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The Importance of Delivering High-Quality Care

• When physicians perceived themselves as providing high-quality care or their practices as facilitating their delivery of such care, they reported better professional satisfaction.
• Obstacles to such care could originate within the practice (e.g., a practice leadership unsupportive of quality improvement ideas) or could be imposed externally (e.g., payers refusing to cover necessary medical services).

The Pros and Cons of Electronic Health Records

• Physicians approved of EHRs in concept and appreciated having better ability to remotely access patient information and improvements in quality of care.
• However, for many physicians, the current state of EHR technology significantly worsened professional satisfaction in multiple ways.
• Aspects of current EHRs that were particularly common sources of dissatisfaction included poor usability, time-consuming data entry, interference with face-to-face patient care, inefficient and less fulfilling work content, inability to exchange health information, and degradation of clinical documentation.

The Value of Income Stability and Fairness

• Few physicians reported dissatisfaction with their current levels of income.
• However, physicians reported that income stability was an important contributor to overall professional satisfaction.
• Payment arrangements that were perceived as fair, transparent, and aligned with good patient care enhanced professional satisfaction.

The Cumulative Burden of Regulations

• Physicians and practice managers described the cumulative burden of externally imposed rules and regulations as having predominantly negative effects on professional satisfaction.
• At the time of the study, "meaningful use" rules for EHRs were the regulations most commonly singled out by physicians and practice leaders.