ArticleInternational archives of occupational and environmental health2018
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.
Article in International archives of occupational and environmental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 78 citations in OpenAlex.
- A systematic review and meta-analysis of depressive symptoms and work-ralated psychoacial factors among healthcare workers.Discover mental health · 2026Review
- Organisational, hygiene- and team-related changes in German general practices during and after the COVID-19 pandemic: a participatory cross-sectional survey among medical assistants (WiSBAH study).BMC public health · 2026Article
- The effect of Effort-Reward imbalance on job performance among primary healthcare professionals: the mediating roles of social support and resilience.Scientific reports · 2025Article
- Contextualising the job demands-resources model: a cross-sectional study of the psychosocial work environment across different healthcare professions.Human resources for health · 2024Article
- Psychosocial work environment in Swedish primary healthcare: a cross-sectional survey of physicians' job satisfaction, turnover intention, social support, leadership climate and change fatigue.Human resources for health · 2024Article
- Working Conditions Predict Turnover Among Medical Assistants.Deutsches Arzteblatt international · 2024Article
- Medical assistants' comic styles and their potential for positive functioning at work: a cross-sectional study including a subgroup analysis.BMC primary care · 2024Article
- Psychosocial working conditions, perceived patient safety and their association in emergency medical services workers in Germany - a cross-sectional study.BMC emergency medicine · 2024Article
- Psychosocial working conditions and mental health among medical assistants in Germany: a scoping review.BMC public health · 2024Article
- Article
- Prevalence and correlates of workplace violence against medical assistants in Germany: a cross-sectional study.BMC health services research · 2023Article
- Working conditions, authorizations, mental health, and job satisfaction of physician assistants in Germany.Frontiers in public health · 2023Article
- Factors associated with suicide in physicians: a silent stigma and public health problem that has not been studied in depth.Frontiers in psychiatry · 2023Review
- Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience.Frontiers in public health · 2023Article
- Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.BMC health services research · 2022Article
- Changes of working conditions and job-related challenges due to the SARS-CoV-2 pandemic for medical assistants in general practices in Germany: a qualitative study.BMC primary care · 2022Article
- Social stressors and social resources at work and their association with self-reported health complaints among ready-made garment workers in Bangladesh: a cross-sectional study.BMC public health · 2022Article
- Article
- The Relationship of Medical Assistants' Work Engagement with Their Concerns of Having Made an Important Medical Error: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Work-related psychosocial demands related to work organization in small sized companies (SMEs) providing health-oriented services in Germany - a qualitative analysis.BMC public health · 2022Article
Corrections and comments
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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
backgroundNumerous epidemiological studies among health care staff have documented associations of adverse psychosocial working conditions with poorer health-related outcomes, a reduced quality of patient care and intentions to leave the profession. The evidence for physician assistants in Germany remains limited though.
methodsWe surveyed a total of 994 physician assistants between September 2016 and April 2017. Psychosocial working conditions were measured by the established effort-reward imbalance (ERI) questionnaire and by a questionnaire specifically developed to capture psychosocial working conditions among physicians. Health outcomes (i.e., self-rated health, depression, anxiety), self-rated quality of care and the intention to leave the profession were assessed by established measures. We ran multivariable logistic regression analyses.
resultsThe prevalence of work stress in terms of ERI equalled 73.77%. Work stress according to the ERI model was associated with significantly poorer self-rated health [odds ratio (OR) 3.62], elevated symptoms of depression (OR 8.83) and anxiety (OR 4.95), poorer quality of care (OR for medical errors 4.04; OR for interference of work with patient care 3.88) and an increased intention to leave one's current profession (OR 3.74). The PA-specific questionnaire showed similar, albeit weaker, associations (all ORs > 1.22).
conclusionsOur results are in line with previous findings among health care staff and provide specific and novel evidence for physician assistants. Interventions aiming at the improvement of working conditions seem needed given their potential adverse consequences in terms of employee health, quality of care, and personnel policy.
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