Physician Satisfaction Levels in High-Income Countries
Primary care physicians' satisfaction with their medical practices, income, quality of care, and time spent with patients varies across high-income countries. Sweden, France, and Switzerland stand out for higher overall satisfaction levels, while concerns over quality of care since the COVID-19 pandemic are evident in many countries.
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Less than half of primary care physicians in most countries were satisfied overall with their medical practices only Sweden, France, and Switzerland reported higher levels of satisfaction. Percentage of physicians who said they were extremely or very satisfied with their overall medical practice 66% 53% 53% 48% 47% 44% 42% 38% 38% 31% UK* GER* AUS* NZ CAN US NETH SWE* FRA SWIZ* * Statistically significant difference compared to US or comparator bar at p<.05 level. Note: Satisfaction with overall medical practice includes respondents who reported they were extremely or very satisfied with at least one of the following aspects of practicing primary care: income from medical practice, time spent with each patient, daily workload, time spent on administrative work, or work life balance. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
Even among primary care physicians who expressed satisfaction, more than a third of physicians in half the countries reported the quality of care they provide has worsened since the COVID-19 pandemic. Percentage of satisfied physicians^ who said the quality of care they provide has worsened somewhat or a lot 45% 43% 38% 38% 35% 32% 22% 18% 14% 8% SWIZ* NETH US AUS FRA* CAN* UK* GER* NZ* SWE* * Statistically significant difference compared to US or comparator bar at p<.05 level. ^ Satisfaction with overall medical practice includes respondents who reported they were extremely or very satisfied with at least one of the following aspects of practicing primary care: income from medical practice, time spent with each patient, daily workload, time spent on administrative work, or work life balance. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
Less than half of primary care physicians in all countries were satisfied with their income. Percentage of physicians who said they were extremely or very satisfied with income from their medical practice 44% 41% 40% 33% 33% 32% 31% 31% 23% 17% AUS* UK* NZ US CAN FRA GER NETH* SWIZ* SWE* * Statistically significant difference compared to US or comparator bar at p<.05 level. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
In every country, less than a third of primary care physicians were satisfied with the amount of time they spent with each patient, with rates lower than 1 in 10 in Sweden, Germany, and the U.K. Percentage of physicians who said they were extremely or very satisfied with the amount of time they spent with each patient 33% 24% 23% 22% 18% 13% 12% 9% 7% 7% UK* GER* SWE* NETH* NZ* AUS CAN US FRA SWIZ* * Statistically significant difference compared to US or comparator bar at p<.05 level. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
Except for Switzerland, less than 2 in 10 primary care physicians were satisfied with their daily workload. Percentage of physicians who said they were extremely or very satisfied with their daily workload 30% 17% 16% 12% 12% 9% 9% 6% 5% 4% UK* GER* NETH* NZ* SWE* CAN* AUS FRA US SWIZ* * Statistically significant difference compared to US or comparator bar at p<.05 level. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
More than 9 in 10 primary care physicians felt they spent too much time on administrative work. Percentage of physicians who said they were not satisfied with the time spent on administrative work 97% 96% 96% 96% 96% 95% 94% 94% 94% 91% US AUS NZ FRA SWIZ* CAN* NETH* UK* SWE* GER* * Statistically significant difference compared to US or comparator bar at p<.05 level. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
Less than a third of primary care physicians in every country but Switzerland were satisfied with their work life balance. Percentage of physicians who said they were extremely or very satisfied with their work life balance 33% 23% 20% 20% 19% 19% 14% 13% 11% 8% GER* UK* CAN* NETH* US NZ SWE AUS FRA* SWIZ* * Statistically significant difference compared to US or comparator bar at p<.05 level. Data: 2022 Commonwealth Fund International Health Policy Survey. Source: Evan D. Gumas et al., Overworked and Undervalued: Unmasking Primary Care Physicians' Dissatisfaction in 10 High-Income Countries: Findings from the 2022 International Health Policy Survey (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/t0y2-6k44
