# Factors associated with satisfaction of Italian physicians: a cross-sectional study in Rome

## TL;DR

This study examines factors affecting job satisfaction among Italian physicians in Rome, finding that night shifts and low income are strongly linked to dissatisfaction.

## Contribution

The study provides novel insights into predictors of physician satisfaction in Italy, highlighting work-life balance and income as critical factors.

## Key findings

- 49.4% of physicians reported low satisfaction, with income below €100,000/year strongly associated with dissatisfaction (OR 3.9).
- Night shifts were significantly linked to lower satisfaction (OR 1.9), and general practitioners reported the highest stress levels.
- Self-employed physicians showed the lowest stress and lowest intention to quit their profession.

## Abstract

Healthcare workers’ (HCW) quality of life and job satisfaction are critical for their well-being and performance, influencing patient outcomes and reducing burnout. Burnout, linked to excessive workloads, night shifts, and low income, is a recognized issue among HCW, exacerbated during the COVID-19 pandemic. This study aimed to explore work-life balance and professional satisfaction among members of the Physicians and Dental Surgeons Board of Rome (OMCeO Rome).

A cross-sectional survey was conducted from March to June 2023 among OMCeO Rome members. An anonymous, digitally designed questionnaire assessed sociodemographic and professional data, perceived stress, and overall satisfaction using a Likert scale. Data were analyzed descriptively, and logistic regression identified predictors of satisfaction.

The survey included 1,104 respondents, predominantly aged over 50. Satisfaction levels were polarized: 47.4% reported high satisfaction, while 49.4% expressed low satisfaction. Night shifts and income below €100,000/year were significantly associated with lower satisfaction (OR 1.9 and OR 3.9, respectively). General practitioners/primary care paediatricians reported the highest stress levels, while self-employed professionals showed the lowest stress and intention to quit.

Work-life balance challenges, including night shifts and inadequate income, strongly influence HCW job satisfaction. Addressing these factors through administrative support, reduced workloads, and targeted interventions could mitigate burnout and improve care quality. Further studies should explore systemic and individual strategies to enhance HCW well-being and professional sustainability.