Are Argentine Shoulder and Elbow Surgeons the Worst Treated in Ibero-America?
Comparison of Fees and Level of Satisfaction Between Members of the Asociación Argentina de Cirugía de Hombro y Codo and Colleagues From Ibero-America
Abstract
An adequate level of job satisfaction of the members of a health team is essential to guarantee the quality of the services provided, generate personal commitment, stimulate the desire to update, and promote retention within the system. We have not found any publication that specifically addresses this issue in the field of Orthopedics and Traumatology in our setting. The objective of this study is to know how the specialists who belong to the Argentine Association of Shoulder and Elbow Surgery perceive their working conditions, what their remuneration is and their degree of satisfaction, and to compare them with equivalents from other IberoAmerican countries. The results of the survey showed low average levels of satisfaction in the Argentine professionals surveyed. There are statistically significant differences with professionals from other Ibero-American countries both in terms of remuneration and wellbeing indices. If there are no profound changes in the healthcare system, the remuneration and the working conditions, sooner or later consequences will appear that will affect not only professionals but also patients and the system in general.Downloads
References
Surman G, Lambert TW, Goldacre M. Doctors’ enjoyment of their work and satisfaction with time available for
leisure: UK time trend questionnaire-based study. Postgrad Med J 2016;92(1086):194-200.
https://doi.org/10.1136/postgradmedj-2015-133743
Urriago Niño PA. Satisfacción laboral y personal del médico y su relación con la satisfacción del usuario respecto a la calidad de atención percibida en una IPS de alta complejidad, Medellín 2017. Grupo de investigación
Observatorio de la salud pública. Línea de investigación Auditoría en salud Universidad CES. Medellín – 2018.
Disponible en: https://repository.ces.edu.co/handle/10946/4197 [Consulta: 2 de junio, 2022]
Sobrequés J, Cebrià J, Segura J, Rodríguez C, García M, Juncosa S. La satisfacción laboral y el desgaste profesional de los médicos de atención primaria. Aten Primaria 2003;31(4):227-33. https://doi.org/10.1016/s0212-6567(03)79164-1
Curry EJ, Rieger R, Matzkin EG. Compensation and satisfaction in Orthopaedics. Orthop J Harv Med Sch
;16:23-30. Disponible en: http://www.orthojournalhms.org/16/pdfs/volume16_23_30.pdf
Firth-Cozens J. Doctor satisfaction and the effects on quality – Discussion. Professions and Professionalism
;5(1). https://doi.org/10.7577/pp.1332
Casalino LP, Crosson FJ. Physician satisfaction and physician well-being: should anyone care? Professions and
Professionalism 2015;5(1). https://doi.org/10.7577/pp.95
Scheurer D, McKean S, Miller J, Wetterneck T. U.S. physician satisfaction: a systematic review. J Hosp Med
;4(9):560-8. https://doi.org/10.1002/jhm.496
Mir H, Downes K, Chen AF, Grewal R, Kelly DM, Lee MJ, et al. Physician wellness in orthopaedic surgery: a
multinational survey study. Bone Jt Open 2021;2(11):932-9. https://doi.org/10.1302/2633-1462.211.BJO-2021-0153
Rosta J. Hospital doctors’ working hours in Germany – preliminary data from a national survey in autumn
Dtsch Arztebl 2007;104:A-2417. Disponible en: https://www.researchgate.net/profile/Judith-Rosta/
publication/289232570_Hospital_doctors’_working_hours_in_Germany_-_Preliminary_data_from_a_national_
survey_in_autumn_2006/links/5a951a11aca272140567a40e/Hospital-doctors-working-hours-in-Germany-Preliminarydata-from-a-national-survey-in-autumn-2006.pdf
Yu J, Zou F, Sun Y. Job satisfaction, engagement, and burnout in the population of orthopedic surgeon and
neurosurgeon trainees in mainland China. Neurosurg Focus 2020;48(3):1-8. https://doi.org/10.3171/2019.12.FOCUS19830
Mahmood JI, Grotmol KS, Tesli M, Moum T, Andreassen O, Tyssen R. Life satisfaction in Norwegian medical
doctors: a 15-year longitudinal study of work-related predictors. BMC Health Serv Res 2019;19(1):729.
https://doi.org/10.1186/s12913-019-4599-7
Atif K, Khan HU, Maqbool S. Job satisfaction among doctors, a multi-faceted subject studied at a tertiary care
hospital in Lahore. Pak J Med Sci 2015;31(3):610-4. https://doi.org/10.12669/pjms.313.7402
Locke EA. What is job satisfaction? Organizational Behavior and Human Performance 1969;4(4):309-36.
https://doi.org/10.1016/0030-5073(69)90013-0
Arora M, Diwan DA, Harris IA. Orthopaedic surgeons are highly satisfied with their careers: Results
from a Nationwide Cross-Sectional Study. Int J Orthop 2014;1(4):1-8. Disponible en: http://96.126.98.199/index.php/ijo/article/view/876/1084
Farley FA, Kramer J, Watkins-Castillo S. Work satisfaction and retirement plans of orthopaedic surgeons 50 years of age and older. Clin Orthop Relat Res 2008;466(1):231-8. https://doi.org/10.1007/s11999-007-0014-5
Martin KL. Medscape Orthopedist Compensation Report 2020. Disponible en: https://www.medscape.com/
slideshow/2020-compensation-orthopedist-6012741#1 [Consulta: 2 de junio, 2022]
Truumees E. Are we paid too much? Commentary. AAOS NOW 2019 Disponible en:
https://www.aaos.org/aaosnow/2019/sep/commentary/commentary01/ [Consulta: 2 de junio, 2022]
Pasquali M. ¿Cuánto cuesta un metro cuadrado en América Latina? Statista 2021. Disponible en: https://es.statista.com/grafico/18134/precio-de-venta-por-metro-cuadrado-de-un-apartamento-en-america-latina/ [Consulta: 2 de junio, 2022]
Krugh C. Study: Doctors get paid best in rural areas and lower-cost cities. Disponible en: https://www.
doctordisability.com/study-doctors-get-paid-best-rural-areas-lower-cost cities/#:~:text=It%20turns%20out%20the%20big,Francisco%20and%20New%20York%20City. [Consulta: 2 de junio, 2022].
Hadley J, Mitchell JM. The growth of managed care and changes in physicians’ incomes, autonomy, and
satisfaction, 1991-1997. Int J Health Care Finance Econ 2002;2(1):37-50. https://doi.org/10.1023/a:1015397413797
Linn LS, Brook RH, Clark VA, Davies AR, Fink A, Kosecoff J, et al. Work satisfaction and career aspirations of
internists working in teaching hospital group practices. J Gen Intern Med 1986;1(2):104-8.
https://doi.org/10.1007/BF02599813
Prins JT, Hoekstra‐Weebers JEHM, Gazendam‐Donofrio SM, Dillingh GS, Bakker AB, Huisman M, et al. Burnout
and engagement among resident doctors in the Netherlands: a national study. Med Educ 2010;44(3):236-47.
https://doi.org/10.1111/j.1365-2923.2009.03590.x
National Health Service (2011). NHS Survey. NHS Staff Management and Health Service Quality. Disponible en: www.gov.uk/government/publications/nhs-staff-management-and-health-service-quality [Consulta: 2 de junio, 2022].
Diario Clarin. Problemas para los afiliados de prepagas: por qué cada vez más médicos dejan de atenderlos.
Disponible en: https://www.clarin.com/sociedad/problemas-afiliados-prepagas-vez-medicos-dejan-atenderlos_0_
C29vy8scbm.html 17/4/22 [Consulta: 2 de junio, 2022].
Wall TD, Bolden RI, Borrill CS, Carter AJ, Golya DA, Hardy GH, et al. Minor psychiatric disorder in NHS trust
staff: occupational and gender differences. Br J Psychiatry 1997;171(6):519-23. https://doi.org/10.1192/bjp.171.6.519
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