| 1. |
- Eneroth, Mari, et al.
(författare)
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A comparison of risk and protective factors related to suicide ideation among residents and specialists in academic medicine
- 2014
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 14, s. 271-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Physicians have an elevated risk of experiencing suicidal thoughts, which might be due to work-related factors. However, the hierarchical work positions as well as work-related health differ among resident and specialist physicians. As such, the correlates of suicide ideation may also vary between these two groups. Methods: In the present study, work- and health-related factors and their association with suicidal thoughts among residents (n=234) and specialists (n=813) working at a university hospital were examined using cross-sectional data. Results: Logistic regression analysis showed that having supportive meetings was associated with a lower level of suicide ideation among specialists (OR=0.68, 95% CI: 0.50-0.94), while an empowering leadership was related to a lower level of suicide ideation among residents (OR=0.55, 95% CI: 0.32-0.94). Having been harassed at work was associated with suicidal ideation among specialists (OR=2.26, 95% CI: 1.31-3.91). In addition, sickness presenteeism and work disengagement were associated with suicide ideation in both groups of physicians. Conclusions: These findings suggest that different workplace interventions are needed to prevent suicide ideation in residents and specialists.
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| 2. |
- Eneroth, Mari, et al.
(författare)
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Reasons to quit among Swedish General Practitioners
- 2014
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Ingår i: International Conference on Physician Health: Milestones and transitions - Maintaining the balance. ; , s. 2-2
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: General practitioners play a crucial part in healthcare as they provide the continuity of care that can prevent illness, and they most often represent the patients first contact with health-care. A current problem is however that there is a lack of general practitioners in several countries. Recruitment of general practitioners from abroad is essential to ensure the publics physician access, but there are indications that this group has even greater quitting intentions than native-born physicians. The antecedents of turnover intentions may moreover differ in importance for native-born and foreign-born physicians respectively. Methods and participants: The authors examined five fundamental physician work factors in relation to intention to quit among native-born general practitioners (n=208), and foreign-born general practitioners (n=73) working in a primary care setting in a central area in Sweden. Linear regression analysis was performed with control for age and gender. The sample consisted of 64 % females. Results: Foreign-born general practitioners more often stated that they would quit today if they could than native-born practitioners (t278= 3,73, p = .001). Regression analysis revealed that pressure from patients was related to an increased intention to quit in both groups. In addition, vacancies and pressure from financial goals were related to a higher risk of wanting to quit among native-born general practitioners. HR-Primacy was associated with a decreased risk of turnover intentions among the native-born general practitioners, while control of work pace was highly related to a decreased risk of turnover intentions among foreign-born general practitioners. Conclusions: General practitioners primarily experience pressure from patients and financial goals of the care-unit, which may provoke intentions to quit. Study suggestions are that care-unit financial goals are set in consent with physicians, and that control of work pace is encouraged.
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| 3. |
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| 4. |
- Fridner, Ann, et al.
(författare)
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Enhance physicians health through surevy feedback seminars
- 2013
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective: Four university hospitals started 2005 a comprehensive research program Health and Organization among University hospitals Physicians in four European countries - The HOUPE study. The project aims to provide a systematic comparison on how research activity, work conditions, gender equality, career advancement, impact on the health and wellbeing of physicians. Here we present data from Sweden and how we used them to conduct an intervention project to develop the working conditions and thereby enhance the health of physicians working.Methods: Cross sectional survey in 2005 (N = 1800) among university hospital physicians employed permanently more than one year. Measures: Physician Career Path Questionnaire (Fridner, 2004), General Health Questionnaire-12 (Goldberg and Williams, 1991), Oldenburg Burnout Inventory (Demerouti et al., 2001, 2003), Question About Suicidal Ideation and Attempted Suicide (Meehan et al, 1992), and selected scales from Questionnaire about Psychological and Social Factors at Work (Lindström et al, 2000). Survey feedback seminars with physicians working in one university hospital.Results: All employed physicians (2300), the hospital management and HR-consultants recieved a written report where the results from the survey were presented. 10 % of all physicians participated in a three hour survey feedback seminar. Researchers documented these seminars, and reports were distributed to all the physicians working in the clinic/clinics which enabled non-participating physicians to gain knowledge from the seminars. One summarising report from all the survey feedback seminars was written and distributed to all physicians.Conclusions: The seminars were emotionally charged since a lot of frustration could be spoken out, but also a serious listening when results of the physcians´health and results about harrassments among colleagues were presented. Each feed-back seminar ended with the physicians themselves made proposals as to how they wanted to change work conditions in their specific clinic.Comments: Overall, the research team gave 20 survey feedback meetings in collaboration with head of clinic and HR-consultants. Three hours is minum to keep up with the process it means to understand their health and work situation, and to be constructive in their cooperation in order to achieve change.
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| 5. |
- Fridner, Ann, et al.
(författare)
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From Awareness to Action Using the Survey Feedback Method
- 2014
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Ingår i: Journal of Health Science. - 2328-7136. ; 2:7, s. 325-329
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Tidskriftsartikel (refereegranskat)abstract
- Reports from European university hospitals show an increase in work-related mental strain. Four European university hospitals started a comprehensive research program called Health and Organisation among University hospitals Physicians in Europe—the HOUPE Study in the year 2003. Based on the results from the HOUPE study, the authors conducted an intervention project together with HR-consultants at one of the participating hospitals. A collected cross-sectional survey in 2005 among permanently employed academic physicians (N = 1800, response rate 60%) at Karolinska University Hospital in Sweden. Results from the study were used in survey feedback seminars (N = 250). This method is a way of systematic collection of data to process and give feedback to the organisation’s members in order to initiate organisational change. By providing results based on the total sample, on each division, and unpublished data from each clinic the authors aimed to improve physicians’ health and work satisfaction and thereby enhance the health of the physicians. Feedback seminars can arouse many emotions and might make people defensive. The role of resistance in the process of change is a paradox in that resistance slows down change. However, without resistance there will be no change at all. The authors conducted 20 feedback seminars of three hours duration where results were discussed relating mainly to the psychosocial work environment, psychological distress, and career paths, i.e., job demands, control at work, social interactions, leadership, commitment to the organisation, harassment at work, burnout, depression and suicide ideation. Altogether, 250 physicians participated in these meetings. To achieve acceptance for organisational change, data about relevant conditions in the organisation have to be processed in a systematic way in collaboration with all those who will benefit from changes, in concrete work units as divisions and clinics.
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| 6. |
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| 7. |
- Fridner, Ann, et al.
(författare)
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Why don't academic physicians seek needed professional help for psychological distress?
- 2012
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Ingår i: Swiss Medical Weekly. - : SMW Supporting Association. - 1424-7860 .- 1424-3997. ; 142:JULY
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: Suicidal thoughts, burnout and other signs of psychological distress are prevalent among physicians. There are no studies concerning help-seeking for psychological distress among university hospital physicians, who face a particularly challenging, competitive work environment. We compare psychologically-distressed university hospital physicians who have not sought needed help with those who have sought such help. We thereby aim to identify factors that may hinder help-seeking and factors that may trigger seeking help. METHODS: Analysis was performed among university hospital physicians reporting recent suicidal thoughts and/or showing other indications of current psychological illhealth. These distressed physicians were a subgroup (42.7%) from the cross-sectional phase I HOUPE study (Health and Organization among University Hospital Physicians in Europe): 366 from Sweden and 150 from Italy. Having sought professional help for depression or burnout was the outcome variable. Multiple logistic regression was performed with socio-demographic factors as covariates. RESULTS: Altogether 404 (78.3%) of these distressed physicians had never sought professional help for depression/burnout. Physicians who were currently involved in medical research, taking night call, surgical specialists, male, or Italian were least likely to have sought help. Physicians who faced harassment at work or who self-diagnosed and self-treated were more likely to have sought help. CONCLUSION: Very few of these university hospital physicians with signs of psychological distress sought help from a mental-health professional. This has implications for physicians themselves and for patient care, clinical research, and education of future physicians. More study, preferably of interventional design, is warranted concerning help-seeking among these physicians in need.
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| 8. |
- Gustafsson Sendén, Marie, et al.
(författare)
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Gender influence on sickness presence in outpatient care
- 2014
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Ingår i: International Conference on Physician Health: Milestones and transitions - Maintaining the balance. ; , s. 64-65
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: In the health care sector sickness presence is common, and especially among physicians. Sickness presence is less studied than sickness absence but might have adverse effects for individual physicians, and for health care of patients (Wallace, et al, 2009). Previous research has shown that female physicians more often go to work while sick (Gustafsson et al., 2013). In this study, it is examined whether men and women also show different reasons for going to work while ill. Method and participants: The study was conducted within outpatient care in a large Swedish city (N = 283, women 64 %). The question studied were sickness presence in a long term perspective, during the last 12 months and reasons for going to work while sick (concern for colleagues; patients; workload; economy; and perceptions of own capability). Results: In a long-term perspective, women indicated that they went to work while sick more often than men, F (1,282) = 6.06, p = .014. Among the women, 37 % indicated that they often or very often go to work while ill. For men, this figure was 23.4 %. For the last 12 month, 50% of the women and 40% of the men had gone to work while sick more than two times (mean difference = ns.). Although men and women indicated similar reasons for going to work while sick, there were also interesting differences. Women indicated higher concerns for patients, and the workload as reasons for going to work while sick. On the other hand, men indicated economic concerns to a higher degree than women and that they were capable of going to work while sick. There were no gender differences in concerns for colleagues. Conclusions: Sickness presence might have severe consequences, both for physicians themselves and for patients and medical care. Knowing the reasons for why physicians go to work is important in order to counter these behaviors. It is also important to notice that sex roles are of relevance in this type of behavior. HR departments and managers within medical care need to address these questions thoroughly and to implement strategies to decrease sickness presence among physicians.
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| 9. |
- 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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| 10. |
- Wall, Maja, et al.
(författare)
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Suicidal ideation among surgeons in Italy and Sweden : a cross-sectional study
- 2014
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Ingår i: BMC Psychology. - : Springer Science+Business Media B.V.. - 2050-7283. ; 2, s. 53-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Suicidal ideation is more prevalent among physicians, compared to the population in general, but little is known about the factors behind surgeons’ suicidal ideation. A surgeon’s work environment can be competitive and characterised by degrading experiences, which could contribute to burnout, depression and even thoughts of suicide. Being a surgeon has been reported to be predictor for not seeking help when psychological distressed. The aim of the present study was to investigate to what extent surgeons in Italy and Sweden are affected by suicidal ideation, and how suicidal ideation can be associated with psychosocial work conditions. Methods: A cross-sectional study of surgeons was performed in Italy (N=149) and Sweden (N=272), where having suicidal ideation was the outcome variable. Work-related factors, such as harassment, depression and social support, were also measured. Results: Suicidal ideation within the previous twelve months was affirmatively reported by 18% of the Italian surgeons, and by 12% of the Swedish surgeons in the present study. The strongest association with having recent suicidal ideation for both countries was being subjected to degrading experiences/harassment at work by a senior physician. Sickness presenteeism, exhaustion and disengagement were related to recent suicidal ideation among Italian surgeons, while role conflicts and sickness presenteeism were associated with recent suicidal ideation in the Swedish group. For both countries, regular meetings to discuss situations at work were found to be protective. Conclusions: A high percentage of surgeons at two university hospitals in Italy and Sweden reported suicidal ideation during the year before the investigation. This reflects a tough workload, including sickness presenteeism, harassment at work, exhaustion/disengagement and role conflicts. Regular meetings to discuss work situations might be protective.
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| 11. |
- Wall, Maja, et al.
(författare)
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Work environment and harassment among primary health care physicians : Does ethnicity matter?
- 2014
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Ingår i: International Conference on Physician Health: Milestones and transitions - Maintaining the balance. ; , s. 48-49
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Harassment and degrading experiences are frequently reported in the nursing workplace and is believed to be more common in highly demanding contexts (Fornés et al., 2011). Perceived discrimination based on race or sex could contribute to less engagement to work and more burnout (Volpone & Avery, 2013). Studies concluded among Canadian physician students showed that significantly more foreign-born students experienced harassment or discrimination on the basis of ethnicity or culture (Crutcher et al., 2011). In Sweden, 15 percent of the population is born abroad and integration is important to promote in the working life. There is uncovered ground among active physicians who experience harassment and unequal treatment in primary health care, why additional studies are needed. Method and participants: Participants in this cross-sectional study were primary health care physicians in central Sweden. The outcome variables were perceived harassment and unequal treatment at work, among general practitioners (N = 302). In the sample there were 64% females and 26% foreign-born. Results: Among male physicians, almost 14% of the foreign-born, compared to 3% of the native-born, reported being subject to harassment or mobbing during the last 6 months (21 = 3.983, p = .04). There was no such difference between female foreign-born and female native-born physicians. Nearly 27% of the foreign-born thought the basis for unequal treatment to be ethnicity compared to barely 9 % of the physicians born in Sweden, which is significantly less (21 = 10.008, p = .002). Among foreign-born, significantly more female than male physicians reported gender as reason for unequal treatment (21= 6.944, p < .01). There were no differences found among Swedish female and male physicians. Conclusions: There is evidence that foreign-born physicians working in primary health care in Sweden experience harassment and unequal treatment. Harassment and unequal treatment could affect physician health, and attention must be paid. The gender differences could also be a sign of gender inequality, which need to be examined more thoroughly.
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| 12. |
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| 13. |
- Calmfors, Lars, et al.
(författare)
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Uppfattas tjänstehandel som mindre rättvis än varuhandel? : En studie av attityder till låglönekonkurrens i utrikeshandel
- 2011
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Rapport (refereegranskat)abstract
- Ett antal arbetsmarknadskonflikter relaterade till låglönekonkurrens med utstationerad arbetskraft har blivit livligt uppmärksammade i den offentliga debatten runt om i EU:s medlemsländer. Av debatten att döma tycks de flesta medborgare ha en mer negativ inställning till låglönekonkurrens när det gäller import av tjänster innefattande utstationerad arbetskraft än när det gäller import av varor. Vår rapport studerar hur attityderna till låglönekonkurrens skiljer sig åt mellan olika former av handel genom att kombinera ekonomisk och psykologisk forskning. Resultaten bekräftar att attityderna är mer negativa till låglönekonkurrens i tjänstehandel och till offshoring än till varuimport från låglöneländerna. Demografiska, socioekonomiska och politisk-ideologiska bakgrundsfaktorer påverkar attityderna till handel i linje med resultaten från tidigare studier av handelsattityder. Däremot förefaller bakgrundsvariabler ha liten betydelse för skillnader i attityder mellan olika typer av handel. Vi genomförde även experiment för att klargöra i vilken grad attityden till tjänstehandel bildas utifrån rationella överväganden runt olika aspekter, det vill säga från underliggande attityddimensioner, eller om dessa attityddimensioner på grund av koherenssökande i stället anpassas till den generella attityden. Resultaten ger starkt stöd för att koherenssökande spelar stor roll i attitydbildningen till låglönekonkurrens med utstationerad arbetskraft. Tendensen till koherenssökande tycks vara kraftigare för dem som har en negativ inställning till sådan låglönekonkurrens än för dem som är positiva. Det skulle kunna tolkas som att den negativa gruppen bildar sina attityder på ett mindre rationellt sätt än den positiva gruppen. En alternativ tolkning är att den positiva gruppen ser sig som utmanare av den existerande ordningen, vilket enligt psykologisk forskning kan göra den mindre benägen att nyansera sin inställning.
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| 14. |
- Calmfors, Lars, et al.
(författare)
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Why Do People Dislike Low-Wage Trade Competition with Posted Workers in the Service Sector?
- 2012
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The issue of low-wage competition in services trade involving posted workers is controversial in the EU. Using Swedish survey data, people’s attitudes are found to be more negative to such trade than to goods trade. The differences depend on both a preference for favouring social groups to which individuals belong (here the domestic population) and altruistic justice concerns for foreign workers. In small-group experiments we find a tendency for people to adjust their evaluations of various aspects of trade to their general attitude. This tendency is stronger for those opposed to than those in favour of low-wage trade competition. This may indicate that the former group forms its attitudes in a less rational way than the latter group.
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| 15. |
- Calmfors, Lars, et al.
(författare)
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Why do people dislike low-wage trade competition with posted workers in the service sector?
- 2013
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Ingår i: The Journal of Socio-Economics. - : Elsevier BV. - 1053-5357 .- 1879-1239. ; 47, s. 82-93
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Tidskriftsartikel (refereegranskat)abstract
- The issue of low-wage competition in services trade involving posted workers is controversial in the EU. Using Swedish survey data, people's attitudes are found to be more negative to such trade than to goods trade. The differences depend on both a preference for favouring social groups to which individuals belong (the domestic population) and altruistic justice concerns for foreign workers. In small-group experiments, we find a tendency for people to adjust their evaluations of various aspects of trade to their general attitude. This tendency is stronger for those opposed to than those in favour of low-wage trade competition. This may indicate that the former group forms its attitudes in a less rational way than the latter group.
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| 16. |
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| 17. |
- Gustafsson Sendén, Marie, 1966-, et al.
(författare)
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Biases in news media as reflected by personal pronouns in evaluative contexts
- 2014
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Ingår i: Social Psychology. - : Hogrefe Publishing Group. - 1864-9335 .- 2151-2590. ; 45:2, s. 103-111
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Tidskriftsartikel (refereegranskat)abstract
- This paper examines whether pronouns in news media occurred in evaluative contexts reflecting psychological biases. Contexts of pronouns were measured by computerized semantic analysis. Results showed that self-inclusive personal pronouns (We, I) occurred in more positive contexts than self-exclusive pronouns (He/She, They), reflecting self- and group-serving biases. Contexts of collective versus individual pronouns varied; Weoccurred in more positive contexts than I, and He/She in more positive contexts than They. The enhancement of collective relative to individual self-inclusive pronouns may reflect that media news is a public rather than private domain. The reversed pattern among self-exclusive pronouns corroborates suggestions that outgroup derogation is most pronounced at the category level. Implications for research on language and social psychology are discussed.
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| 18. |
- Gustafsson Sendén, Marie
(författare)
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Gender in leadership
- 2013
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Konferensbidrag (populärvet., debatt m.m.)
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| 19. |
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| 20. |
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| 21. |
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| 22. |
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| 23. |
- Gustafsson Sendén, Marie, 1966-
(författare)
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Personal Pronouns in Evaluative Communication
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Personal pronouns represent important social categories; they are among the most common words in communication and are therefore highly interesting in studying psychological perspectives and relations. The aim of this thesis was to investigate whether pronouns are used in semantic contexts in a way that reflect psychological biases. Specifically, I have tested whether self-, group-serving- and gender biases occur when pronouns are used in natural language. To study this, I developed a structure for pronouns in social categorization where the pronouns are categorized in a self-inclusive/exclusive, an individual/collective, and a gender dimension. New methods for examining pronouns usage in language were developed in the thesis, for use in experiments and in computerized studies of large data corpora of media news. The results of this thesis showed that self-inclusive pronouns (I, We) consistently were used in more positive contexts than self-exclusive pronouns (He, She, They) by participants who generated messages in the lab (Study I), and by journalists in written media news (Study II). Study I revealed that the evaluative context surrounding I and We varied according to the specific communicative situation. When individuals generated messages individually, more positive contexts were selected for I than We. However in a collaborative setting, We occurred in contexts of similar valence as I. An intergroup setting magnified the differences between self-inclusive and self-exclusive pronouns (e.g., between We and They and between I and He/She). In an analysis of 400 000 news media messages, We occurred in more positive context than I (Study II). In Study III, the contexts of He and She in these media news were examined. The results showed that He occurred nine times more often, and in more positive contexts than She. Moreover, words associated with She included more labels denoting gender, and were more uniform than words associated with He. In sum, this thesis shows that studying the use of pronouns is a fruitful way to investigate social psychology phenomena. The thesis contributes to the understanding of how pronoun use convey knowledge about social cognition, attitudes, gender stereotypes, as well as interpersonal and intergroup relations.
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| 24. |
- Gustafsson Sendén, Marie, 1966-, et al.
(författare)
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Selection Bias in Choice of Words: Evaluations of ”I” and ”We” Differ between Contexts, but ”They” are Always Worse
- 2014
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Ingår i: Journal of Language and Social Psychology. - : Sage Publications. - 0261-927X .- 1552-6526. ; 33:1, s. 49-67
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Tidskriftsartikel (refereegranskat)abstract
- In everyday life, people use language to communicate evaluative messages about social categories. We examine a selection bias in language across two social dimensions not previously integrated; a self-inclusive/self-exclusive dimension and an individual/collective dimension. We used pronouns as markers for social categories (I, We, He/she and They), and developed a new measure, the Evaluative Sentence Generating (ESG) task, to investigate the evaluative context selected for the pronouns. Results demonstrate that individuals select a more positive context for self-inclusive than self-exclusive pronouns, and a more positive contexts for individual than collective pronouns. However, in an interpersonal context, evaluative differences between I and We diminished, whereas in an intergroup condition the evaluative gap between self-inclusive and self-exclusive pronouns was magnified. The ESG-task shows how language is used to form evaluative differences between social categories even in the absence of explicit comparisons or descriptions of specified persons or groups, and that it constitutes a new, simple and effective tool for measuring such biases across a number of domains.
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| 25. |
- Gustafsson Sendén, Marie, et al.
(författare)
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The General Practitioner – an Endangered Professional Group
- 2014
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Ingår i: Book of Proceedings, 11th European Academy of Occupational Health Psychology Conference. - Nottingham, UK : European Academy of Occupational Health Psychology. - 9780992878603 - 9780992878610 ; , s. 296-297
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective: General practitioners are responsible for the basic health care of the patients and if necessary, ensure the guidance of the patients within the medical system towards specialist care fulfilling the role of the “gatekeeper” of the medical system. However the shortage of doctors resulting in unfilled vacancies in the outpatient departments of hospitals has become a problem for the quality of care and a well-functioning health care delivery Doctors who are psychologically stressed are more likely to make medical mistakes, show a lower level of empathy, are more dissatisfied with their work and think more often of quitting their jobs or going on pension. The purpose of the study is to examine the relationship between doctors´ health, the organisation in which they work and the desire to stay on or quit working as a specialist general practioner.Method: Cross sectional survey in 2013 among General Practioners (GPs) employed in one City Council in Sweden. The criterion variable “intention to quit” was measured on a scale with three items (α = .86; QPS-Nordic; Lindström et al, 2000). Exhaustion was measured by Oldenburg Burnout Inventory, OLBI, (α = .82; Demerouti et al., 2001, 2003), “support from the organization” was measured also by scales from the QPS-Nordic (α = .87). Scales about “vacancies” (α = .90) and “economic goals” (α = .86), were created within the project. For the analyses we used hierarchical multiple regression.Results: Altogether 193 (63,9%) female GPs and 109 (36,1%) male GPs answered the questionnaire, 44% response-rate. The results showed that analysed factors contributed to (50.6%) of unique variance in the physicians’ intention to quit. Physician exhaustion was included in the first model and accounted for 33% of the variance. All the subsequently introduced models added significantly to the “intention to quit”, specifically: “vacancies” (9.6%) , goal (2.1%) and “support from the organization” (5.2%).Conclusion: The results show that there are strong associations between physician’s level of exhaustion and their intention to quit their work as physicians. The results are important since they show that the organization needs to pay attention to resource planning, how economic goals are introduced in the organizations. A positive aspect is that support from the organizations seems to be a protective factor. This is something that the organizations need to implement.
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