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- Fridner, Ann, et al.
(författare)
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The research collaboration HOUPE: Health and Organisation among University Hospital Physcians in four European countries: Sweden, Norway, Iceland and Italy
- 2008
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Ingår i: BMA – AMA – CMA International conference on Doctors Health, London, 18-20th of November 2008.
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Konferensbidrag (refereegranskat)abstract
- Background: Hospital statistics show increased pre-pensioning and sickness absence among physicians in Sweden. In addition, female physicians experience unconstructive work conditions, inequality of pay, and less career advancement than their male counterparts in university hospitals despite increased share of women in medical education. Signs of ill-health among physicians might have severe consequences for people involved, patients, hospital economy and for health service provided. HOUPE is a research collaboration between four University Hospitals in Europe; Karolinska University Hospital, Stockholm, Landspitali University Hospital, Reykjavik, St Olavs University Hospital, Trondheim and University Hospital Azienda Ospedaliera, Padova.Objective: In 2002 national research groups anchored at four University Hospitals in Sweden, Norway, Iceland and Italy started a comprehensive research program abbreviated: The HOUPE project intended to provide a systematic comparison of university hospitals in Europe and how the structure and organization of these hospitals affected the research activity, work load, work satisfaction, gender equality, career advancement, health, and wellbeing of physicians. Next phase in our longitudinal design will include the university hospital in Budapest, Hungary.Funding: Medical Association in Iceland and Sweden, SLS - Swedish Physician Society, NorFA, Vinnova, Stockholm City Council, the four University Hospitals.Method: Three level of data collection were executed: Document analysis concerning national frameworks, register data/hospital statistics and a cross sectional survey in 2005/2006 (N = 2095/3867) among permanently employed university hospital physicians in each country.Results: Numerous research projects are scheduled in each country based on these data in different national research project. Preliminary results will be presented based on these ongoing analyzes on differences in the prevalence of harassment level, suicide ideation, hospitals emphasize of clinical research, and the tension between work load and interaction between career and role as caregivers at home, inequality of pay between men and women, and between medical and academic position.Intervention and prevention: Survey feedback seminars (Fridner & Pingel, 2006) with physicians in each clinic and Occupational Stress Index (OSI) for physicians (Belkic, 2003).Conclusions: The lack of studies that address organisational and psychosocial work conditions for physicians in Iceland and Italy makes HOUPE data important for this purpose. Numerous research projects were scheduled in each country based on these data. In addition, HOUPE data will be able to identify existing practices in management systems of university hospitals and trough comparison between the university hospitals highlight best practice.
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| 3. |
- Gustafsson Sendén, Marie, et al.
(författare)
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What makes physicians go to work while sick : A comparative STUDY of Sickness presenteeism in four European countries (HOUPE)
- 2013
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Ingår i: Swiss Medical Weekly. - : SMW Supporting Association. - 1424-7860 .- 1424-3997. ; 143
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Tidskriftsartikel (refereegranskat)abstract
- QUESTIONS UNDER STUDY: Sickness presenteeism is common in the health sector, especially among physicians, leading to high costs in terms of medical errors and loss in productivity. This study investigates predictors of sickness presenteeism in university hospitals, which might be especially exposed to competitive presenteeism. The study included comparisons of university hospitals in four European countries. METHODS: A cross-sectional survey analysis of factors related to sickness behaviour and work patterns in the field of academic medicine was performed among permanently employed physicians from the HOUPE (Health and Organisation among University Physicians Europe) study: (Sweden n = 1,031, Norway n= 354, Iceland n = 242, Italy n = 369). The outcome measure was sickness presenteeism. RESULTS: Sickness presence was more common among Italian physicians (86%) compared with physicians in other countries (70%-76%). Country-stratified analyses showed that sickness presenteeism was associated with sickness behaviour and role conflicts in all countries. Competition in the form of publishing articles was a predictor in Italy and Sweden. Organisational care for physician well-being reduced sickness presenteeism in all countries. CONCLUSION: Sickness presenteeism in university hospitals is part of a larger behavioural pattern where physicians seem to neglect or hide their own illness. Factors associated with competitive climate and myths about a healthy doctor might contribute to these behaviours. Importantly, it is suggested that managers and organisations should work actively to address these questions since organisational care might reduce the extent of these behaviours.
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| 4. |
- Thun, S., et al.
(författare)
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Sickness present with signs of burnout : the relationship between burnout and sickness presenteeism among university hospital physicians in four European countries
- 2014
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Ingår i: Scandinavian Psychologist. - Oslo : Psykologisk.no AS. - 1894-5570. ; 1, s. e5-
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Tidskriftsartikel (refereegranskat)abstract
- Sickness present with signs of burnout: The relationship between burnout and sickness presenteeism among university hospital physicians in four European countries.Research has indicated that physicians often report symptoms of burnout and have a high prevalence of sickness presenteeism, yet there are few studies of the relationship between burnout and sickness presenteeism among physicians. The present survey study investigates the association between sickness presenteeism and the two dimensions of burnout, exhaustion and disengagement, when controlling for job resources. A survey was administered both on the web and in paper format among university hospital physicians in four European countries: Norway, Sweden, Iceland and Italy (N = 2078). Sickness presenteeism was positively associated with both exhaustion and disengagement, but explained more of the variance in exhaustion than in disengagement. The results of this study indicate that decreasing the high prevalence of sickness presenteeism may offer a promising avenue for future interventions aimed at reducing burnout among physicians. Although the study confirmed a relationship between burnout and sickness presenteeism, it is argued that the specific link between these two variables needs more attention.
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