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Findings from a 1987 survey of work satisfaction among 193 consultants and junior doctors in psychiatry in Yorkshire are reported. While nearly two‐thirds of doctors report they are generally satisfied, a substantial number of consultants and junior doctors are dissatisfied with their resources, status and autonomy, and professional relationships. Regression analysis suggests that controlling for psychiatrists′ personal and professional characteristics and variables related to district management are important in explaining differences in perceived clinical autonomy and work satisfaction among psychiatrists. Opportunities for district management to help improve psychiatrist satisfaction are proposed, and the relevance of the recent White Paper Working for Patients is examined.

Begins from the premiss that job satisfaction among caring professionals is important not only for its own sake, but also for its effect on service outcomes. Presents empirical results, from four very different countries, which suggest that management‐influenced variables can help to ameliorate job dissatisfaction arising from factors such as resource constraints. Develops the thesis that cross‐cultural comparisons are a valid instrument for assessing the effect of management efforts which contribute to psychiatric satisfaction and feelings of autonomy. Establishes the need for more cross‐national investigation of the relationship of management to worker job satisfaction.