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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">HPR</journal-id><journal-title-group><journal-title>Health Psychology Research</journal-title></journal-title-group><issn>TBA</issn><eissn>2420-8124</eissn><publisher><publisher-name>Health Psychology Research</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4081/hpr.2014.1527</article-id><article-categories><subj-group subj-group-type="heading"><subject>General</subject></subj-group></article-categories><title> Factors identified with higher  levels of career satisfaction  of physicians in Andalusia, Spain</title><url>https://healthpr.org/journal/HPR/2/2/10.4081/hpr.2014.1527</url><author>Peña-SánchezJuan Nicolás,LepnurmRein,Morales-AsencioJosé Miguel,DelgadoAna,DomagałaAlicja,GórkiewiczMaciej</author><pub-date pub-type="publication-year"><year>2014</year></pub-date><volume>2</volume><issue>2</issue><history><date date-type="pub"><published-time>2014-04-26</published-time></date></history><abstract>The satisfaction of physicians is a world wide issue linked with the quality of health services; their satisfaction needs to be studied from a multi-dimensional perspective, consid ering lower- and higher-order needs. The objectives of this study were to: i) measure the career satisfaction of physicians; ii) identify differences in the dimensions of career satis faction; and iii) test factors that affect higher and lower-order needs of satisfaction among physicians working in Andalusian hospitals (Spain). Forty-one percent of 299 eligible physicians participated in a study conducted in six selected hospitals. Physicians reported higher professional, inherent, and perform ance satisfaction than personal satisfaction. Foreign physicians reported higher levels of personal and performance satisfaction than local physicians, and those who received non monetary incentives had higher professional and performance satisfaction. In conclusion, physicians in the selected Andalusian hospi tals reported low levels of personal satisfac tion. Non-monetary incentives were more rele vant to influence their career satisfaction. Further investigations are recommended to study differences in the career satisfaction between foreign and local physicians.</abstract><keywords>physicians, career satisfaction,  dimensions, motivational factors, Andalusia</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>1. Smith S. Why are doctors so unhappy? BMJ 2001;322:1073-4.2. Williams E, Skinner A. Outcomes of physician job satisfaction: a narrative review, implications, and directions for future research. Health Care Manage Rev 2003;28: 119-40.3. Lepnurm R, Lockhart WS, Keegan D. A measure of daily distress in practising medicine. Can J Psychiatry 2009;54:170-80.4. Landon B, Reschovsky J, Pham H, Blumenthal D. Leaving medicine: the consequences of physician dissatisfaction. Med Care 2006;44:234-42.5. Hann M, Reeves D, Sibbald B. 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