ArticleBMC health services research2013
The effects of improving hospital physicians working conditions on patient care: a prospective, controlled intervention study.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Trial
- Multidimensional stressors and protective factors shaping physicians' work environments and work-related well-being in two large US cities during COVID-19.American journal of industrial medicine · 2023Article
- Physician participation in quality improvement work- interest and opportunity: a cross-sectional survey.BMC primary care · 2022Article
- Mindfulness and compassion training for health professionals: A qualitative study.Frontiers in psychology · 2022Article
- [Is this the parallel pandemic? : Measures to improve working conditions and stress levels among health care personnel].Der Internist · 2021Review
- "Fit for work and life": an innovative concept to improve health and work ability of employees, integrating prevention, therapy and rehabilitation.Journal of rehabilitation medicine · 2021Article
- Exception reporting: an effective way to increase compliance leading to improvements in working conditions for junior doctors.Future healthcare journal · 2021Article
- Changes in work stress among doctors in Norway from 2010 to 2019: a study based on repeated surveys.BMJ open · 2020Article
- A cross-sectional audit of the risk of burnout among senior medical staff in a UK district general hospital.Clinical medicine (London, England) · 2020Article
- Editorial: Healthy Healthcare: Empirical Occupational Health Research and Evidence-Based Practice.Frontiers in psychology · 2020Article
- The mental health impacts of health and human service work: Longitudinal evidence about differential exposure and susceptibility using 16 waves of cohort data.Preventive medicine reports · 2019Article
- Article
- Healthcare professionals' perspectives on working conditions, leadership, and safety climate: a cross-sectional study.BMC health services research · 2019Article
- Effects of work conditions on provider mental well-being and quality of care: a mixed-methods intervention study in the emergency department.BMC emergency medicine · 2019Article
- Article
- Associations of psychosocial working conditions with health outcomes, quality of care and intentions to leave the profession: results from a cross-sectional study among physician assistants in Germany.International archives of occupational and environmental health · 2018Article
- Article
- The associations between work-life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work-life climate scale, psychometric properties, benchmarking data and future directions.BMJ quality & safety · 2017Article
- Effort-reward imbalance and perceived quality of patient care: a cross-sectional study among physicians in Germany.BMC public health · 2016Article
- Work stress, burnout, and perceived quality of care: a cross-sectional study among hospital pediatricians.European journal of pediatrics · 2015Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysicians, particularly in hospitals, suffer from adverse working conditions. There is a close link between physicians' psychosocial work environment and the quality of the work they deliver. Our study aimed to explore whether a participatory work-design intervention involving hospital physicians is effective in improving working conditions and quality of patient care.
methodsA prospective, controlled intervention study was conducted in two surgical and two internal departments. Participants were 57 hospital physicians and 1581 inpatients. The intervention was a structured, participatory intervention based on continuous group meetings. Physicians actively analyzed problematic working conditions, developed solutions, and initiated their implementation. Physicians' working conditions and patients' perceived quality of care were outcome criteria. These variables were assessed by standardized questionnaires. Additional data on implementation status were gathered through interviews.
resultsOver the course of ten months, several work-related problems were identified, categorized, and ten solutions were implemented. Post-intervention, physicians in the intervention departments reported substantially less conflicting demands and enhanced quality of cooperation with patients' relatives, compared to control group physicians. Moreover, positive changes in enhanced colleague support could be attributed to the intervention. Regarding patient reports of care quality of care, patient ratings of physicians organization of care improved for physicians in the intervention group. Five interviews with involved physicians confirm the plausibility of obtained results, provide information on implementation status and sustainability of the solutions, and highlight process-related factors for re-design interventions to improve hospital physicians work.
conclusionsThis study demonstrates that participatory work design for hospital physicians is a promising intervention for improving working conditions and promoting patient quality of care.
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