Evidence map›Paper›PMID 28851354›Full record

ArticleBMC health services research2017

The relationship between working conditions and self-rated health among medical doctors: evidence from seven waves of the Medicine In Australia Balancing Employment and Life (Mabel) survey.

Allison Milner, Katrina Witt, Matthew J Spittal, Marie Bismark, Melissa Graham, Anthony D LaMontagne

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  9. Observational
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  14. Medical Doctors and Dementia: A Longitudinal Study.Journal of the American Geriatrics Society · 2020
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  15. Article
  16. Challenges faced by acute care surgeons in China.World journal of emergency surgery : WJES · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Allison MilnerCentre for Health Equity, School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, 3010, Australia. Allison.milner@unimelb.edu.au.ORCID http://orcid.org/0000-0003-4657-0503
Katrina WittTurning Point, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Matthew J SpittalCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Marie BismarkCentre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Melissa GrahamCentre for Health through Action on Social Exclusion, School of Health and Social development, Deakin University, Melbourne, Australia.
Anthony D LaMontagneCentre for Health Equity, School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, 3010, Australia.
Deakin University · AUThe University of Melbourne · AUEastern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychosocial job stressors, such as low control and high demands, have been found to influence the health and wellbeing of doctors. However, past research in this area has relied on cross-sectional data, which limits causal inferences about the influence of psychosocial job stressors on health. In this study, we examine this relationship longitudinally while also assessing whether the relationship between psychosocial job stressors and health is modified by gender.

methodsThe data source was seven annual waves of the Medicine in Australia: Balancing Employment and Life (MABEL) survey. The outcome was self-rated health (measured using the SF-12), and key exposures reflected job control, job demands, work-life balance variables, employment arrangements, and aggression experienced at work. We used longitudinal fixed and random effects regression models to assess within and between-person changes in health.

resultsExcessive job demands, low job control, feelings of not being rewarded at work, and work-life imbalance were associated with higher within-person odds of poorer self-rated health. Gender differences were apparent. For female doctors, work arrangements and work-life imbalance were associated with poorer self-rated health whilst task-based job stressors were associated with poorer self-rated health in male doctors.

conclusionsThese results suggest the importance of addressing adverse working environments among doctors.

trial registrationNot applicable.

Indexed as

Health StatusPhysiciansWork-Life BalanceAdultAustraliaFemaleHumansLongitudinal StudiesMaleOccupational StressSelf ReportSex FactorsSocial SupportSurveys and QuestionnairesWorkplaceEmploymentHealthJob stressMedical doctorsMedicineWork

Identifiers

PMID28851354
PMCPMC5576303
OpenAlexW2753657905

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.