| 1. |
- Lovseth, Lise Tevik, et al.
(författare)
-
Confidentiality and Physicians' Health. A Cross-sectional Study of University Hospital Physicians in Four European Cities (the HOUPE-study)
- 2010
-
Ingår i: Journal of Occupational Health. - 1341-9145 .- 1348-9585. ; 52:5, s. 263-271
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate how the subjective burden of confidentiality can act as a stressor that affects physicians' psychological health and wellbeing. Method: Cross-sectional survey data from a sample of university hospital physicians (N=1,956) in four European countries (Sweden, Norway, Iceland and Italy) who participated in the HOUPE (Health and Organization among University hospital Physicians in Europe) study was analysed. Results: About 25% of the participants reported that confidentiality impedes emotional support to a considerable degree. An index of confidentiality as a barrier to seeking support (ICBS) had a negative effect on physicians' health and wellbeing. The effect of ICBS was confirmed and slightly increased when controlled for variables known to buffer the adverse mental and physical effects of stress. Though the physicians in Iceland and in Norway found confidentiality the most challenging, it was the physicians in Italy and Sweden who showed a significant effect of ICBS on their health and wellbeing. Conclusions: Whether confidentiality is a stressor in its own right or an amplifier of stressful situations in medical practice should be further investigated to gain a better understanding of the effect of confidentiality on physicians' coping, stress and health. In addition, there is a need to investigate how physicians can balance coping with the inevitable emotional demands of medical practice and maintaining the ethics of confidentiality in a way that protects both patients' privacy rights and physicians' health and wellbeing.
|
|
| 2. |
- Løvseth, Lise Tevik, et al.
(författare)
-
Age and Gender Differences in Authorship among University Hospital Physicians in Sweden, Norway and Italy (The HOUPE Study)
- 2014
-
Ingår i: British Journal of Medicine and Medical Research. - 2231-0614. ; 4:27, s. 4582-4590
-
Tidskriftsartikel (refereegranskat)abstract
- Background: For decades there has been a prominent gender gap in the number publications among physicians in academic medicine. Increased recruitment of women into medicine and a new generation work force that emphasize work-life balance can contribute to narrow this gap. Aims: The present study investigates whether younger hospital physicians may display less gender differences in authorship of scientific publications compared to those older of age. Methodology: Baseline cross-sectional survey data among senior consultants (N=1379) working at public university hospitals in three European countries, participating in the HOUPE study (Health and Organization among University hospital Physicians in Europe). Analysis: Chi-square tests and logistic regression analysis with probit link function. Results: There were differences in number of publications based on country where Italy and Sweden reported a significantly higher number of first- or last authorship compared to Norway (Χ2=30.6, P<.001). Logistic regression analysis confirmed gender differences in number of publications and first-and last authorships (P<.001) across all age categories. The rate of increase in number of publications is higher for men than for women physicians. Conclusion: These findings confirm that scientific production is still more relevant to discuss in terms of gender than generation. It is important to look at factors that are essential to career choice and faculty retention in women in particular but also among women and men in the new generation of physicians.
|
|
| 3. |
- Løvseth, Lise Tevik, et al.
(författare)
-
Associations between Confidentiality Requirements, Support Seeking and Burnout among University Hospital Physicians in Norway, Sweden, Iceland and Italy (the HOUPE study)
- 2013
-
Ingår i: Stress and Health. - : Wiley. - 1532-3005 .- 1532-2998. ; 29:5, s. 432-437
-
Tidskriftsartikel (refereegranskat)abstract
- Concerns about protecting patient's privacy are experienced as a limitation in the opportunity to obtain and utilize social support by many physicians. As resources of social support can modify the process of burnout, patient confidentiality may increase risk of this syndrome by interfering with proper stress adaptation. This study investigates if experiencing limitations in seeking social support due to confidentiality concerns are associated with burnout. University hospital physicians in four European countries completed measures of burnout, (Index) of Confidentiality as a Barrier for Support (ICBS), and factors of social resources and job demands. Linear regression analysis showed that ICBS was significantly associated with the burnout dimension of Exhaustion and not with Disengagement. These findings were present when controlling for factors known to diminish or increase the likelihood of burnout. These results are the first to demonstrate that patient confidentiality is associated with burnout in the process of stress management among physicians.
|
|
| 4. |
- Løvseth, Lise Tevik, et al.
(författare)
-
Confidentiality as a barrier to support seeking among physicians : The influence of psychosocial work factors in four European hospitals (The HOUPE study)
- 2014
-
Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 49:1, s. 113-121
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Concerns about protecting patient's privacy can interfere with proper stress adaptation which isassociated with physician's health. It is important to investigate relevant organizational confounders to this phenomenon to enable interventions that can ameliorate the subjective burden of patient confidentiality. Objectives: This study investigatesfactors in the psychosocial work environment that can explain patient confidentiality's prominence in social support seeking among physicians, and if these factors covary differently with support seeking according to country. Participants: University hospital physicians in four European cities (N=2095) in Sweden, Norway, Iceland and Italy participated in a cross-sectional survey. Methods: Questionnaire comprised items on psychosocial work environment, basic socio-demographics, presence of formal and informal meetings at work, and measurement of confidentiality as a barrier for support. Resultats: High role conflict, availability of formal or informal meetings, lack of control over decisions, and lack of control over work pace were predictors of confidentiality as a barrier to support. There were differences between countries in how these factors covaried with confidentiality as a barrier to support. High role conflict was the strongest predictor of confidentiality as a barrier to support across all samples. Conclusions: Psychosocial work factors predicted confidentiality as a barrier to support seeking among physicians. It is important to create routines and an organizational framework that ensures both the patient's right to privacy and physician's ability to cope with emotional demanding situations from work.
|
|
