Background
: Physician satisfaction has been shown to influence quality of patient care and correlates with patient satisfaction, improved continuity of care, lower patient no-show rates, and more reasonable charges for routine follow-up visits. Therefore we evaluated the recent physicians' satisfaction and factors correlated with physician satisfaction.

Methods : October 1995, we mailed a survey to 181 primary care doctors in Cheong-Ju city, Choong-Buk.

Results : 31.2% of respondents were satisfied with their jobs. Difference of overall job satisfaction was absent in sex, age, years of practice, numbers of patients, specialty, practice. Most, respondents agreed to 'Medical Insurance system is essential'(82%), 'Doctor is more important in the society'(60%), No respondent agreed to medical charge(0%) and medical investigation(0%). Most respondents were dissatisfied with change of care(87%), clinical freedom(87%), difficulty in rational settlement of sue(86%), defensive treatment(83%), The questionnaire items, worth on the work(r=0.66), choose to be a physician again(r=64%), pursue a career in medicine to their children(r=0.51) were highly correlated with overal job satisfaction. Defensive treament is negatively correlated with overall job satisfaction, but correlation coefficient was low(r=0.21).

Conclusion : Overall job satisfaction was low. About medical insurance system and medical dispute, most respondents were dissatisfied, but correlation coefficient is low. Having worth on their work demonstrated the strongest correlation with overall job satisfaction. It is suggested that efforts directed at helping physicians to derive worth from their work may be of paramount importance in oder to improve overall job satisfaction.

Background
: Abnormal liver function test is relatively common findings in medical practice. The causative diseases are viral hepatitis, alcoholic or toxic hepatitis, fatty liver and etc. Recently many numbers of hepatitis of which causes were unknown in the past were revealed the association with hepatitis C virus. This study was designed for evaluation of positive rate and causative distribution of patients with abnormal liver function test.

Methods : One hundred and twenty-three patients with abnormal liver function test were participated in this study and interviewed by preliminary questionnaires at their first visit. Liver function test including aspartate transaminase and alanine transaminase, hepatitis B viral markers(HBs Ag, anti-HBs, anti-HBc IgG), antibody to hepatitis C virus (anti-HCV) (ELISA, Abbott) and abdominal ultrasonography were done in all patients.

Results : Among 123 patients, positive rate of anti-HCV was 19.5% of 24 patients. The positive rate increased with age significantly, but was no relationship between anti-HCV positivity and the levels of enzyme(P<0.05), X² for trend). Anyone positive cases in HBV-marker were 108 patients with 33 patients of HBsAg positive and there was no relationship between anti-HCV positivity and anti-HBc positivity. Among 123 patients, fatty liver were diagnosed in 42 patients who had diabetes, obesity or history of drinking alcohols over than ethanol 60gm/day. To present the possible risk factors of hepatitis C infection, 48 patients were compared as control group with 24 patients were compared as control group with 24 patients of anti-HCV positive cases about the transfusion, operation, drug etc. But there was no significant correlation between anti-HCV positivity and possible risk factors.

Conclusion : The positive rates of anti-HCV are about 20% in patients with abnormal aminotransferase. In patients with abnormal liver function test, it is common to reveal the combined causes more than two.