The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
Relationships of actual and expected levels of income with GP job satisfaction: repeated cross-sectional study.
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Walker Benjamin, Anderson Michael, Ganepola Ravi, Hutchinson Joseph, Gibson Jonathan, Urwin Sean, Checkland Katherine, Sutton Matt
Аннотация
BACKGROUND: Income is known to be a key driver of job satisfaction, especially when compared with expected income. The pertinence of this for GPs is not fully understood.
AIM: To examine whether GP job satisfaction and intentions to quit are affected by actual and expected levels of income.
DESIGN & SETTING: Repeated cross-sectional study involving GPs in England. The authors analysed responses to four waves of the GP Worklife Survey (a survey of GPs in England), between 2015 and 2021.
METHOD: Linear regression models were used to examine the associations of actual income with 10 domains of job satisfaction and three aspects of intentions to quit, adjusted for potential confounders; responders' self-reported expected incomes were then added to these models. These analyses were repeated, stratifying by contract status and age.
RESULTS: Higher actual income had a statistically significant association with increased satisfaction across most job satisfaction domains except for 'Amount of variety in your job', 'Your colleagues and fellow workers', and 'Physical working conditions'. There was little evidence of a relationship between actual income and intentions to quit. Higher expected income, conditional on actual income, had a statistically significant association with reduced job satisfaction across all domains and increased intentions to quit. The relationship between expected income and intentions to work abroad in the next 5 years was stronger for GPs aged <40 years, and the relationship between actual income and job satisfaction was stronger for GP partners and for GPs aged >50 years.
CONCLUSION: Higher incomes were associated with higher job satisfaction, but lower than expected levels of income were important sources of dissatisfaction and intentions to quit.
AIM: To examine whether GP job satisfaction and intentions to quit are affected by actual and expected levels of income.
DESIGN & SETTING: Repeated cross-sectional study involving GPs in England. The authors analysed responses to four waves of the GP Worklife Survey (a survey of GPs in England), between 2015 and 2021.
METHOD: Linear regression models were used to examine the associations of actual income with 10 domains of job satisfaction and three aspects of intentions to quit, adjusted for potential confounders; responders' self-reported expected incomes were then added to these models. These analyses were repeated, stratifying by contract status and age.
RESULTS: Higher actual income had a statistically significant association with increased satisfaction across most job satisfaction domains except for 'Amount of variety in your job', 'Your colleagues and fellow workers', and 'Physical working conditions'. There was little evidence of a relationship between actual income and intentions to quit. Higher expected income, conditional on actual income, had a statistically significant association with reduced job satisfaction across all domains and increased intentions to quit. The relationship between expected income and intentions to work abroad in the next 5 years was stronger for GPs aged <40 years, and the relationship between actual income and job satisfaction was stronger for GP partners and for GPs aged >50 years.
CONCLUSION: Higher incomes were associated with higher job satisfaction, but lower than expected levels of income were important sources of dissatisfaction and intentions to quit.