Medical specialty choice and well-being at work: Physician's personality as a moderator

Mullola, Sari; Hakulinen, Christian; Porras, David Gimeno Ruiz de; Presseau, Justin; Jokela, Markus; Vänskä, Jukka; Paunio, T.; Elovainio, Marko

doi:10.1080/19338244.2018.1448355

Cited by 13 publications

(19 citation statements)

References 70 publications

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“…An EHR acts as a supporting or distracting factor for the workflow, and this influences work well-being. However, perhaps being overall more stressed [ 13 , 14 , 17 , 18 ], primary health care physicians also experience technical problems more as a strain.…”

Section: Discussionmentioning

confidence: 99%

“…Physician well-being and work satisfaction have been studied widely [ 10 , 11 , 12 ]. Mental stress and burnout emerge in physicians more often than in the general population: for example, one fifth of Finnish physicians considered burnout as a present threat in 2015 [ 8 , 13 ]. Finnish primary care physicians are more strained than their peers as work is more solitary and the pace is often extensive.…”

Section: Introductionmentioning

confidence: 99%

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Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians

Vainiomäki

Heponiemi

Vänskä

et al. 2020

IJERPH

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Electronic health records (EHRs) have an impact on physicians’ well-being and stress levels. We studied physicians’ experiences with EHRs and their experienced time pressure and self-rated stress by an electronic questionnaire sent to Finnish physicians aged under 65 in 2017. Our sample was 2980 physicians working in the public sector, health care centers (35.5%) or hospitals (64.5%). Experienced technical problems were positively associated with experienced time pressure, whereas user-friendliness of the EHRs was negatively associated with experienced time pressure. Low perceived support for internal cooperation was associated with high levels of time pressure in hospitals. Those experiencing high levels of technical problems were 1.3 times more likely to experience stress compared to those experiencing low levels of technical problems. Better user-friendliness of the EHRs was associated with lower levels of self-rated stress. In both working environments but more strongly in primary health care, technical problems were associated with self-rated stress. Technical problems and user-friendliness of EHRs are the main factors associated with time pressure and self-rated stress. Health care environments differ in the nature of workflow having different demands on the EHRs. Developing EHR systems should consider the special needs of different environments and workflows, enabling better work well-being amongst physicians.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians

Vainiomäki

Heponiemi

Vänskä

et al. 2020

IJERPH

Self Cite

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“…O domínio do meio ambiente (p=0,032) também obteve melhor avaliação por parte dos médicos do sexo masculino no presente estudo, pelo fato de as mulheres, em geral, enfrentarem dupla ou tripla jornada de trabalho, com suas obrigações domésticas e maternas interferindo nas facetas do domínio meio ambiente, como a ambientação do lar, segurança da saúde, recreação e lazer. Além disso, estão mais expostas aos problemas físicos e mentais do que os homens, talvez por possuírem maior preocupação com os sentimentos, a autoestima, as crenças, a formação da personalidade, os processos cognitivos e outros aspectos relacionados ao desenvolvimento humano (17,18) .…”

Section: Discussionunclassified

Avaliação da qualidade de vida de médicos clínicos e cirurgiões

Sánchez

Sbroggio

Morais

et al. 2018

Rev Bras Promoc Saúde

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Objetivo: Avaliar a qualidade de vida (QV) dos profissionais da área médica de acordo com a especialidade escolhida (clínica ou cirúrgica). Métodos: Estudo transversal analítico, realizado em 2016, com médicos de clínicas e hospitais de Rio Verde, Goiás, Brasil. Utilizaram-se dois questionários: um sobre aspectos sociodemográficos e outro para avaliação da QV, o World Health Organization Quality of Life-Bref (WHOQOL-abreviado). Entregaram-se 287 questionários, sendo 144 respondidos. Dados comparativos dos domínios receberam análise ANOVA, MANOVA, MANCOVA, correlação de Pearson e regressão linear, considerando-se p˂0,05. Resultados: Encontrou-se média de idade de 37,7±10,09 anos e a maioria do sexo masculino (63,1%; n=91). O domínio físico foi, significantemente, melhor avaliado nos valores médios de QV pelo sexo masculino (p=0,002), assim como o domínio meio ambiente (p=0,031). Quando se comparou valores médios da QV e seus domínios de acordo com a atuação clínica e/ou cirúrgica dos médicos, não houve diferença significativa. Ao se comparar médicos plantonistas e não plantonistas, verificou-se que os domínios relação social (p=0,049), meio ambiente (p=0,001) e QV (p=0,024), independentes da carga horária, apresentaram piora no caso dos médicos plantonistas. Quanto maior o tempo de formado, maior a percepção do domínio meio ambiente (p=0,02). Sem diferença significativa quanto à faixa salarial. Conclusão: Não houve diferença na qualidade de vida global entre os médicos clínicos e cirurgiões avaliados, porém, quando comparado entre o sexo, o masculino obteve desempenho mais satisfatório nos domínios físico e meio ambiente. Evidenciou-se que a faixa salarial não influencia na qualidade de vida desses profissionais.

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“…Compared with most other occupational groups, physicians have a higher risk of suicide (Hawton, Agerbo, Simkin, Platt, & Mellanby, 2011;Hem et al, 2005). However, the findings of various studies regarding the prevalence and associated factors of suicide-related behaviors (Earle & Kelly, 2005;Gyorffy & Girasek, 2015;Mullola et al, 2019) are inconsistent. To date, there is only one meta-analysis of the suicide rate ratio for male and female physicians compared with the general population (Schernhammer & Colditz, 2004).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of suicide‐related behaviors among physicians: A systematic review and meta‐analysis

Dong

Zhou

et al. 2020

Suicide & Life Threat Behav

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Objective Suicide is a major cause of premature death among physicians, but the prevalence of suicide‐related behaviors (including suicidal ideation, SI and suicide attempt, SA) is inconsistent across studies. This meta‐analysis aimed to estimate the prevalence of suicide‐related behaviors among physicians and its associated factors. Methods PubMed, EMBASE, PsycINFO, and Cochrane library databases were systematically searched from commencement date to August 14, 2018. Eligible studies on the prevalence of suicide‐related behaviors among physicians were included. Results Thirty‐five eligible studies with 70,368 physicians were included. The lifetime prevalence of SI was 17.4% (95% CI: 13.8%–21.8%), while the 1‐year prevalence was 8.6% (95% CI: 7.1%–10.3%), 6‐month prevalence was 11.9% (95% CI: 2.7%–39.2%), and 1‐month prevalence was 8.6% (95% CI: 5.6%–13.0%). The lifetime prevalence of SA was 1.8% (95% CI: 0.9%–3.7%), while the 1‐year prevalence was 0.3% (95% CI: 0.1%–0.8%). Subgroup analyses revealed that geographic region was significantly associated with lifetime and 1‐year prevalence of SI, while sample size was significantly associated with 1‐month prevalence of SI. Conclusions This meta‐analysis found a relatively high prevalence of suicide‐related behaviors, particularly lifetime SI, among physicians. Appropriate preventive and treatment measures should be implemented to reduce the risk of suicide‐related behaviors in this population.

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Medical specialty choice and well-being at work: Physician's personality as a moderator

Cited by 13 publications

References 70 publications

Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians

Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians

Avaliação da qualidade de vida de médicos clínicos e cirurgiões

Prevalence of suicide‐related behaviors among physicians: A systematic review and meta‐analysis

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