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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

‘A sense of self, empowerment and purposefulness’: professional diversification and wellbeing in Australian general practitioners

Jill Benson A B * , Shaun Prentice https://orcid.org/0000-0002-9403-7861 A C , Penny Need B , Michelle Pitot B and Taryn Elliott B
+ Author Affiliations
- Author Affiliations

A The University of Adelaide, Adelaide, SA, Australia.

B The Royal Australian College of General Practitioners, East Melbourne, Vic., Australia.

C General Practice Training Research Department, Royal Australian College of General Practitioners, East Melbourne, Vic., Australia.

* Correspondence to: jill.benson@adelaide.edu.au

Australian Journal of Primary Health 30, PY23090 https://doi.org/10.1071/PY23090
Submitted: 8 May 2023  Accepted: 10 October 2023  Published: 9 November 2023

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

Burnout and workforce shortages comprise a vicious cycle in medicine, particularly for Australian general practitioners (GPs). Professional diversification, whereby individuals work multiple roles across their week, may help address this problem, but this strategy is under-studied.

Methods

We surveyed 1157 Australian GPs using qualitative and quantitative questions examining professional diversification, values, autonomy, and wellbeing. Quantitative data were analysed using inferential statistics, whilst qualitative data were analysed using inductive thematic analysis. We triangulated the data by using the qualitative findings to inform further quantitative testing.

Results

Approximately 40% of the sample had diversified. Although diversifying was not significantly associated with wellbeing, the qualitative data indicated that diversification supported GPs’ wellbeing by enhancing career sustainability, accomplished through various pathways (e.g. value fulfilment, autonomy, variety). Subsequent quantitative analyses provided evidence that these pathways mediated the relationship between diversification and wellbeing. To diversify, GPs needed particular personal qualities, external supports, flexibility, and serendipity. Barriers to diversifying mirrored these factors, spanning individual (e.g. skillset) and situational levels (e.g. autonomy, location).

Conclusions

Diversification can support GPs’ wellbeing if it meets their needs. Organisations should focus on publicising opportunities and accommodating requests to diversify.

Keywords: diversify, general practice, professional roles, values, wellbeing, workforce.

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