Effects of organizational changes on health and sickness absence among health care employees. : A longitudninal study measuring biologic stress hormones, individual and work-site facotrs.

• A series of organizational changes during the last decades in health care organizations have resulted in an uncertain and turbulent working life with negative effects on health and job satisfaction. The aim of this longitudinal study was to assess affects on health and sickness absence among health care employees after organizational changes. The population consisted of 278 employees divided in a study group, structurally concerned of the changes and a control group. The response rate was 81% and 74% respectively at baseline and follow up measurements. Group differences were analyzed both for an open (n= 226) and closed cohort (n= 156) using one-way ANOVA as well as a two-way ANOVA for repeated measurement in a closed cohort. To explain predictors for changed health a stepwise linear regression analysis was used. The results in the open cohort showed that the study group experienced significantly worse self-rated health and worse work satisfaction after the reorganization compared with the control group. The study group had also increased their level of work related exhaustion. The results from the closed cohort showed that the recovery hormone DHEA-S had significantly decreased and sickness absence increased among employees in the study group compared to those in the control group. Factors that best predicted changed health after the reorganization were work related exhaustion, age and coping ability. Sickness absence had increased significant for the study group at the 1-year follow up (7% and 2% respectively).

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

"organizational changes"

health care

Social medicine

Socialmedicin

Publikations- och innehållstyp

vet (ämneskategori)

kon (ämneskategori)