Overall tolerability of acarbose was assessed by the treating physician using a four-point scale ("very good", "good", "sufficient", "insufficient"), and patient satisfaction with acarbose therapy was documented using a three-point scale ("very satisfied", "satisfied", "not satisfied").
Among those who have reentered active practice, men are more likely to report reasons for leaving related to the structure and practice of medicine ('hassle factor', malpractice premiums, lack of professional satisfaction, insufficient reimbursement, practice not viable) and women to report family needs (care for young children, care for other family members).
We argue that this causal relationship might be a measurement artifact and/or insufficient modeling of the satisfaction process rather than an accurate assessment of how consumers form satisfaction judgments.
Rather than ending the relationship, his wife behaves in line with her philosophy that "Love and sex are separate things," but soon turns to prostitution once her legion of sex toys prove to be insufficient tools for adequate satisfaction.
Another prospective study also showed that low job satisfaction and insufficient supervisor support were risk factors for sick leave due to low back pain [ 39].
Therefore, it receives a lot of attention in the international nursing literature but insight into the sources of nurses' job satisfaction is yet insufficient, in particular for sources related to organizational structure.
The moral satisfaction dimension presented insufficient internal consistency (0.68) and, of the others, only four had high coefficients (Cronbach's alpha > 0.80).
In the evaluation of outcomes from an overall curriculum, student satisfaction alone is insufficient [ 4], and attention must be paid to impacts on student progression, student and graduate satisfaction, career choices or preferences, and career retention.
A number of qualitative and quantitative studies have highlighted the influence of certain context specific work related factors on job satisfaction, such as insufficient remuneration, poor working conditions and the HIV/AIDS epidemic [ 27, 29, 30, 32, 33].
This result is not unique to South Africa as evidence shows that health system reforms in the Africa region [ 76] or elsewhere [ 77] tend to expand or extend the roles of health workers, but are often imposed on health workers without their inputs or with insufficient discussion, thereby affecting job satisfaction and/or health service delivery.
