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Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China

OBJECTIVES: To assess the quality of working life (QWL) of medical doctors and associated risk factors. SETTING AND PARTICIPANTS: A cross-sectional questionnaire survey of 2915 medical doctors from 48 hospitals was conducted in China. METHODS: The QWL-7–32 scale was adopted to assess seven domains o...

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Autores principales: Tang, Changmin, Guan, Cuiling, Liu, Chaojie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677010/
https://www.ncbi.nlm.nih.gov/pubmed/36396318
http://dx.doi.org/10.1136/bmjopen-2022-063320
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author Tang, Changmin
Guan, Cuiling
Liu, Chaojie
author_facet Tang, Changmin
Guan, Cuiling
Liu, Chaojie
author_sort Tang, Changmin
collection PubMed
description OBJECTIVES: To assess the quality of working life (QWL) of medical doctors and associated risk factors. SETTING AND PARTICIPANTS: A cross-sectional questionnaire survey of 2915 medical doctors from 48 hospitals was conducted in China. METHODS: The QWL-7–32 scale was adopted to assess seven domains of QWL: physical health, mental health, job and career satisfaction, work passion and initiative, professional pride, professional competence, and balance between work and family. PRIMARY AND SECONDARY OUTCOME MEASURES: Data were analysed using SPSS V.19.0. Analysis of variance tests and multivariate linear regression analyses were performed to identify the sociodemographic characteristics and job factors associated with overall QWL and its seven subdomain scores. RESULTS: On average, the respondents reported an overall QWL score of 92.51 (SD=17.74) of a possible 160. Over 35% of respondents reported more than 60 hours of weekly working time; 59.9% experienced night sleep deprivation frequently; 16.6% encountered workplace violence frequently. The multivariate regression models revealed that the eastern region (β≤−2.887 for non-eastern regions, p<0.001), shorter working hours (β≤−2.638 for over 40 hours a week, p<0.01), less frequent night sleep deprivation (β≤−5.366 for sometimes or frequent, p<0.001), higher income (β≥2.795 for lower income, p<0.001) and less frequent encounters of workplace violence (β≤−9.267 for sometimes or frequent, p<0.001) were significant predictors of higher QWL. Night sleep deprivation and workplace violence were common predictors (p<0.05) for all seven domains of QWL. CONCLUSION: The low QWL of medical doctors working in public hospitals in China is evident, which is associated with high workloads, low rewards and workplace violence. There are also significant regional differences in the QWL of medical doctors, with the eastern developed region featuring better QWL. Public hospitals in China are facing serious challenges in occupational health and safety, which needs to be addressed through a systems approach.
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spelling pubmed-96770102022-11-22 Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China Tang, Changmin Guan, Cuiling Liu, Chaojie BMJ Open Occupational and Environmental Medicine OBJECTIVES: To assess the quality of working life (QWL) of medical doctors and associated risk factors. SETTING AND PARTICIPANTS: A cross-sectional questionnaire survey of 2915 medical doctors from 48 hospitals was conducted in China. METHODS: The QWL-7–32 scale was adopted to assess seven domains of QWL: physical health, mental health, job and career satisfaction, work passion and initiative, professional pride, professional competence, and balance between work and family. PRIMARY AND SECONDARY OUTCOME MEASURES: Data were analysed using SPSS V.19.0. Analysis of variance tests and multivariate linear regression analyses were performed to identify the sociodemographic characteristics and job factors associated with overall QWL and its seven subdomain scores. RESULTS: On average, the respondents reported an overall QWL score of 92.51 (SD=17.74) of a possible 160. Over 35% of respondents reported more than 60 hours of weekly working time; 59.9% experienced night sleep deprivation frequently; 16.6% encountered workplace violence frequently. The multivariate regression models revealed that the eastern region (β≤−2.887 for non-eastern regions, p<0.001), shorter working hours (β≤−2.638 for over 40 hours a week, p<0.01), less frequent night sleep deprivation (β≤−5.366 for sometimes or frequent, p<0.001), higher income (β≥2.795 for lower income, p<0.001) and less frequent encounters of workplace violence (β≤−9.267 for sometimes or frequent, p<0.001) were significant predictors of higher QWL. Night sleep deprivation and workplace violence were common predictors (p<0.05) for all seven domains of QWL. CONCLUSION: The low QWL of medical doctors working in public hospitals in China is evident, which is associated with high workloads, low rewards and workplace violence. There are also significant regional differences in the QWL of medical doctors, with the eastern developed region featuring better QWL. Public hospitals in China are facing serious challenges in occupational health and safety, which needs to be addressed through a systems approach. BMJ Publishing Group 2022-11-17 /pmc/articles/PMC9677010/ /pubmed/36396318 http://dx.doi.org/10.1136/bmjopen-2022-063320 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Occupational and Environmental Medicine
Tang, Changmin
Guan, Cuiling
Liu, Chaojie
Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
title Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
title_full Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
title_fullStr Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
title_full_unstemmed Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
title_short Quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in China
title_sort quality of working life of medical doctors and associated risk factors: a cross-sectional survey in public hospitals in china
topic Occupational and Environmental Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677010/
https://www.ncbi.nlm.nih.gov/pubmed/36396318
http://dx.doi.org/10.1136/bmjopen-2022-063320
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