ArticleInternational archives of occupational and environmental health2015
Working conditions and effort-reward imbalance of German physicians in Sweden respective Germany: a comparative study.
Article in International archives of occupational and environmental health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Impact of intrawork rest breaks on doctors' performance and well-being: systematic review.BMJ open · 2022Pooled it
- Meta-analysis of effort-reward imbalance prevalence among physicians.International archives of occupational and environmental health · 2022Pooled it
- Managers perception of hospital employees' effort-reward imbalance.Journal of occupational medicine and toxicology (London, England) · 2023Article
- Working conditions in primary healthcare during the COVID-19 pandemic: an interview study with physicians in Sweden.BMJ open · 2022Article
- Working conditions in primary care: a qualitative interview study with physicians in Sweden informed by the Effort-Reward-Imbalance model.BMC family practice · 2021Article
- Job stress among resident physicians in Tanta University Hospitals, Egypt.Environmental science and pollution research international · 2020Article
- Changes in Working Conditions and Mental Health Among Intensive Care Physicians Across a Decade.Frontiers in psychiatry · 2020Article
- Practice Organization Characteristics Related to Job Satisfaction Among General Practitioners in 11 Countries.Annals of family medicine · 2019Article
- Effort-reward imbalance among students at German universities: associations with self-rated health and mental health.International archives of occupational and environmental health · 2018Article
- Job satisfaction and stressors for working in out-of-hours care - a pilot study with general practitioners in a rural area of Germany.BMC family practice · 2018Article
- Physician emigration from Germany: insights from a survey in Saxony, Germany.BMC health services research · 2018Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWork stress among physicians is a growing concern in various countries and has led to migration. We compared the working conditions and the work stress between a migrated population of German physicians in Sweden and a population of physicians based in Germany. Additionally, specific risk factors for work stress were examined country wise.
methodUsing a cross-sectional design, 85 German physicians employed in Sweden were surveyed on working conditions and effort-reward imbalance and compared with corresponding data on 561 physicians working in Germany. Multiple linear regression analyses were applied on both populations separately to model the associations between working conditions and effort-reward ratio (ERR), adjusted for a priori confounders.
resultsGerman physicians in Sweden had a significantly lower ERR than physicians in Germany: mean (M) = 0.47, standard deviation (SD) = 0.24 vs. M = 0.80, SD = 0.35. Physicians in Sweden worked on average 8 h less per week and reported higher work support and responsibility. Multivariate analyses showed in both populations a negative association between work support and the ERR (β = -0.148, 95% CI -0.215 to (-0.081) for physicians in Sweden and β = -0.174, 95% CI -0.240 to (-0.106) for physicians in Germany). Further significant associations with the ERR were found among physicians in Sweden for daily breaks (β = -0.002, 95% CI -0.004 to (-0.001)) and among physicians in Germany for working hours per week (β = 0.006, 95% CI 0.002-0.009).
conclusionOur findings show substantial differences in work stress and working conditions in favor of migrated German physicians in Sweden. To confirm our results and to explain demonstrated differences in physicians' work stress, longitudinal studies are recommended.
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