaus N. J. Beutell 1985 Sources and conflict between work and family roles Acad. Manage. Rev. 10 76–88.
[6]. M. R. Frone M. Russell M. L. Cooper 1992 Prevalence of work-family conflict: are work and family boundaries asymmetrically permeable? J. Organ. Behav. 13 723–729.
[7]. T. D. Allen D. E. L. Herst C. S. Bruck et al.2000 Consequences associated with work-to-family conflict: a review and agenda for future research J. Occup. Health Psychol. 5 278–308.
[8]. M. R. Frone M. Russell M. L. Cooper 1992 Antecedents and outcomes of work-family conflict: Testing a model of the work-family interface J. Appl. Psychol. 77 65–78.
[9]. M. L. M. van Hooff S. A. E. Geurts T. W. Taris et al.2005 Disentangling the causal relationships between work-home interference and employee health Scand. J. Work Environ. Health 31 15–29.
[10]. S. Ádám Z. Gyôrffy Susánszky 2008 Physician burnout in Hungary: a potential role for work-family conflict J. Health Psychol. 13 839–848.
[11]. T. D. Shanafelt K. A. Bradley J. E. Wipf et al.2002 Burnout and self-reported patient care in an internal medicine residency program Ann. Intern. Med. 136 358–367.
[12]. J. Firth-Cozens J. Greenhalgh 1997 Doctors’ perceptions of the links between stress and lowered clinical care Soc. Sci. Med. 44 1017–1022.
[13]. R. W. Rice M. R. Frone D. B. McFarlin 1992 Work-nonwork conflict and the perceived quality of life J. Organ. Behav. 13 155–168.
[14]. L. Firth D. J. Mellor K. A. Moore et al.2004 How can managers reduce employee intention to quit? J. Manag. Psychol. 19 170–187.
[15]. C. Warde W. Allen L. Gelberg 1996 Physician role conflict and resulting career changes. Gender and generational differences J. Gen. Intern. Med. 11 729–735.
[16]. S. B. Bacharach P. Bamberger S. C. Conley 1991 Work-home conflict among nurses and engineers: Mediating the impact of role stress and burnout and satisfaction at work J. Organ. Behav. 12 39–53.
[17]. V. Scarpello J. P. Campbell 1983 Job satisfaction: are all the parts there? Pers. Psychol. 36 577–600.
[18]. J. P. Wanous A. E. Reichers M. J. Hudy 1997 Overall job satisfaction: how good are single-item measures? J. Appl. Psychol. 82 247–252.
[19]. L. E. Duxbury C. A. Higgins 1991 Gender differences in work-family conflict J. Appl. Psychol. 76 60–73.
[20]. G. E. Robinson 2003 Stresses on women physicians: consequences and coping techniques Depress. Anxiety 17 180–189.
[21]. C. C. Nadelson M. T. Notman P. Lowenstein 1979 The practice patterns, life styles, and stresses of women and men entering medicine: a follow-up study of Harvard Medical School graduates from 1967–1977 J. Am. Med. Women's Assoc. 34 400–406.
[22]. L. Linn J. Yager D. Cope et al.1985 Health status, job satisfaction and life satisfaction among academic and clinical faculty J. Am. Med. Assoc. 254 2775–2783.
[23]. M. P. O'Driscoll D. R. Ilgen K. Hildreth 1992 Time devoted to job and off-job activities, interrole conflict, and affective experiences J. Appl. Psychol. 77 272–279.
[24]. U. Kinnunen S. Mauno 1998 Antecedents and outcomes of work-family conflict among employed women and men in Finland Hum. Relat. 51 157–177.
[25]. C. M. Warde K. Moonesinghe W. Allen et al.1999 Marital and parental satisfaction of married physicians with children J. Gen. Intern. Med. 14 157–165.
[26]. P. A. Bovier T. V. Perneger 2003 Predictors of work satisfaction among physicians Eur. J. Public Health 13 299–305.
[27]. K. Appleton A. House A. Dowell 1998 A survey of job satisfaction, sources of stress and psychological symptoms among general practitioners in Leeds Br. J. Gen. Pract. 48 1059–1063.
[28]. A. Murray J.E. Montgomery H. Chang et al.2001 Doctor discontent a comparison of physician satisfaction in different delivery system settings, 1986 and 1997 J. Gen. Intern. Med. 16 452–459.
[29]. E. Kossek C. Ozeki 1998 Work-family conflict, policies, and the job-life satisfaction relationship: a review and directions for organizational behavior-human resources research J. Appl. Psychol. 83 139–149.
[30]. E. B. Faragher M. Cass C. L. Cooper 2005 The relationship between job satisfaction and health: a meta-analysis Occup. Environ. Med. 62 105–112.