• Ali Khan Khuwaja
  • Riaz Qureshi
  • Marie Andrades
  • Zafar Fatmi
  • Nadya Khan Khuwaja


Background: Job dissatisfaction and stress among doctors affect the quality of health care. We assessed the levels of satisfaction for workplace characteristics and job stress among doctors of three teaching hospitals in Karachi. Methods: A postal-survey was conducted between May to June 2002. Satisfaction for workplace characteristics and stress were inquired and graded by Likert scale (1=very low to 5= very high). Questions were also asked about its affect on their lives. In order to calculate the differences in means of job satisfaction and stress score by sex of doctors, chi-square and t-test with 95% confidence interval (CI) were used. Out of 270 doctors approached conveniently, 189 (70%) responded and 182 questionnaires were found complete for analysis. Results: Majority (68%) of the doctors was not satisfied with their jobs. Overall, the mean scores for satisfaction were low for workplace characteristics. Lowest scores were found for pay and benefits 2.12 (SE 0.8), safety and security 2.15 (SE 0.8) and workload 2.69 (SE 0.9). Female doctors had significantly lower satisfaction about workload (mean job satisfaction score difference = 0.60; 95%CI, 0.24-0.97), relation with colleagues (mean job satisfaction score difference = 0.49; 95%CI, 0.11-0.87) and autonomy (mean job satisfaction score difference = 0.45; 95%CI, 0.07-0.82) as compared to their male counterparts. Overall, 48% of doctors graded job stress from high to very high levels. Conclusion:Majority of doctors working at these teaching hospitals of Karachi had poor satisfaction level for workplace characteristics and higher levels of job stress. This suggests that immediate steps should be taken for their control and management. This study invites further research to explore, implement and evaluate intervention strategies for prevention of stress and improvement in job satisfaction.Keywords: job satisfaction; stress; doctors;


Michie S. Causes and management of stress at work. Occup Environ Med 2002;59:67-72.

Burbeck R, Coomber S, Robinson SM, Todd C. Occupational stress in consultants in accident and emergency medicine: a national survey of levels of stress at work. Emerg Med J 2002;19:234-38.

Blenkin H, Deary IJ, Sdler A, Agius R. Stress in NHS consultants (Letter). BMJ 1996;310:534.

Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet 1996;347:724-8

Kapur N, Borrill C, Stride C. Psychological morbidity and job satisfaction in hospital consultants and junior house officers: multicentre, cross sectional survey. BMJ 1998;317:511-12.

Lindeman S, Laara E, Hakko H, Lonnqvist J. A systematic review on gender- specific suicidal mortality in medical doctors. Br J Psychiatry 1996;168:274-9.

Murray RM. Alcoholism amongst male doctors in Scotland. Lancet 1976;729-33.

Caplan RP. Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managers. BMJ 1994;309:1261-3.

Firth-Cozens J. Emotional distress in junior house officers. BMJ 1987;295:533-6.

Weisman CS, Nathanson CA. Professional satisfaction and client outcomes: a comparative organizational analysis. Med Care 1985;23:1179-92.

Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med 2000;15:122-28.

Linn LS, Yager J, Cope D, Leake B. Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty. JAMA 1985;254:2775-82.

DiMatteo MR, Sherbourne CD, Hays RD, Ordway L, Kravitz RL, McGlynn EA, et al. Physicians’ characteristics influence patients’ adherence to medical treatment: results from the Medical Outcomes Study. Health Psychol 1993;12:93-102.

Coyle YM, Aday LA, Battles JB, Hynan LS. Measuring and predicting academic Generalists’ work satisfaction: implications for retaining faculty. Acad Med 1999;74:1021-7.

Kay LE, D’Amico F. Factors influencing satisfaction for family practice residency faculty. Fam Med 1999;31:409-14.

Appleton K, House A, Dowell A. A survey of job satisfaction, sources of stress and psychological symptoms among general practitioners in Leeds. Bir J Gen Pract 1998;48:1049-63.

Firth-Cozens J, Greenhalgh J. Doctors’ preceptions of the links between stress and lowered clinical care. Soc Sci Med 1997;44:1017-22.

DeVoe Jennifer, Fryer Jr GE, Hargraves JL, Phillips RL, Green LA. Does career dissatisfaction affects the ability of Family Physicians to deliver high-quality patient care? J Fam Pract 2002;51:223-28.

Cooper CL, Rout U, Faragher B. Mental health, job satisfaction, and stress among general practitioners. BMJ 1989;298:366-70.


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