General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study

Abstract Background The mental health and well-being of GPs is a critical issue as they play a vital role in providing healthcare services to individuals and communities. Research has shown that GPs often face high levels of stress, burnout, and mental health problems due to their demanding work env...

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Main Authors: Joanna Cholewa, Cecile Ponsar, Ségolène de Rouffignac, Benoit Pétré, Esther Van Poel, Sara Willems, Michel De Jonghe
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Primary Care
Subjects:
Online Access:https://doi.org/10.1186/s12875-024-02341-4
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author Joanna Cholewa
Cecile Ponsar
Ségolène de Rouffignac
Benoit Pétré
Esther Van Poel
Sara Willems
Michel De Jonghe
author_facet Joanna Cholewa
Cecile Ponsar
Ségolène de Rouffignac
Benoit Pétré
Esther Van Poel
Sara Willems
Michel De Jonghe
author_sort Joanna Cholewa
collection DOAJ
description Abstract Background The mental health and well-being of GPs is a critical issue as they play a vital role in providing healthcare services to individuals and communities. Research has shown that GPs often face high levels of stress, burnout, and mental health problems due to their demanding work environment. During the COVID-19 pandemic, GPs faced additional challenges which further impacted their mental health and well-being. This study aims to investigate the impact of systemic work-related stressors on the level of well-being of GPs in Belgium during the pandemic, with a particular emphasis on identifying regional variations between Flanders, Wallonia, and Brussels-Capital. Methods Data were collected with a self-reported online questionnaire from 479 GPs Belgian practices between December 2020 and August 2021 as part of the international PRICOV-19 study that explored the organization of general practices during COVID-19 in 38 countries to guarantee safe, effective, patient-centered, and equitable care. Well-being was evaluated by the Mayo Clinic's expanded 9-item well-being index. Results The findings of this study reveal notable regional discrepancies in the degree of well-being experienced by Belgian GPs, with the Walloon region displaying the lowest level of well-being (37%) in a population highly susceptible to professional distress (57%). Among the key stressors contributing to such distress, financial difficulties among patients (p < 0.011), the fee-for-service payment system (p = 0.013), a lack of work-related purpose (p = 0.047), and inadequate work-life balance (p < 0.001) were identified as significant factors. When examining the influence of regional disparities, it was found that the sole significant interaction between work-related stressors and region regarding the probability of experiencing distress was related to the possibility of workload sharing among practice personnel. Conclusion The findings from this study underscore the imperative for more comprehensive research aimed at scrutinizing the differences in well-being across the three regions in Belgium and identifying the systemic factors that influence the practice environment, as opposed to exclusively concentrating on enhancing individual resilience.
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spelling doaj.art-0e2f991df4ec4b71a4caf51023a04b6a2024-04-14T11:23:39ZengBMCBMC Primary Care2731-45532024-04-0124S111310.1186/s12875-024-02341-4General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 studyJoanna Cholewa0Cecile Ponsar1Ségolène de Rouffignac2Benoit Pétré3Esther Van Poel4Sara Willems5Michel De Jonghe6Academic Center of General Medicine, Faculty of Medicine and Dentistry, UCLouvainAcademic Center of General Medicine, Faculty of Medicine and Dentistry, UCLouvainAcademic Center of General Medicine, Faculty of Medicine and Dentistry, UCLouvainDepartment of Public Health Sciences, Liège UniversityDepartment of Public Health and Primary Care, Ghent UniversityDepartment of Public Health and Primary Care, Ghent UniversityAcademic Center of General Medicine, Faculty of Medicine and Dentistry, UCLouvainAbstract Background The mental health and well-being of GPs is a critical issue as they play a vital role in providing healthcare services to individuals and communities. Research has shown that GPs often face high levels of stress, burnout, and mental health problems due to their demanding work environment. During the COVID-19 pandemic, GPs faced additional challenges which further impacted their mental health and well-being. This study aims to investigate the impact of systemic work-related stressors on the level of well-being of GPs in Belgium during the pandemic, with a particular emphasis on identifying regional variations between Flanders, Wallonia, and Brussels-Capital. Methods Data were collected with a self-reported online questionnaire from 479 GPs Belgian practices between December 2020 and August 2021 as part of the international PRICOV-19 study that explored the organization of general practices during COVID-19 in 38 countries to guarantee safe, effective, patient-centered, and equitable care. Well-being was evaluated by the Mayo Clinic's expanded 9-item well-being index. Results The findings of this study reveal notable regional discrepancies in the degree of well-being experienced by Belgian GPs, with the Walloon region displaying the lowest level of well-being (37%) in a population highly susceptible to professional distress (57%). Among the key stressors contributing to such distress, financial difficulties among patients (p < 0.011), the fee-for-service payment system (p = 0.013), a lack of work-related purpose (p = 0.047), and inadequate work-life balance (p < 0.001) were identified as significant factors. When examining the influence of regional disparities, it was found that the sole significant interaction between work-related stressors and region regarding the probability of experiencing distress was related to the possibility of workload sharing among practice personnel. Conclusion The findings from this study underscore the imperative for more comprehensive research aimed at scrutinizing the differences in well-being across the three regions in Belgium and identifying the systemic factors that influence the practice environment, as opposed to exclusively concentrating on enhancing individual resilience.https://doi.org/10.1186/s12875-024-02341-4General practicePrimary careQuality of careDistressWell-beingCOVID-19
spellingShingle Joanna Cholewa
Cecile Ponsar
Ségolène de Rouffignac
Benoit Pétré
Esther Van Poel
Sara Willems
Michel De Jonghe
General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study
BMC Primary Care
General practice
Primary care
Quality of care
Distress
Well-being
COVID-19
title General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study
title_full General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study
title_fullStr General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study
title_full_unstemmed General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study
title_short General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study
title_sort general practitioners well being in belgium results from the cross sectional pricov 19 study
topic General practice
Primary care
Quality of care
Distress
Well-being
COVID-19
url https://doi.org/10.1186/s12875-024-02341-4
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