Workplace factors leading to planned reduction of clinical work among emergency physicians

Crook, Heather D; Taylor, David; Pallant, Julie; Cameron, Peter

doi:10.1111/j.1742-6723.2004.00531.x

Cited by 24 publications

(29 citation statements)

References 18 publications

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“…These doctors showed low depression and anxiety scores, which is inconsistent with findings from other research from the developed world. 35 A second job may take up a major part of the doctors' time, consequently preventing them from participating in social activities. However, the extra money earned may motivate them, improve their quality of life and thus help in reducing the risk of depression and anxiety.…”

Section: Discussionmentioning

confidence: 99%

A study of depression and anxiety among doctors working in emergency units in Denizli, Turkey

Erdur

2006

Emergency Medicine Journal

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Background: Major work has been carried out on the psychological well-being of emergency room doctors in the US, Canada and in other developed countries, but little has been published regarding the same in the countries in economic transition. Objective: To determine the level of, and the factors related to, depression and anxiety among doctors working in emergency units in Denizli, Turkey. Methods: This cross-sectional study was conducted in May 2004, using a sample of 192 doctors employed in emergency units in Pamukkale University Hospital, the City Hospital, the Social Security Hospital, private hospitals, citywide primary healthcare centres and 112 emergency services in Denizli, Turkey. Data were obtained using a self-administered questionnaire, including questions on sociodemographic characteristics and two instruments determining the level of depressive symptoms and anxiety. Logistic regression was the method chosen for multivariate statistical analysis. Results: The mean (standard deviation (SD)) depression score was 10.6 (6.5) and the frequency (%) of depression was 29 (15.1). Not having any hobby and having high anxiety scores were salient factors among doctors experiencing depressive symptomatology in bivariate comparisons. Logistic regression analysis showed that not having any hobby (p = 0.07) and having increased anxiety scores (p,0.001) were positive contributors to depression scores. The mean (SD) anxiety score was 8.7 (8.2) and the frequency (%) of anxiety was 28 (14.6). Being a woman, having a low monthly income and having high depression scores contributed considerably to the anxiety of doctors in bivariate comparisons. Low monthly income (,1000 v 1000-2000 YTL) (p = 0.03), the number of years spent in emergency units (p = 0.03) and having high depression scores (p,0.001) were the factors that contributed significantly to the anxiety of doctors in the multivariate regression analysis. Conclusion: The considerable amount of depression and anxiety found among doctors in this study should trigger further work. Studies using more powerful designs would help to illuminate the factors leading to depression and anxiety, which result in attrition among doctors from emergency units.

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Section: Discussionmentioning

confidence: 99%

A study of depression and anxiety among doctors working in emergency units in Denizli, Turkey

Erdur

2006

Emergency Medicine Journal

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“…In other countries, overcrowding, dealing with patients and families, inadequate administrative support, [17] a higher number of shifts, [18] insufficient personnel and heavy workloads, [19] income and financial matters, malpractice, [20] and familial conflict [21] were significant factors. [22] Besides these factors, the ED was seen as more prone to exhibitions of aggressive behavior, including threatening behavior and verbal and physical attacks.…”

Section: Discussionmentioning

confidence: 99%

Emergency medicine as a growing career in Iran: an Internet-based survey

Farahmand

Karimialavijeh

Vahedi

et al. 2016

World Journal of Emergency Medicine

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BACKGROUND:In Iran, few studies have evaluated emergency medicine as a career option. In the present study, we aimed to find out how Iranian emergency-medicine specialists view their specialty as a career. METHODS:Following a qualitative study, a Likert-scale questionnaire was developed. Iranian emergency physician specialists who had at least two years' job experience were contacted via email. A uniform link to a Web-based survey and a cover letter that explained the survey were sent to the recipients. We used the Kruskal-Wallis test and post hoc analysis to determine the differences between demographic subgroups. RESULTS:A total of 109 eligible responses were received, a response rate of 72.63%. Of the responders, 57.8% were 30-40 years of age, 86.2% were male, 86.2% were single, 84.4% were faculty members and 90.8% had fewer than 10 years' job experience. The main problems occurring during the career of Iranian emergency physicians were: insuffi cient income, inadequate recognition of the specialty by the community, inadequate union support, insecurity in the emergency wards, overcrowding, job stresses and night shifts. Despite insufficiency of income, Iranian emergency physicians (EPs) did not care about the financial benefits of patient care. Academic activity had positive effects on the perspectives of Iranian emergency physicians regarding their careers. CONCLUSION:Iranian emergency physicians and leaders in emergency medicine should struggle to improve the present situation, aiming at an ideal state.

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“…There seems to be a clear relationship between crowding and patients leaving without being seen, or having reduced satisfaction. Crowding is also reported to reduce physician job satisfaction 59 60…”

Section: Effects Of Crowdingmentioning

confidence: 99%